Objective: To work in medical Administration, either billing/coding or patient access coordination.
Education: OCVTS, Toms River, NJ (2018) Certified Medical Secretary, Medical Terminology,
Medical Billing and Coding, Electronic Health Records Specialist and Medical Administrative Office
Assistant Program (2019).
Rutgers University, B.A. Biology
Credentials: CERTIFIED BILLING AND CODING SPECIALIST (CBCS) 12-27-18
Certified Medical administrative assistant (CMAA) 06-15-2019
Experience:
Verification of Patient Benefits eligibility using Passport, Navinet, FastTrack and Payer Portal software
MCO, HMO, Medicare/Medicaid/ Tricare, Worker’s Compensation
HIPAA Regulations follow through
EOB, RA, and financial ledger with Accounts Receivable Management
Coordinate Provider and Patient Scheduling requirements
Coordinate Management of Superbill, Claim, Account Ledger, and Day sheet
Knowledge of Appeals Process to Third party payers (submittal and phone follow-through to completion)
Applies Diagnostic codes ICD-10-CM; CPT codes, and HCPCS codes with modifiers; ICD-10-PCS
Complete CMS-1500 paper claim
Maintain EHR and Referrals, use of SimChart for the Medical Office; (MIMA software)
Manage Admissions paperwork and Coordinate EMT’s with Admission and Re-Admission to outside medical location
SKILLS:
Provide Patient Information to Nursing Staff
Screen Phone calls and Direct to Correct Party; Proficient Data Entry
Computer and Electronic office programs (MS Word, Outlook, Excel, and PowerPoint, Fax, Copier etc.)
Medical Records Specialist:
Crystal Lake Healthcare 395 Lakeside Blvd., Bayville, NJ June-2020-June 2021
Download files per physician and file records to paper charts. Organize records department by alphabet and file closed closed charts for storage. Count covid testing results and record to national safety. Pull signed physician order sheets. Thin charts by date. Request outpatient records by fax. Send facesheet data to insurance and/or physician by email. Use Outlook to inform supervisors if share file is updated and filed; calendar correspondence and attachments. Resident covid testing reporting and record keeping. Working as a team with nurses and staff.
Customer Service Representative
Market source Hooper Avenue, Toms River, NJ October 2019-January 2020 Mobile Sales Representative: Customer Service, Answering phone, Direct Data Entry (DDE), Mobile Sales, POS, POA, Gift Cards, Price Matching, Inventory
Customer Service Representative Rt. 9, Toms, River, NJ
Home Depot January 2016-May 2017
Customer Service Representative: Direct Data Entry (DDE), Customer Service,
Create Credit Accounts, Open transaction lines, Manage Cash Flow; Checks, Credit,
Handling Customer Inquiries via phone
Shoprite Rte., Bayville, NJ March 2013-April 2015
Customer Service Representative: Cashier, Process Payments, Stock, and Customer Service
Central Regional High School, Bayville, NJ (2003-2008)
Substitute Teacher: Education, Follow Lesson Plans, Demonstrate Knowledge of Core Curriculum