Email: adw6wq@r.postjobfree.com Phone: 267-***-**** Melbourne, FL

Transferable Skills:

• Professional, Dependable, Enthusiastic, Critical Thinker, Motivated, Hard worker, Team player, Quick Learner

Professional Skills:

• Microsoft Windows & Office Suite experience (Word, Excel, Outlook, Teams, etc)

• PeopleSoft, ACP (Access Compliance Program), CTI (Phone System), Zoiper Phone

Professional Experience:

Feb. 2023 – Apr. 2023

Medical Coding Specialist, Revenue Group, Cleveland, OH (Remote)

• Provided coding services for procedures, diagnosis, and treatments (CPT/ICD-10)

• Followed up with patient claims, insurance companies about outstanding bills (Commercial/Medicaid/Medicare)

• Prepared and sent invoices or claims for payment

• Filed Appeals, Investigated and followed up with Physician claims (denied/rejected)

• Utilized tools such as Citrix NextGen Healthcare Software, Codify, Cerner

• Collaborated with colleagues using Microsoft Teams, Zoom Video Conferencing

Feb. 2021 - Present

Personal Health Care Advocate, Melbourne, FL

• General Senior Care, Bed-bound Patient Care

• Medication Management, Meal Preparation

May 2016 – Feb. 2021

Home maker, Melbourne, FL

• House cleaning, Meal Preparation, etc.

Jan. 2016 – May 2016

Broward County Medical Association, Volunteer, Ft. Lauderdale, FL

• Assisted with preparation of the event tables for Medical Professionals and Guests

• Greeted the guests and directed them to the event room

• Answered questions about the Event and distributed drink badges, food and drink tickets

• Assisted with collecting and organizing the equipment and cleanup of the event room

• Networked with Medical Professionals and Staff (Doctors, Nurses, etc.)

Dec. 2011 - Mar. 2012

Your Home Advantage, Referral Coordinator, Deerfield Beach, FL

• Liaison to BlueCross/BlueShield Medicare Patients

• Retrieved information concerning patient's clinical background and referral needs, through HIPAA guidelines

• Presented necessary medical information such as history, diagnosis and prognosis, to Physicians and Hospitals

• Established and maintained relationships with identified service providers (Durable Medical Equipment Suppliers)

• Identified and utilized cultural and community resources for various assistance programs (ie. transportation, etc.)

• Collaborated with Nurse Case Managers, Physicians/Nurses, and Social Workers for Referrals/Medical Records

• Scheduled In-Home Health Evaluations administered by Medical Staff through patients' Insurance.

• Ensured that referrals were addressed in a timely manner

Results: Participated in implementing and structuring a new program (In-Home Healthcare Services).

Aug. 2008 - Dec. 2008

Senior Volunteer Services, Intern (Practicum), Ft. Lauderdale, FL

• Developed a Survey & QA Manual for the R.E.L.I.E.F. program

• Conducted home assessments of current and potential clients

• Attended Board meetings with key Program Staff

Results: Developed Program Quality Assurance Manual which was implemented by the Organization

Apr. 2008 - Sept. 2008

Access Owens & Minor Healthcare Solutions, Customer Care Advocate, Deerfield Beach, FL

• Served as a Customer Service/Supplier and Advocate to patients with Diabetic and Respiratory problems

• Managed Medical Accounts and handled Patient’s orders, requested Doctor Order Forms

• Outbound and Inbound calls (sales and orders)

• Utilized Medicare and HIPAA Compliance for patients’ privacy

• Updated Patients’ Accounts

Results: Solved Diabetic and Respiratory Patients’ issues

Jan. 2005 - Mar. 2006

Office Depot Corporate, Account Manager Specialist I, Boca Raton, FL

• Served as Customer Service Support Specialist where customer problems and issues were resolved

• Managed Business Accounts and handled Customer orders, payments and billing issues

• Outbound and Inbound calls and sales

• Served as Team Leader (temporary)

Results: Handled Retention Accounts, and recovered former Clients and acquired new Clients

Jun. 2000 - Apr. 2003

MBNA Corporation, Account Manager, Boca Raton, FL

• Served as Customer Service Support Specialist where customer problems and issues were resolved

• Managed Credit Card Accounts, including Deposits, Checking, Bill Payments, Balance Transfers

• Awarded Accommodations for customer service support excellence

• Achieved the highest ranking employee award, and promoted to the Quantum Club

Results: Achieved Excellent Customer Service for managed Accounts

Feb. 1995 - Apr. 1996

Craft-Farrow State Hospital – Mental Health Center, Assistant to Head Nurse, Columbia, SC

• Attended to patients care, daily activities (Quality Assurance)

• Performed medical records verification

• Responsible for filing, faxing, and answering phones

• Collaborated with medical staff

Results: Achieved Compliance for Clients’ Medical Records

Education:

Health Administration, Florida Atlantic University (FAU), Boca Raton, FL

Bachelor's Degree (BHS), December 2008

School/Work Experience:

Aug. 1999 - May 2000

Florida Atlantic University (FAU), Work Study, Dept. of Personnel, Boca Raton, FL

• Assistant and reported to the Personnel Representative for Worker’s Compensation

• Responsible for filing, faxing, deliveries and answering telephones

Jan. 1997 - May 1999

Florida Atlantic University (FAU), Work Study, Biomedical Program, Boca Raton, FL

• Assistant to the Secretary of the Biomedical Program

• Responsible for filing, faxing, deliveries and answering telephones

Aug. 1996 - Dec. 1996

Florida Atlantic University (FAU), Work Study, Student Employment, Boca Raton, FL

• Assistant to the Assistant Director of Student Employment

• Responsible for filing, faxing, deliveries and answering telephones

Certifications:

• NHA – Certified Billing & Coding Specialist (ICD-10)

• Career Development, General Clerk/Law Enforcement (600 hrs total)

Professional Affiliations:

• Healthcare Financial Management Association (HFMA) Member

References:

• Available Upon Request

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