M. RENEE
EVANS
********@*****.***
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.
.