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Director of Pennsylvania billing IBHS

Location:
Philadelphia, PA
Salary:
$25
Posted:
January 15, 2022

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Resume:

**** ******** ****** ************ **, *****

Cell: 267-***-****; Email: adpxkz@r.postjobfree.com

LANIYIA MCDUFFIE

OBJECTIVE

Ready to obtain and secure a position with your company. That is seeking a hardworking, enthusiastic, and dependable individual with excellent customer service skills, willing to learn. Contain valid driver's license, CRP and First Aid Certified. Looking for long term, full time remote position.

BUSINESS SKILLS

Ability to read, count accurately

Knowledge of General Office Equipment

Developed professional communication skills and approaches Proficient in Nexgen, Microsoft Word, Excel, Power point, Clerical, Alphanumeric Filing and Medical Terminology, Third Party billing (Insurance verification) Manage time effectively completing all tasks paying close attention to detail CAREGIVING SKILLS

Offer Personal care consists of hygiene, dressing and administering medication Providing companionship, assist with walking and light exercise, 1 on 1 services Plan and prepare meals, monitor food expiration dates, make future meals Make beds and change linens, followed by clean-up

Light housekeeping to include dusting and vacuuming Assist with bathing, dressing and grooming, personal care Great at following family instructions

Skilled at handling and caring for kids in the absence of their parents Ability to monitor, control and manage the environment efficiently Good at keeping the children engaged by playing with them and educating them. Ability to keep calm and take best actions in terms of emergency PROFESSIONAL EMPLOYMENT HISTORY

Family Therapy and Consultation Services, Philadelphia October 2021- Present Director of Pennsylvania IBHS Billing

Third Party billing (insurance), Medicaid, HIPPA (ICD 9/10 codes, CPT & Modifiers) Process and Submit claims on multiple platforms

Resolve All denials/rejections including Appeal

Submit (weekly, monthly and quarterly) billing reports Contacting Insurance companies for contracts, Maximum Fee Schedule 5614 Hadfield Street Philadelphia PA, 19143

Cell: 267-***-****; Email: adpxkz@r.postjobfree.com

Rite Aid, Philadelphia October 2013- Present

Pharmacy Technician/ Wellness ambassador

Third Party billing (insurance), HIPPA (ICD 9/10 codes, Medicare, Medicaid) Customer Service, Outreach, Wellness of the customers Nexgen and Medical Terminology, Collect Revenue

Maintains pharmacy inventory/ Removing outdated drugs from shelves Organizes medications for pharmacist to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities Maintains records by recording and filing physicians' orders and prescriptions. Ensures medication availability by delivering medications to patients and departments. Collect patients information to fill Rx or to help them better by greeting them in person and by phone answering questions and requests and referring inquiries to the pharmacist

Devereux, Berywn Pa September 2016- Present

Direct Support Professional, Medication certified

Ensure Individuals are safe, healthy, and living in a clean environment; Assist and support in the planning, implementation, and documentation of programs designed to meet the social, emotional, physical, and personal needs of Individuals; Assist, support, 1 on 1 services and instruct Individuals in self-help skills designed to encourage independence; Accompany Individuals on community life outings, medical appointments, and other activities, as indicated.

Comfort keepers, Jenkintown Pa March 2014- October 2016 Caregiver

Provide in-home care for seniors and others needing assistance in and around the home. Maintain their in-home safety and enhance the quality of their lives health. Offer great companionship and assist with all their daily living activity. Babysitting, Philadelphia September 2009- March 2014 Babysitter/ Housekeeper/Caregiver

Throughout the years I've work for Private family’s day to day needs. Engaged in home activities, reading, and taking walks Supervised homework, Tutor elementary school kids

Preparing meals and Personal care

Preparing for their hours of sleep

5614 Hadfield Street Philadelphia PA, 19143

Cell: 267-***-****; Email: adpxkz@r.postjobfree.com

Central Parking, Philadelphia PA July 2012 - October 2013 Cashier/ Customer Service Representative

Collect Revenue based on computer generated parking slips Respond to customers inquiries and concerns in a pleasant manner Prepare reports and document all transactions

Document and report all irregular transactions

Sears Holding Corporation, Philadelphia PA November 2012 - April 2013 Cashier

Collect revenue for items purchased, using a cash register Hair Du Jour, Philadelphia PA January 2010 - August 2010 Administrative Assistant

Entered all contact information, payments and supplies into spreadsheet and database Managed stock and ordered supplies when required

Answer Phones in a professional manner

Take and distribute Messages

Pinn Memorial Baptist Church, Philadelphia, PA Summer 2007 Junior Camp Leader

Collect revenue from families

Stick to the planned activities with the children

Temple Youth Voices, Philadelphia, PA Sept 2006 - Sept 2009 Administrative Assistant/Group Leader

Handled incoming and outgoing telephone calls with community partners Planned and organized the maintaining of ongoing projects and activities Using Microsoft's programs, video equipment, and digital technology Philadelphia Young Marines Organization, Philadelphia, PA Jan. 2000 - Dec 2008 Marines Trainee/Gunnery Sergeant/Young Marine Instructor-Volunteer Work This was a program under Maine's I learned everything a Maine knows in a child eye. I specialized in leadership skills, team work, managing stock, community service events, marksmanship, drill team, advanced field, first aid, drill competition, swimming, communications skills, and CPR.

5614 Hadfield Street Philadelphia PA, 19143

Cell: 267-***-****; Email: adpxkz@r.postjobfree.com

EDUCATION

Lincoln Technical Institute, Philadelphia, PA September 2013 Pharmacy Technician

Diploma GPA 4.0

Certification: American Red Cross Adult CPR 2013(Currently renew 2021) Certificate in Vitals, and Blood Pathogens

Monsignor Bonner & Archbishop Prendergast Catholic High School June 2012 Major: Math and Business - GPA 3.5

PHARMACEUTICAL COURSE WORK

Medical Ethics

Pharmacy Technician Dosages and Calculations

Pharmacy Safety Regulations and the Law

Terminology for Pharmacy Technicians

Therapeutic Responses to Medication I, II and III

Insurance Claims

Health Center Six, Philadelphia, PA July 2013- August 2013 Pharmacy Tech - Extern 180 hours



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