MICHELE DAVIS

CONTACT

601-***-****

Michele Davis

adxcvt@r.postjobfree.com

PROFILE

Strong business and clinical experience in the health care industry with major focus on medical claim review, appeals, and data abstraction. Adept at research, project management, process development and problem solving. Exceptional verbal and written communication skills. Flexible, detail oriented and able to perform with little supervision. To help doctors and registered nurses in the emergency room by applying my knowledge of first aid and basic life-saving skills.

SKILLS

ATTENTION TO DETAIL.

VERBAL AND WRITTEN COMMUNICATION.

RECORD-KEEPING. VITAL SIGNS & PATIENT MONITORING

PRIVACY / HIPAA REGULATIONS

KNOWLEDGE OF MEDICAL TERMINOLOGY.

PROFICIENT IN MICROSOFT OFFICE WORD, OUTLOOK, TEAMS, POWERPOINT, ACCESS, AND EXCEL

EXPERIENCE

Conduent -Medical Claims Review Analyst

April 2000- May 2023

Analyze pended claims, collaborating with internal business partners for necessary information and assistance, according to departmental procedures

Effectively prioritize and complete all assigned tasks within appropriate timeframes and with required level of quality

Evaluate claims issues and procedures to identify and suggest opportunities for improvement, both in efficiency and quality Auditing medical bills for unrelated charges, overpayments/reimbursements, and accuracy

Applying working knowledge of provider billing and patient accounting systems to ensure accurate research for defining potential overpayment

Brandon Nursing & Rehab Center -Certified Nursing Assistant

April 2000- Current

Provide high-quality patient care as an in-demand per-diem CNA within surgical, acute-care, rehabilitation, home-healthcare and nursing-home settings.

Preserve patient dignity and minimize discomfort while carrying out duties such as bedpan changes, diapering, emptying drainage bags and bathing.

Commended for chart accuracy, effective team collaboration, patient relations and consistent delivery of empathetic care.

Ensured the accurate, timely flow of information by maintaining thorough patient records and updating healthcare team on patients’ status.

Complied with HIPAA standards in all patient documentation and interactions.

Brandon Nursing & Rehab Center -Dietary Aide

April 2000- Current

Serve food in accordance with established portion control procedures

Serve meals that are palatable and appetizing in appearance

Remove food trays from carts, dining rooms, etc., and take to dish washing area

Assist in daily or scheduled cleaning duties, in accordance with established policies and procedures

Follow safety regulations and precautions at all times

Others duties as deemed necessary and appropriate, or as may be directed by the Dietary Manager and/or Administrator

EDUCATION

Middlesex College

Secretarial Science

September 1992-1995

Dolor Sit Amet

Secretarial Science

September 1992-1995

Hinds Community College

Medical Billing & Coding

September 2022- Current

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