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Medical Billing Patient Care

Location:
Sacramento, CA
Salary:
80000.00
Posted:
August 13, 2023

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Resume:

TASHEBA M ADKINSON

Sacramento, CA. 916-***-**** adywqq@r.postjobfree.com

PROFESSIONAL SUMMARY:

As an Independent Entrepreneur I am striving for perfection in my work ethic's daily. Working towards success, as a professional

with work ethic and skills built upon professionalism. I'm confident, dependable, and efficient in a professional manner, as an

Associate, that is devoted towards personal progress and growth, in career building. I am looking for self-independent advancement.

I am a goal-oriented leader that is successful, including prioritizing and project organization. LEARNING SKILLS/TRAINING/ABILITIES: KEY AREAS OF EXPERTISE:- Medical Billing and coding certificate program. insurance analyst. File insurance claims: ICD-10 CMS Coding, CPT Coding, HCPCS coding. HIPPA certified, EHR -GO system. Worker’s Compensation

manual. Medicaid, Medicare part A-D insurance, HMO, PPO plans. Application: 4,3,1,5,2

Theory:3 1,5,2,4,3

EDUCATION AND TRAINING: Carrington College- Associate’s Degree Program Health Studies

08/2020-12/2021-08/2022- Currently Online

Carrington College Medical Billing and Coding Sacramento, CA. Medical Billing and coding certificate program. Completed 11/2020-05/2021

Women’s Empowerment Get a Job Kit Job Training Sacramento, CA. Women’s Empowerment -Job Readiness Certificate.

01/2018-03/2021

Intel® Microsoft Office Suite Cert. -Proficient in data software, Microsoft Office database, Computer literate: Office 365, WORD

Uptown Peoples’ Law (711 Law CERTIFICATE: Document Allowance No. 5017” 07/1999- 05/2023

Para-attorney ATty attorney/paralegal, Self Employed- Young ATty attorney. Professional known for making managerial decisions,

using discretion and processing highly confidential information. 03/2004-05/2005

NURSING/MEDICAL:

C.N.A- 8-week program: Certified Nurse Assistant Aid, Urbana, IL ILLINOIS STATE Program code: No.0087

Graduated} 5/2005- RE-CERTIFIED-Southern IL University 05/2019 American Red Cross: CPR certified- 07/2021

PROCESSING DATA, Excel, Access, PowerPoint. PRO TYPE 47 wpm, GRAPHICS- TINKERCADE. 10/2019-03/2020

Jackson & Hewitt Student

Bookkeeping tax preparation. Active PTIN since 2018” Apprenticeship administrative. Bookkeeping tax preparation- Possess effective

planning, organizational, communication, presentation and interpersonal skills, giving high attention to details. Copy, Paste, Fax.

Communication/Leadership qualities.

• Insurance Billing

• Medical Office Software

• CMS-1500/UB-04

• Appointment Scheduling

• Anatomy/Physiology

• Patient Charting

• Data Entry w/HER

• Medical Terminology

• Microsoft Office

• Claims Processing

• HIPAA Regulations

• ICD-10/CPT Coding

• Medical Billing

• Medical Records

• OSHA Regulation

Volunteer Services:

Communicare Hospital Billing Department.

300 hours Internship program.

12/2022-04/2023

Areas of Focus

Introduced to Federally Qualified Health

Centers (FQHC) and several of the unique

aspects of

Billings for the services provided within.

Experience with the Practice Management

system of eClinicalWorks (eCW) main focus

on the claims module, had experience

utilizing payor websites to confirm

eligibility and claim status –specifically, I

was introduced to the process of Denial

Management by assisting with a project to

focus on, identifying and appealing

inappropriately denied claims. I’ve

shadowed the secondary claim process,

including printing of paper claims and

looking up payer remittances for

attachment purpose, Partnership Health

Plan and Medi-Cal. Had experience with

reviewing designated claims for

Partnership Health Plan to ensure they

met, payer guidelines prior to submission.

Reviewed system claims and errors and

corrected as instructed. These corrections

included; updating place of service codes,

modifiers, ICD-10 and CPT codes, added

verbiage to claim headers as appropriate

for the service provided. Verified insurance

eligibility when necessary via Partnership

and Medi-Cal websites, as well as updated

insurance to be billed for specialized

services (Covid-19 vaccines/BH services.)

.

WORK EXPERIENCE:

Express Employment Professionals CONTRACTING: 06/2022-09/2022 Administration and customer production.

Private care IN-HOME HEALTH AIDE CARE: 05/2022-08/2022 Maintained activities of daily living for private couple. AppleOne Employment ADMINISTRATION: 06/2021-06/2022 Political record keeping, managing files, process of elimination ballots, organizing ballots for reproof and customer signatures, stocking, managing technical support, and working with convey machinery.

United States Court Preparation 07/1999-08/2022

Young ATty attorney/paralegal. Clerical Office Worker: Successfully negotiated payment in collection Arbiter and Award by verbal and written communications.

Proficient in call series and sequence, Organizational skills, Communication/Leadership qualities, Copy, Paste, Fax, emails, Experience working with top level executives on federal / state governmental issue. Prepare documents of appeal, Small Claims – discovery motion’s, subpoena, power to demand, motions, summons, petitions, etc Manpower CONTRACTING: 04/2020-07/2020

Covid-19 Medical Clearance

Right at Home Illiana IN-HOME CARE: 10/2007-10/2008 Elderly Resident Assistant care in facility. Charting/Recording. Maintain patient confidentiality in accordance with HIPAA/OSHA regulations. Acts as, liaison between patient, family and physician., Monitoring vital signs and emotional well-being for memory-impaired patients with compassion and care, Communication/Leadership qualities. Carle Hospital - PATIENT CARE ACCOUNTS: 04/2003-07/2005 Charting/Recording. Works effectively as a team member, in a health care setting. Maintain patient confidentiality in accordance with HIPAA/OSHA regulations. Care Center of Urbana Nursing Home PATIENT CARE RELATIONS: 01/2006-01/2008 Acts as, liaison between patient, family and physician. Charting/Recording. Supervising daily regimen of exercise, physician appointments, medication intake and recreational Activities; gently transferring patients from beds to wheelchairs, Monitoring vital signs and emotional well-being for memory-impaired patients with compassion and care, in a team setting and supported teammates environment. High attention to details.



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