Medical Billing Customer Service

SHIRLEY PRIEST

**** ******* **** *******, ** ****7 585-***-**** **********@*****.***

PROFESSIONAL PROFILE

Customer service oriented, deadline-driven professional backed by cross-functional administrative and healthcare

Industry experience. Provides timely and accurate data to ensure reimbursement for patient services. Maintains and

Ensures patient privacy and confidentiality.

§ Academic Honors Recognition / Honor Roll.

§ Critical thinking skills necessary to interpret, analyze, and apply information.

§ Attention to detail needed to review and correct errors and maintain high levels of accuracy.

§ Problem solving skills essential in researching and resolving billing and coding issues. KEY QUALIFICATIONS

Medical Billing Medical Coding Payment Posting

ICD-9-CM, HCPCS, CPT ICD-10-CM Scheduling

Insurance Verification Co-Payments and Deductibles Medical Terminology

Anatomy & Physiology HIPAA Compliance Government Payers

Medicare & Medicaid Tricare Third- Party Payers

CMS 1500, CMS 1450 (UB-04), EOBs Electronic Health Records Worker’s Compensation

Managed Care (HMO, PPO, and POS) Greenway Prime SUITE (HER/EMR) Office Management

Insurance Claim Processing Insurance Billing Procedures Medical Office Procedures

EDUCATION & CERTIFICATION

Livingston Wyoming ARC Bus Driver CDL P/S endorsement

Ultimate Medical Academy – Associate in Science Degree / Medical Billing & Coding, 2015

Ultimate Medical Academy – Diploma / Medical Billing & Coding, 2015

Completed an intensive, accredited training program that included:

Surgical Procedures, Disease Processes, and Procedure and Diagnosis Coding from Medical Records 2

BOCES Genesee Livingston Steuben Wyoming Counties, Mt. Morris, NY – Certified Nurse’s Aide

■ Pursuing National CPC-A Certification ■

WORK EXPERIENCE

Epilepsy-Pralid Inc 2/2021 – Present

DSP/AMAP

Work with Individuals with Traumatic Brain Injuries

Help with Activities of Daily Living

Administer Medications

Livingston Wyoming ARC/ Mt. Morris NY 05/2017 – Present

DSP/AMAP

* Work with Individuals with Developmental Disabilities

* Help with Activities of Daily Living

*Administer Medication

* Transport to appointments, outings, and other traveling

* Data input into computer, Documentation, Food prep, Vision Works / Empire – Victor, NY 05/2015 – 03/2017 Optical Assistant

§ Answer phones, schedule appointments, and verify insurance coverage.

§ Pre-screen patients, and update and file patient records.

§ Effectively communicate and interact with patients and health care professionals. Stay-At-Home Parent, Livonia, NY 01/2006 – 05/2015 Homemaker

§ Showed strong leadership skills and managed budget.

§ Remained deadline-oriented and reliable while adjusting priorities and managing time wisely. Traditions in Caring, Rochester, NY 11/2005 – 01/2006 Home Health Aide (HHA)

3

§ Monitored vital signs and medication, administered bedside and personal care, and provided ambulation and

Personal hygiene assistance.

§ Handled light housekeeping duties, prepared meals, and participated in case reviews. Elijah House, Leicester, NY 09/2005 – 12/2005

Home Health Aide (HHA)

§ provided personal and homemaking services for 30 disabled veterans.

§ Performed light housekeeping duties, prepared meals, ran errands, and transported patients.

§ Administered medications, checked vital signs, and assisted with activities of daily living. ADDITIONAL WORK EXPERIENCE

S & B Auto & Tire, Avon, NY – Administrative Assistant / Secretary 11/1999 – 04/2002

Administration

Billing

Writing up work orders

Writing up Quotes

Making Appointments

Scheduling

Input of payroll

Norrell Home Health Care, Rochester, NY – 10/1997 – 05/1998 Home Health Aide (HHA)

§ Monitored vital signs and medication, administered bedside and personal care, and provided ambulation and

Personal hygiene assistance.

§ Handled light housekeeping duties, prepared meals, and participated in case reviews

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