FAITH REYNOLDS

**** ******** **** **** ** Vernia, TX 78121 210-***-**** adydhx@r.postjobfree.com

PROFESSIONAL PROFILE

Customer service oriented and performance driven professional with management, call center, and healthcare industry experience. Possess a strong understanding of the importance of accurate claims processing. Pay close attention to detail for accurate and compliant documentation and maintain and ensure patient privacy and confidentiality.

Well-organized and able to prioritize and meet deadlines without direct supervision.

Strong leadership skills with an ability to build trust and loyalty within the team dynamic.

Manage time and prioritize duties in fast-paced, multi-task environments.

Microsoft Office Applications – MS Word Type 34 WPM.

CORE QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs HIPAA Compliance

Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers

Electronic Health Records (EHR) Electronic Medical Records (EMR)

Managed Care (HMO PPO POS) Workers Compensation Insurance Verification Insurance Claim Processing

CMS 1500 CMS 1450 (UB-04) Medical Coding (ICD-10-CM HCPCS CPT)

Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2023

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2022

PROFESSIONAL EXPERIENCE

ResultsCX / Blue Cross Blue Shield, La Vernia, TX 04/2023 – Present

Member Services / Customer Service Representative – Remote Call Center

Provide customer service via inbound and outbound telephone calls, answer questions, and provide information.

Deliver general Medicare and Medicaid information to members, track and document calls using a company specific software program, and follow HIPAA guidelines to safeguard private information.

Interpret Explanation of Benefits information, look up authorizations and CPT codes, and verify insurance coverage.

Locate pharmacies and provide information regarding prescription deductibles.

Provide quality service to members and work effectively to meet or exceed established service levels.

Helping Restore Ability, Arlington, TX 10/2018 – 03/2023

Homecare Provider

Assisted adult with autism, prepared meals, and administered medication.

Provided help with activities of daily living and completed light housekeeping.

Offered attention to client non-medical needs including companionship and social engagement.

Country Care Manor, La Vernia, TX 10/2012 – 06/2015

Dietary Cook / Assistant Manager

Created work schedules, oversaw and managed 5 employees, conducted reviews, and hired new employees.

Answered inbound phones, met with families, and coordinated with doctors.

Conducted meetings, exhibited leadership, and prepared meals following diets specific to doctors’ orders.

Stayed focused during busy times and delegated tasks to employees to keep business running smoothly.

VOLUNTEER EXPERIENCE

Food Pantry, La Vernia, TX Volunteer 06/2022 – 09/2022

Private Duty Care, La Vernia TX Care Provider 10/2015 – 02/2018

Country Care Manor, La Vernia, TX Volunteer 10/2012 – 06/2015