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Medical Billing Research Specialist

Location:
Raleigh, NC
Posted:
July 26, 2021

Contact this candidate

Resume:

CARLA BATES

Recruiting and Data Entry Specialist

Raleigh, NC 27610

adnwvf@r.postjobfree.com

919-***-****

Willing to relocate to: Raleigh, NC - Morrisville, NC - Garner, NC Authorized to work in the US for any employer

Work Experience

Senior Recruiting Coordinator

PeopleScout - Raleigh, NC

March 2021 to May 2021

• processing forms and data related to immigration that are received by the Graduate School

• data entry into large databases

• reviewing student requests and creating case files

• sorting, redirecting and responding to email from students and academic departments

• preparing express shipments • understanding and applying basic immigration regulations and academic policies and procedures;

• other administrative support duties as assigned

Field Operations Recruiter

Department of Commerce and Community Affairs - Raleigh, NC May 2020 to August 2020

• Performed general clerical operations tasks that are routine and/or repetitive in nature.

• Answered a large call volume on daily basis, and transferred those calls to the appropriate party.

• Captured, assembled sorted and/or distributed items or documents using machinery to meet requirement.

• Verified or matched data on documents and/or items.

• Received processed and verified requests adhering to strict production metrics

• Maintained confidentiality and an exceptionally high ethical standard in an extremely secure workspace

• Exhibited a high performance level working independently more than fifty percent of the time

• Adapted well to changing customer requirements and an evolving work environment

• Dependable resource for overtime work coverage

Talent Acquisition Manager

AJA Management, Inc - Raleigh, NC

August 2019 to June 2020

• Candidate Screening

• Reference and Background Checks

• E-verify

• Pre-screening applicants

• Conduct new-hire Orientation

• Making recommendations to company hiring managers

• Coordinating interviews with the hiring managers

• Following up on the interview process status

• Maintaining relationships with both internal and external clients to ensure staffing goals are achieved

• Communicating employer information and benefits during screening process

• Staying current on the company’s organization structure, personnel policy, and federal and state laws regarding employment practices

• Serving as a liaison with area employment agencies, colleges, and industry associations

• Completing timely reports on employment activity Administrative Assistant/Receptionist

Miracle Temple Christian Center - Raleigh, NC

April 2012 to November 2019

• Handling office tasks, such as filing, generating reports and presentations, setting up for meetings, and reordering supplies.

• Providing real-time scheduling support by booking appointments and preventing conflicts.

• Making travel arrangements, such as booking flights, cars, and making hotel and restaurant reservations.

• Screening phone calls and routing callers to the appropriate party.

• Using computers to generate reports, transcribe minutes from meetings, create presentations, and conduct research.

• Greet and assist visitors.

• Maintain polite and professional communication via phone, e-mail, and mail.

• Anticipate the needs of others in order to ensure their seamless and positive experience. Claims and Billing Specialist Supervisor II

Conduent - Raleigh, NC

April 2014 to July 2018

Plans and directs patient insurance documentation, billing and collections, and data processing to ensure accurate

billing and efficient account collection.

. Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up

on any issues.

. Follow up on claims using various systems. Medicaid and Medicare included.

. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.

. Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall

department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.

Reimbursement Case Manager

TrialCard, Inc - Morrisville, NC

February 2016 to April 2016

Handle case assignments, draft service plans, review case progress and determine case closure Facilitate multiple care aspects (case coordination, information sharing, etc) Patient Care Coordinator I

A10 Clinical Solutions, Inc - Cary, NC

June 2015 to February 2016

Orientation and education of patients and families, in relation to the condition they are suffering from and the treatment required

Monitoring the application of care, ensuring a high quality of care is being given Attending educational sessions and workshops to ensure that you maintain your technical and professional

knowledge and expertise

Maintaining patient database, including entering new patient information Data Collection Specialist

RTI International - Raleigh, NC

November 2011 to July 2013

Responsibilities- Ask questions in accordance with instructions to obtain various specified information, such as person's name,

address, age, religious preference, and state of residency. Compile, record and code results and data from interview or survey, using computer or specified form. Contact individuals to be interviewed at home, place of business, or field location, by telephone, mail, or in person.

Human Resources Generalist

Atwater Rest Home - Apex, NC

March 2005 to February 2009

Responsibilities

•Answer and direct phone calls Organize and schedule meetings and appointments

•Produce and distribute correspondence memos, letters, faxes and forms

•Having excellent time management skills and ability to multitask and prioritise work

•Obtaining impeccable written and verbal communication skills

• Consult with employers to identify needs and preferred qualifications

• Interview applicants about their experience, education and skills

• Contact references and perform background checks

• Inform applicants about job details such as benefits and conditions

• Hire or refer qualified candidates

• Conduct new employee orientations

• Process paperwork

Education

Diploma in Human Resources in Human in development Penn Foster College - Raleigh, NC

January 2015 to October 2015

High School Degree

Penn Foster College - Raleigh, NC

August 2006 to February 2007

Skills

• BILLING (6 years)

• MEDICAL BILLING (6 years)

• CITRIX

• CLAIMS (4 years)

• TIME MANAGEMENT (3 years)

• Marketing

• Administrative Assistant

• Outlook

• Quickbooks

• Recr (4 years)

• Data Entry

• Collections

• CPT

• Microsoft Office

• Excel

• training

• Microsoft Excel

• Medical Terminology

• Filing

• Receptionist

• Microsoft Word

• Customer Service

• Information Management

• Administrative Experience

• Calendar Management

• Google Suite

• Front Desk

• Word Processing

• Office Experience

• Benefits Administration

• Insurance Verification

• ICD-10

• HIPAA

• Data Management

• Email Marketing

• Allscripts

• Medical Office Experience

• Microsoft Powerpoint

• English

• Clerical Experience

• Accounts Payable

• Accounts Receivable

• ICD Coding

• Sales Experience

• Multi-line Phone Systems

• Supervising Experience

• Typing

• EMR Systems

• Medical Records

• ICD-9

• EMR Systems

• Employee Orientation

• ICD-9

• Medical Records

• Recruiting

• CPT Coding

• eClinicalWorks

• Phone Etiquette

• Leadership Experience

• Human Resources

• Office Manager Experience

• Hospitality Experience

• Microsoft Outlook

• Sourcing

• ATS

• HR Sourcing

• Interviewing

• Medical Receptionist

• Medical Scheduling

• Athenahealth

• Medical Collection

• Revenue Cycle Management

• Clinical Research

• 10 Key Calculator

• Computer Literacy

• Managed Care

• Epic

• Hospitality

• Project Management

• Talent Acquisition

• Microsoft Access

• Leadership

• Payroll

• Negotiation

• Caregiving

• Data collection

• Live chat

• Google Docs

• Care plans

• Social media management

• Documentation review

• Dispatching

• Zendesk

• Quality Assurance

• Databases

• Restaurant experience

• Sales

• Windows

• Analysis skills

• Customer support

• Identity & access management

• CRM software

• Software troubleshooting

• Content management systems

• Process improvement

• Active Directory

• Medical coding

• Computer networking

• SharePoint

• Multi-line phone systems

• Multi-line phone systems

• Employment & labor law

• Workday

• VoIP

• Intake

• Oracle

• HRIS

• Dayforce

• Logistics

• Logistics

• Taleo

• Account management

• iCIMS

• Telemarketing

• Contracts

• Lever

• Salesforce

• Continuous improvement

• Market research

• Senior care

Certifications and Licenses

Driver's License

Senior Professional in Human Resources

Professional In Human Resources

Assessments

Attention to Detail — Familiar

July 2019

Identifying differences in materials, following instructions, and detecting details among distracting information.

Full results: Familiar

Call Center Customer Service — Completed

May 2020

Applying customer service skills in a call center setting. Full results: Completed

Medical Billing — Proficient

February 2020

Understanding the procedures and forms used for medical billing. Full results: Proficient

Customer Focus & Orientation — Proficient

January 2020

Responding to customer situations with sensitivity Full results: Proficient

Cognitive Ability — Proficient

April 2019

Measures a candidate's ability to combine pieces of information to form general rules or conclusions. Full results: Proficient

Work Style: Conscientiousness — Highly Proficient

January 2020

Tendency to be well-organized, rule-abiding, and hard-working. Full results: Highly Proficient

Work Style: Reliability — Proficient

January 2020

Tendency to be dependable and come to work

Full results: Proficient

Direct Care — Proficient

January 2020

Showing sensitivity and enthusiasm while providing care to patients. Full results: Proficient

Analyzing Data — Proficient

April 2019

Measures a candidate's skill in interpreting and producing graphs, identifying trends, and drawing justifiable conclusions from data.

Full results: Proficient

Working with MS Word Documents (Basic) — Familiar

January 2020

Basic Word techniques, including the use of tools to format or edit text. Full results: Familiar

Medical Receptionist Skills — Proficient

January 2020

Managing physician schedules and maintaining accurate patient records Full results: Proficient

Customer Focus & Orientation — Proficient

January 2020

Responding to customer situations with sensitivity Full results: Proficient

Sales: Influence & Negotiation — Familiar

March 2020

Persuading reluctant customers to buy products or services, and influencing and negotiating with customers to meet sales goals.

Full results: Familiar

Written Communication — Familiar

June 2019

Measures a candidate's ability to convey written information using proper grammar rules. Full results: Familiar

Scheduling — Familiar

June 2019

Cross-referencing agendas and itineraries to avoid scheduling conflicts. Full results: Familiar

Attention to Detail — Familiar

May 2019

Identifying differences in materials, following instructions, and detecting details among distracting information.

Full results: Familiar

Spreadsheets with Microsoft Excel — Completed

July 2019

Excel knowledge including common tools, PivotTables, conditional & nested formulas, and custom visuals.

Full results: Completed

Work Style: Reliability — Proficient

July 2019

Tendency to be dependable and come to work

Full results: Proficient

Work Style: Conscientiousness — Completed

May 2019

Measures a candidate's tendency to be rule-abiding, well-organized, hard-working, confident, and think before acting.

Full results: Completed

Work Style: Conscientiousness — Highly Proficient

January 2020

Tendency to be well-organized, rule-abiding, and hard-working. Full results: Highly Proficient

Verbal communication — Proficient

August 2020

Speaking clearly, correctly, and concisely

Full results: Proficient

Customer focus & orientation — Proficient

August 2020

Responding to customer situations with sensitivity Full results: Proficient

Work style: Reliability — Proficient

September 2020

Tendency to be dependable and come to work

Full results: Proficient

Customer service — Proficient

September 2020

Identifying and resolving common customer issues

Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

SKILLS

Administration, Citrix Receiver, Microsoft Office, Healthcare, Office Administration, (7 years), Inventory Management,

Administration, Research Specialist, Claims Investigation (10+ years), hiring process, time management, (5 years),

Medical Billing, health insurance payments

Credible, Crediblebh, Welligent, Waypoint, Wellpoint



Contact this candidate