LaTonya Ritchie

***** ****** ******, *******, **, 48221 * 734-***-****

adzy1u@r.postjobfree.com

CAREER OBJECTIVE

A detail-oriented medical professional with an Associates in Health Sciences in Medical Billing and Coding with 6 years of work experience and 15 years as a Nurse Assistant/Patient Care Technician. Aiming to leverage the academic experience and proven knowledge of billing revenue cycle management and patient care to successfully fill the Medical Billing Specialist/Nurse Assistant-Patient Care Technician role at your company.

EDUCATION

Greater Horizons Training Institute - Detroit, MI

Diploma- Certified Nurse Assistant (Sept 2021)

Ultimate Medical Academy - Clearwater, FL

Associates - Medical Billing and Coding (2019)

American School of Technology - Columbus, OH

Diploma - Medical Billing and Coding (Apr 2016)

Dorsey College Of Southgate - Southgate, MI

Diploma - Patient Care Technician (May 2005)

American Red Cross - Detroit, MI

Diploma - Certified Nurse Assistant (Apr 2002)

PROFESSIONAL EXPERIENCE

Advantage Living Center Northwest, Detroit, MI

Certified Nurse Assistant, Oct 2021 - current

●Provide personal hygiene for elderly patients or those recovering from surgeries, injuries, or accidents by assisting with their basic needs, such as showering, bathing, dressing, and eating.

●Maintain patient stability by checking vital signs and weight, and recording intake and output of urine.

●Answer calls for assistance and observes changes in a patient’s behavior, emotional state, or physical condition.

●implement individualized care plans and offer support to patients to maintain their dignity, privacy, and comfort.

Trinity Health, Farmington Hills, MI

Billing Representative, Oct 2019 - current

●Documents claims billed, paid, settled, and follow-up in appropriate system(s).

●Identifies and escalates issues affecting accurate billing and follow-up activities.

●Researches claim rejections, makes corrections, takes corrective actions, and/or refers claims to appropriate colleagues to ensure timely and accurate claim resolution.

●Proactively follow up on delayed payments by contacting patients and third-party payers determining the cause for delay and supplying additional data as required.

Parastar, Southfield, MI

Billing Specialist, Mar 2019 - Aug 2019

●Researched accounts to complete appropriate follow-up actions that result in an account resolution

●Monitored insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid on time.

●Working knowledge of all facets of insurance claim filing, requirements, and regulations for appeals or reconsideration

●Notify management on trends or denials

K-Force Staffing/ McLaren CBO Revenue Cycle Management, Shelby Twsp, MI

Patient Account Representative, Oct 2017 - Feb 2018

●Work with insurance companies, patient's, or guarantors to secure payment on outstanding account balances

●Balance electronically submitted claims every day

●Assess unpaid claims and research denials for timely payment and cash flow

●Assess and resolve denied claims on EDI reports

Aerotek Staffing - R1 Revenue Cycle Management, Southfield, MI

Patient Access Representative, Mar 2017 - Oct 2017

●Apply payments and adjustments to patient accounts

●Get inquiries or complaints on patient accounts from patients, insurance carriers, and employers

●Assure quality assurance and billing audit

●Understand applicable coding guidelines and state and federal care guidelines

ATC Staffing/ Franklin Medical Hospital, Columbus, OH

Certified Nurse Assistant, Mar 2015 - Apr 2016

●Taking patient's vitals such as temperature, blood pressure, pulse, and respiration and reporting any changes to the supervisor

●Supporting Registered Nurse with their duties by checking supplies, making sure emergency equipment is charged and in the proper storage area Assisted with the passing and collection of meals trays if needed

●Assisted patient's with performing basic tasks such as hygiene care, dressing, going to the restroom, or use of other toileting equipment

● Taking blood samples and submitting them for testing

● Performing light cleaning duties as changing linen and keeping the floor clean and clear of debris

ADDITIONAL SKILLS

Medical Terminology Direct Patient Care

ICD-10, CPT codes, HCPCS Patient Observation

Medicare, Medicaid, and private insurance Long Term/Hospice

Customer Service Electronic EMR Charting

EPIC, Athena, Prime Suite, CAD Billing system Specialty Care/Spinal, Trach, etc

Microsoft Office System (Word, Excel, Office) Accounts Receivable

Ambulance Billing Hospital Experience

Hospice and Home Health Patient Care/Billing Denials and Appeals

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