Medical Billing Care Representative

CAROLYN CALDWELL

*** ******** ****** **** ******, MO 65336 660-***-**** ***********@*****.***

Professional Profile

Service-focused professional who delivers skilled, high quality patient care in accordance with established policies and procedures. Builds effective relationships and communication with patients, management, and staff. Maintains and ensures patient privacy and confidentiality. With finances, Medical records according to HIPPA Rules regulations by Law.

Academic Honors Recognition/Honor Roll, Dean’s List

Solid computer skills with a typing speed of 32 words per minute.

Leads by example and sets high standards for performance.

Able to efficiently prioritize multiple high-priority tasks.

Key Qualifications

Medical Billing, Medical Coding, ICD-9-CM, HCPCS, CPT, Introduction to ICD-9-CM, Medical Terminology, Electronic Health Records (EHR), Electronic Medical Records (EMR), Greenway Managed Care (HMO, PPO, and POS), Government Payers, Third Party Payers, Worker’s Compensation, Centers for Medicare and Medicaid, CMS 1500, CMS 1450 (UB-04), Tricare, EOBs, Payment Posting, Revenue Cycle Management, Scheduling, Superbill, Insurance Verification, Insurance Billing Procedures, Insurance Claim Processing, Practice Management, Medical Office Procedures, Anatomy & Physiology, Co-Payments, Deductibles, Co-Insurance, HIPPA Compliance, Reimbursement Methodologies, Fee Schedules, Outpatient/Physician, Inpatient/Facility.

Education

2016 Ultimate Medical Academy

Diploma- Medical Billing and Coding

Completed an intensive, accredited training program with honors, which included:

·Analyze and code surgical procedures and diagnosis using ICD-9-CM and CPT codes.

·Collaborate across collection/billing departments to ensure billing-related issues are resolved.

·Maintenance of medical charts and electronic medical records (EMR/EHR) systems.

·Verify insurance eligibility, and submit claims to various insurance companies electronically.

·Pursuing National CPC-A Certification

·Pursuing American Academy of Professional Coders (AAPC) Membership

·Obtained Pharmacy License

Medical Experience

CUSTOMER CARE REPRESENTATIVE CVS CAREMARK LEE’S SUMMIT, MO 07/2017 TO PRESENT

·Answered phones and ensured customers got prescriptions filled correctly online.

·Maintained good relationships with clients by valued assistance to the customer’s needs.

SUPERVISOR CANTON MANOR, CANTON MISSISSIPPI 1999-2012

·Evaluated and verified employee performance through the review of completed work assignments.

·Maintained records, prepared reports, and composed correspondence. Monitored client’s finance’s

·Monitored and ensured the conditions of health, comfort, safety, and well-being of patients.

CERTIFIED NURSE’S AID, WARRENSBURG MANOR, WARRENSBURG, MO 1980-1990

·Offered direct and indirect care.

·Provided for patient’s dependency needs such as nutrition, hygiene, safety, and physical and psychological comfort measures.

·Completed daily logs documenting patient condition and activities.

·Gaps of employment because I was pursing/Focusing on my education

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