Shiloh Fernandez

Administrative assistant

Dewey, AZ 86327

adruuc@r.postjobfree.com

928-***-****

I have a variety of skills that I believe will be of a asset for any company geared for success. I am flexible and dependable. I have a high regard for ethics and integrity, Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Operations Manager/Bookkeeper

TROY NELSON TRANSMISSIONS - Prescott Valley, AZ

November 2016 to March 2019

All administrative duties, Quick books pro 2016, bills,ap /ar, mail, customer service. and driving when needed. All tax related and payroll duties, Invoicing, collections. parts inventory.TPT, partnership taxes, reconcile/collections. marketing management,social media set up .positive outlook Credentialing Specialist

M & M Eye institute - Prescott, AZ

May 2016 to October 2016

Credentialed providers, created database for further tasks for quarterly compliance and security maintenance, .Worked closely with Humana and University Health care to get claims and contracts updated and paid retrospectively.Maintained & updated new /current providers with CAQH. Created model for credentialing department to follow and update. Insurance Billing Specialist

SWID, Center - Prescott Valley, AZ

2014 to 2016

Responsibilities

Post and code office visits into Med-touch EMR system. Generate clean claims to a variety of payers. Research eligibility and verify coverage for Medicare part b, Aetna, bcbs, Cigna, geha, Tri-west, VA, Coventry, Humana, Medicaid, United Health Care, and many more. Interact with labs to provide ICD-10 codes for testing. Run AR reports daily and weekly, work on any denials. Contact payers for updates. Enroll any new payers into the EMR system for EDI and ERA. Crossover secondary insurance in system. . Explain benefits to patients, kept ABN's current. input new insurance. Answer phones. Scan information such as ins cards advance directives etc. into pt. chart. updates. Query provider on coding issues.Inform and help patients understand there benefits.

Medical Records Compliance Auditor

ECS, Inc - Phoenix, AZ

2013 to 2015

REMOTE/CONTRACT

Responsibilities AUDITOR

Review and retrieve PHI from patient charts for Medicaid /Medicare RAC and HITECH audits. Traveled from Coconino to Kingman., to Phoenix.. I have vast knowledge of many EMR systems such as Amazing charts, Centricity, Athena-net, E-Clinical, Greenway, Cerner, Health-fusion, Practice Fusion and more. Com[ile information fr charts and encrypt to send to payers.Coding review. Hospital clearance .and data encryption obtained through security standards for retrieving PHI. Coding review along with great communication and flexibility. HIPAA compliance and security certificate completed . I accomplished being a top team player in our region. With average of 14 charts per hour. I also have no PHI violations or provider complaints. I am able to apply my ethics and integrity with each povider i would encounter .

Education

Certificate in MEDICAL RECORDS TECHNOLOGY

Yavapai College - Prescott, AZ

2010 to 2014

Associate in Health Information Technology

Central Arizona College - Apache Junction, AZ

Certified in Microsoft office professional

Yavapai College

Skills

• CONTENT MANAGEMENT SYSTEM (10+ years)

• Quickbooks (6 years)

• Microsoft office (10+ years)

• Auditing (10+ years)

• AHIMA (10+ years)

• CMS COMPLIANCE 2016 (10+ years)

• Business Management (10+ years)

• Inventory Control

• Bookkeeping

• Office 365

• Medical Billing

• CPT Coding

• Accounts Receivable

• Accounts Payable

• ICD-10

• Office Admin

• Front Office

• Marketing

• Social Media Management

• Supervising Experience

• Cleaning Experience

• Microsoft Excel

• Time Management

• Office Manager Experience

• Microsoft Outlook

• Data entry

• Negotiation

• Purchasing

Awards

PHI THETA KAPPA INTERNATIONAL HONOR SOCIETY

2011

Current active member

DEANS LIST

Certifications and Licenses

CMS Compliance Certificate 2016

March 2016 to Present

Medical Billing Specialist w emphasis on ICD-10

Present

Certificate of Completion Excel & Microsoft office Present

Certificate of Achievement Medicare Compliance

Present

CPR/AED

Certificate of Achievement Medical Billing

Present

Certificate of Achievement HIPAA PRIVACY AND SECURITY' Present

Honor Society

Present

Assessments

Reliability — Familiar

October 2019

Tendency to be dependable and come to work

Full results: Familiar

Administrative Assistant — Familiar

January 2020

Using basic scheduling, attention to detail, and organizational skills in an office setting. Full results: Familiar

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

Groups

qbo

Present

alldata

Present

amba

Present

ahima

Present

cms/hitech

Present

MSN Connects

Present

Additional Information

SKILLS

Multi-Line Phone System, scheduling, Microsoft office, excel, access, ethical legal aspects (4 years), CMS/ compliance certifications MLN credit CEU (4 years) Medical terminology accredited 1 & 2, A & P, Paraprofessional pharmacology, ICD-(, CPT, HCPCS, RAC Audits, Chart Review

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