Medical Billing Customer Service
Resume:
Dionivie Craig MCBC
**** ****** ***** **., *****, VA 22015 910-***-**** **********@*****.***
PROFESSIONAL SUMMARY
●Identify major laws, regulations and guidelines related to medical billing
●Understand various insurance types, carriers and plans and appropriate rules for coverage determination
●Recognize ICD-10-CM, CPT, HCPCS and modifiers and how to utilize them for billing
●Accurately complete and submit health insurance claims for reimbursement
●Comprehend payment adjudication, various claim statuses and the resubmission process
●Gather, review and verify crucial patient information and documentation
●Audit medical billing and prevent fraud and abuse assigning diagnostic and procedure codes and how to submit clean claims for reimbursement
●Submit reimbursement claims to insurers and optimize healthcare providers maximum payment for medical procedures performed
KEY QUALIFICATIONS
Quality Assurance Team Player Problem Solving Communication Customer Service Data Entry Personnel Management Microsoft Office
EDUCATION AND TRAINING
MedCerts Livonia, MI 05/2021 - 08/2021
Medical Billing and Coding Specialist program
NHA: MCBC Certified (Pending)
Nova Community College Annandale, VA 08/2020 – 04/2021
Studied Medical Administrative Assistant
American Red Cross Camp Lejeune, NC 2009
Customer Service Training
University of Cebu Cebu, Philippines 1994 - 1996
Studied Hotel and Restaurant Management
PROFESSIONAL EXPERIENCE
Army and Air Force Exchange Fort Belvoir Virginia 12/2020 – Present
Sales Associate
●Perform cashier duties by scanning and entering items into the register in a timely manner to assist customers with check out of goods and services.
●Expeditiously perform stocking duties for over items of store inventory to ensure stock levels support customer needs.
●Provide expert customer service to assist with locating inventory, solving pay-at-the pump issues and entering special orders into the supply system.
●Provide quality assurance of the hot snack and coffee station to ensure freshness of food and beverages are kept to high company standards and goods are ready for customers to quickly obtain.
Book Internationals Co Sterling VAS 05/2018 - 12/2020
Packing Specialist
●Performed duties as packing specialist to include filing invoices for over books while maintaining accuracy of invoices to books that are prepared to ship resulting in giving to the manager for the missing invoices.
●Provided quality assurance of books and invoices to ensure accuracy of data prior which ensured paper and electronic records were accurate which resulted in the delays of shipping of materials to customers.
●Performed packing and hanger duties by packing books and invoice in shipping boxes to avoid delayed sales for the organization
●Expertly perform data entry duties by using the packing program to close invoices prior to scanning a new invoice for packing
●Enthusiastically trained new employees on packing and handling procedures to ensure organization processes are passed on to new employees
Cuisine Solutions Sterling VA 09/2016 - 05/2018
Supervisor
●Supervised and mentored ten staff members in skilling and mixing.
●Ensured the cleanliness of the area is according to the Standard Operating Procedures
●Made sure the product of the company meets expectations, what production and how much
●Checked the quality of the materials and ingredients and how much and what was the result of the mixing.
Cuisine Solutions Sterling VA 02/2014 - 09/2016
Shift Leader 1
●In-charge of slicing preparations
●Checked the texture of the meat
●Made sure the food is cook properly
●Leader by example and made sure other staff are doing their responsibilities
Fairview Elementary School Burke VA 02/2014 - 06/2015
Cafeteria Attendant
●Assisted with routine food preparation tasks, such as cleaning and cutting up fruits and vegetables, making and wrapping sandwiches, preparing/cooking other food offerings, and the like
●Cleaned and organized food service and dining areas
●Supervised students while eating their meals
Sleep Inn and Suites Hotel Jacksonville NC 04/2012 - 06/2013
Front Desk Associate
●Responsible for checking guests in and out of the hotel, responding to guest requests, and safeguarding company assets
●Handled reservations and inquiries over the telephone and in-person
●Adjusted housekeeping labor schedule when necessary
REFERENCES
Teresa Z. Ross
Medical Legal Information Specialist
Inova Fairfax Hospital
Falls Church, VA
Lynn Shaver
Training and curriculum specialist
MCCS Child Development Center
North Quantico, VA
****.*.******@*****.***
Marlyn Chan
Shift Manager
North Poles Express
Fort Belvoir, VA
Contact this candidate