Billing Specialist Medical
Resume:
JENNIFER HEWISH MCBC – Medical Billing Specialist
Kissimmee, FL 34747 386-***-**** *******@*****.***
PROFESSIONAL SUMMARY
Organized and diligent Medical Billing Specialist in training with an in-depth understanding of healthcare billing processes and procedures. Collaborative and adaptable team player skilled in professionally communicating, managing data and documentation, resolving problems, and maintaining compliance in fast-paced and dynamic settings.
PROFESSIONAL SKILLS
●Identify major laws, regulations, and guidelines related to medical billing
●Understand various insurance types, carriers, and plans and appropriate rules for coverage determination
●Recognize ICD-10-CM, CPT, HCPCS, and modifiers and how to utilize them for billing
●Accurately complete and submit heal insurance claims for reimbursement
●Comprehend payment adjudication, various claim statuses, and the resubmission process
●Gather, review, and verify crucial patient information and documentation
●Audit medical billing and prevent fraud and abuse when assigning diagnostic and procedure codes and submitting clean claims for reimbursement
●Submit reimbursement claims to insurers and optimize healthcare providers' maximum payment for medical procedures
EDUCATION
National Healthcareer Association (NHA) Medical Coder & Biller Certification (MCBC) In Progress
MedCerts Livonia, MI January 2023 - Present
Medical Billing Specialist Program
Seminole State College Sanford, FL May 2014
Studies in Nursing
Daytona State College Daytona Beach, FL August 2008 - May 2010
Studies in Nursing
Organization Name CPR & BLS Certification Expires Month Year
Organization Name First Aid Certification Expires Month Year
Bucks County Community College Newtown, PA
Medical Information Technology Certificate
PROFESSIONAL EXPERIENCE
Advent Health East Orlando East Orlando, FL November 2010 - June 2014
Unit Secretary
●Prepared and processed patient charts for admission and discharge by gathering information and documentation from patients, ensuring compliance with HIPAA standards at all times
●Maintained medical records by organizing documents, creating digital copies, and completing necessary information, achieving high levels of information accuracy
●Transferred data into main system database using careful attention to detail, successfully avoiding errors and discrepancies
Laser Photonics LLC Lake Mary, FL Month 2008 - Month 2008
Project Coordinator
●Led new processes and program development for employee contact information while liaising with customers, vendors, sales representatives, and internal teams
●Provided budget and fiscal requirements for 2009 by assessing expenses and effectively forecasting financial information
●Supported employee recruitment and hiring by steering human resources analytical processes, contributing to increased employee retention
●Maintained schedules for software daily risk assessments and role-outs and updates by collaborating with IT and Programming teams, ensuring optimal functionality
Lakeside Behavioral Health Orlando, FL April 2007 - March 2008
Medical Secretary & Assistant Staffing Supervisor
●Coordinated schedules for nurses and patient care technicians using exceptional organizational skills, leading to streamlined daily workflows
●Organized employee files while updating paperwork, health forms, and licensing verification, creating an accurate record for future use and reference
●Processed payroll for part-time and pool employees by following all standard procedures, effectively meeting all deadlines
Imperial Clinical Research Services Langhorne, PA Month 2006 - Month 2007
Project Coordinator
●Oversaw equipment contracts, services, office supplies, employee schedules, and accounts payable by effectively prioritizing time and multitasking, leading to promotion and recognition as a top performer
●Led a team of 3 sales professionals by coordinating daily operations, effectively driving team and company goals
St. Mary’s Medical Center Langhorne, PA June 2005 - April 2007
Medical Unit Secretary
●Coordinated schedule for 30 nurses at the main hospital by liaising with leaders to discuss care plans and staffing needs, achieving recognition for excellent performance
●Resolved conflicts by attentively listening and creatively problem-solving, contributing to more effective relationships between nursing managers and staff members
●Generated daily productivity and incident reports by compiling and organizing detailed information, consistently keeping leaders properly informed
ADDITIONAL EXPERIENCE
Bristol Myers Squibb Project Coordinator
Motorola Project Coordinator
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