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Data Entry Medical Billing

Location:
Philadelphia, PA
Posted:
September 14, 2023

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Resume:

Shantay Sullivan

Philadelphia, PA *****

adzo8o@r.postjobfree.com

+1-267-***-****

Medical Office Assistant educated in HIPAA-complaint data management and medical terminology. Possessing strong skills in accounting, communications and billing and coding. Logical and bringing valuable experience to any office environment.

Authorized to work in the US for any employer

Work Experience

PATIENT CARE COORDINATOR

Lifewatch - Philadelphia, PA

November 2014 to June 2022

Processed payments when necessary Prepared patient files, verified completeness and accuracy of all necessary information for billing and payment, including, patient/guarantor data, insurance data, authorizations and financial data to include charges, payments, and adjustments Walked patient through the process of setting up their cardiac telemetry monitor Obtained baseline EKG tracings to make sure device was working properly Provided exceptional customer service to patients.

Communicated with patients to ensure quality of care and develop care plans. Improved patient outcomes through value-added services. Enabled positive patient outcomes through delivery of value-added services. Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.

Planned, integrated and maintained quality care systems and standards, which resulted in creating and improving medical protocols and guidelines.

Managed logistics for patient intake and implementation of appropriate courses of treatment. CLINICAL ASSISTANT

Metro Medical Associates

July 2007 to December 2013

Reviewed and processed outstanding client accounts receivable Facilitated subsequent payment and claims adjudication on a timely basis Processed about 100 claims daily Performed third party and government billing

Prepared and submi ed electronic and paper claims for various carriers, including Medicare, Medicaid, Tricare and managed care payers Verified patients insurance Reviewed payments, from both remi acnes and EOB's, for accuracy Processed appropriate adjustments and/or payments when necessary Investigated and reprocessed denials and partial payments Prepared patient files, and verified completeness and accuracy of all necessary information for billing and payment, including, patient/guarantor data, insurance data, authorizations and financial data to include charges, payments, and adjustments Utilized CPT-4/HCPC, ICD-9-CM, DRGs and revenue codes Processed UB-92, UB-04, and 1500 bill forms Registered new patients Performed general accounting tasks Maintained inventory Assisted with office support including preparing specialist referrals, scheduling surgical and radiology appointments, making bank deposits, handling transcriptions and following EKG/ X-ray and lab procedures.

Used Lytec software to process patient payments and update accounts. Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies. Scheduled appointments for patients via phone and in person. Kept eye on supplies for both front office and examination rooms, restocking items several times per shift. Provided high level of support to stressed patients prior to procedures, offering comfort and listening ear. Educated patients about medications, procedures and physician's instructions. Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.

Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare.

Executive Assistant to the President and CEO

R&L Topp Personal Care Home - Atlanta, GA

June 2004 to December 2006

Atlanta, Designed PowerPoint presentations for monthly divisional meetings with GA top-level executives. Executive Assistant/Patient Care Approved travel expenses and reimbursement requests from managers Coordinator and other administrative support professionals. 06/2004 - 12/2006 Processed executive subscriptions, license renewals, continuing education requirements and membership renewals.

Scheduled conferences and associated travel arrangements, including hotel, airfare and ground transportation.

Produced professional and error-free le ers, presentations and spreadsheets. Created and maintained spreadsheets and developed administrative and logistical reports. Client intake

Insurance verification

Prior Authorization/ Referrals

Assisted with client placement

Telephone Interviewer/Supervisor

Booth Research Services Inc - Atlanta, GA

July 2002 to December 2006

Made outbound phone calls to collect information from participants. Recorded information about calls and a tempts to contact individuals. Utilized script for on-demand phone project assignment to deliver surveys to recipients. Communicated clearly and listened a entirely throughout the interview process to facilitate the exchange of information.

Trained new employees on company customer service policies and service level standards. Monitored employees for QA

Education

Diploma in Phlebotomy

Metro Medical Training Academy - Smyrna, GA

Diploma in Medical Billing And Coding in Medical

Penn Foster Career School - Scranton, PA

Diploma in Medical Billing and Coding in Medical

Strafford University - Philadelphia, PA

Diploma in Medical Transcription in Medical

New Harvest Christian Academy - Philadelphia, PA

Bachelor's degree

Skills

• Microsoft Excel

• Data Entry

• Office

• Outlook

• Microsoft Word

• General accounting

• Radiology

• Accounts receivable

• Receptionist

• Billing

• Scheduling

• CPR

• Telemetry

• CPT

• X-ray

• Client

• Competent in Nexgen, Epic, Centricity, Navinet, WebMD,

• Customer service

• Change

• Database recordkeeping

• EKG

• 65 WPM

• Financial

• Web-based scheduling

• Forms

• Scheduling participants

• Government

• Database management

• ICD-9

• Superior communication skills

• Insurance

• Time management

• Inventory

• Superior organization skills

• EMR

• Epic

• Microsoft Office

• Organizational Skills

• training

• Medical Billing

• Managed Care

• Insurance Verification

• Patient Care

• Medical Office Experience

• Medical Coding

• Transcription

• Laboratory Procedures

• Medical Scheduling

• ICD-10

• Sales

• Insurance sales

• Documentation review

• Analysis skills

• ERP systems

• SAP ERP

• Accounting software

• Account reconciliation

• Microsoft Dynamics GP

• Accounts payable

• Middleware

• Communication skills

• Benefits administration

• Research

• Salesforce

• NetSuite

• SQL

• Presentation skills

• Microsoft SQL Server

• Supply chain

• E-commerce

• Merchandising

• Business analysis

• Databases

• QuickBooks

• General Ledger Accounting

• HIPAA

• Agile

• Process Improvement

• Payroll

• Medical Records

• Financial Report Writing

• Oracle

• Bank Reconciliation

• Forecasting

Certifications and Licenses

AED Certification

CPR Certification

RHIA

Medical Coding Certification

BLS Certification

RHIT

Assessments

Medical terminology — Completed

August 2021

Understanding and using medical terminology

Full results: Completed

Customer focus & orientation — Proficient

July 2021

Responding to customer situations with sensitivity Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.



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