M. RENEE

EVANS

adw4hh@r.postjobfree.com

410-***-****

Upper Marlboro, MD 20774

SKILLS

Diagnostic Codes

Determine Medical Necessity

Reviewing Patient Information

Policy Analysis

Healthcare Terminology

Policy Evaluation

Reimbursement Management

ICD-9 Coding

Claim Processing

EDUCATION

Southern New Hampshire University

Online • 2023

Bachelor of Arts: Leadership Essentials

Kaplan College

Charlotte, NC

Technical Diploma: Medical Assisting

CERTIFICATIONS

Certified Registered Medical Assistant, AMT- 276311

Certified Basic Life support (BLS)

PROFESSIONAL SUMMARY

To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills.

WORK HISTORY

Virginia Cancer Institute - Registered Medical Assistant

Alexandria, VA • 10/2022 - Current

Collected and documented patient medical information such as blood pressure and weight.

Sanitized, restocked, and organized exam rooms and medical equipment.

Enhanced patient outcomes by providing knowledgeable education on procedures, medications, and other physician instructions.

Prepared chart prepping and obtained medical records for the prior day's schedule.

Implemented care and efficiency improvements to support and enhance office operations.

Novant Health Durham Internal Medicine - Registered Medical Assistant

Durham, NC • 05/2021 - 11/2022

Prepare patients for medical tests and examinations.

Patient education, Wound care, administering medications with

physician's authorizations.

Perform EKGs on patients in the office.

Collected and documented patient medical information such as blood pressure and weight.

Sanitized, restocked, and organized exam rooms and medical equipment.

UNC Healthcare Neurology Clinic - Registered Medical Assistant

Chapel Hill, NC • 01/2021 - 05/2021

Measure & record vital signs, such as pulse rate, temperature, blood pressure, and weight on patients and record information in charts

Prepare patients for medical tests and examinations.

Obtain authorizations on prescription drugs for patients and document information in their charts

Disposing of biohazard waste according to OSHA standards / Practicing OSHA safety standards.

Called and faxed pharmacies to submit prescriptions and refills.

Novant Health Rheumatology and Arthritis - Registered Medical Assistant

Charlotte, NC • 08/2019 - 01/2021

Prepare patients for medical tests and examinations.

Obtain authorizations on prescription drugs for Rheumatology patients

and document findings.

Measure & record vital signs, such as pulse rate, temperature, blood pressure, and weight on patients and record information in charts.

Disposing of biohazard waste according to OSHA standards / Practicing OSHA safety standards

Novant Health Bradford Clinic - Registered Medical Assistant

Charlotte, NC • 02/2016 - 08/2019

Inventory skills in medical supplies and sterilizing instruments

Disposing of biohazard waste according to OSHA standards / Practicing OSHA safety standards

Measure & record vital signs, such as pulse rate, temperature, blood pressure, weight, and fetal heart rate on pregnant patients and record information in charts

Prepare patients for medical tests and examinations.

Obtain authorizations on prescription drugs for OB-GYN patients and document information in their charts.

Novant Health - Patient Services Coordinator

Charlotte, NC • 07/2014 - 02/2016

Greet patients during the check-in and check-out process.

Enters complete accurate patient demographic and insurance information in the Epic system.

Collects co-pays and existing balances on the account.

Make outgoing calls to patients for missed and upcoming appointments.

Process Medical records request in the ROI system.

Novant Medical Group - Patient Account Rep III

Charlotte, NC • 01/2013 - 07/2014

Analyze and review patient accounts for insurance payments.

Perform follow up to insurance carriers on collection procedures.

Make phone calls to insurance companies and/or patients to correct accounts

Work-specific sites assigned by management.

Train new employees on epic system

PSA- Med - Account Research Associate

Charlotte, NC • 03/2011 - 01/2013

Responsible for working the accounts receivables for various clients.

Utilized all available resources to review and resolve patient accounts to obtain payment from either the insurance company or the patient

File all appeals promptly.

Ensure all payments are paid at the contracted rate.

Submit claims to all government payers, Blue Cross, Liability, Workman's Compensation, and other commercial carriers.

Carolinas Healthcare System - Managed Care Coordinator/ Patient Acct. Rep, CSR

Charlotte, NC • 12/2008 - 12/2010

Responsible for answering all calls from patients and outside sources for the Patient Accounting Department

Verified insurance information.

Obtained authorizations for complex Oncology procedures.

Researched Cancer Organizations and obtained financial assistance for individuals under chemotherapy treatment.

Apria Healthcare - Intake Personnel

Norfolk, VA • 11/2006 - 07/2007

Set up new patient accounts.

Monthly processing of patient statements

Answer and resolve patient billing inquiries.

Utilized Microsoft Word, Excel, and Outlook

Amerigroup Corp - Claims Analyst II

Virginia Beach, VA • 01/2005 - 01/2006

Analyzed final adjudication of pending electronic claims (NEIC), assuring correct processing of claims

Performed quality control analysis regarding managed care claims.

Provided technical and analytical support to claims examiners.

Infusion Partners - Reimbursement Specialist/Office Manager

Memphis, TN • 01/2003 - 12/2003

Used data entry skills to accurately document and input statements.

Created documents by payer guidelines and submitted them to

appropriate parties.

Coordinated with insurance providers to verify customers' policy benefits about claims.

Aetna Healthcare - Sr. Claims Analyst/CSP

01/1998 - 01/2002

Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.

Responded to customer requests for products, services, and company information.

Dental Benefit Providers - Senior Claims Adjuster/Entry-Level Manager

Bethesda, MD • 02/1997 - 12/1997

Leveraged data and analytics to make informed decisions and drive business improvements.

Communicated clearly with employees, and upper-level managers to

keep everyone on the same page and working toward established

business goals.

Audited processed dental claims for accuracy.

Claims Administration Corp - Senior Claims Examiner

Rockville, MD • 10/1993 - 02/1997

Conducted day-to-day administrative tasks to maintain information files and process paperwork.

Identified insurance coverage limitations with thorough examinations

of claims documentation and related records.

Resolved complex, severe exposure claims using high service-oriented

file handling.

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