Data Entry Medical Billing

TARNICE D. JONES

**** ******* ***, ***, ** ***** *************@*****.*** 412-***-****

OBJECTIVES: to obtain a medical position in administrative assistance, clinical billing, and claims

RELEVANT CAREER SKILLS

Benefits Admin Intake

Claims Billing & Coding Phlebotomy

Medical Billing Medicare/Medicaid CPT Coding

COMPUTER SKILLS

Microsoft Word, Excel, Access, Power Chart, Mars, Med Pac, E-Record, Epic, Cener, Tele-Tracking, Tier, Xitec, MedHOK, OnBase, Eagle, Citrix, Gatenet, Power Que, Opex Scanning, Unity Client, Surginet

EDUCATION, TRAINING AND CERTIFICATIONS

Certificate, Phlebotomy Training Center – Pgh, PA Aug 2019 – Oct – 2019

Diploma, Claims Billing & Coding, North Hills Health & Occupation 1999-2000

Diploma, Nursing Aid, CCAC – Pittsburgh PA 1997

Diploma, Peabody High School – Pittsburgh, PA Sept 1983 – June 1987

WORK EXPERIENCE

Surgical Secretary Services, UPMC Shadyside-Pittsburgh PA April-2023-Present

8:30 Start

Check charts against patient reference list and match blue cards

Make phone calls and send email to doctors office together need information authorizations outside records, testing, and etc.

Enters Orders for medication, bloodwork, etc., on finished charts

Keep track of all testing order throughout the day in perioperative tracking.

Check reference sheet against nurses sheet

4:30am- Start

Monitor when patient or arriving

Retrieve blood bank schedules to verify who needs type in screen second sample, etc.

Make a copy of assignment sheet and make sure RN initials in room numbers match periopertive tracking

Make sure all charges are done by the end of the day.

Benefits Verifier, CVS Caremark – Pittsburgh, PA Feb 2019 – Present

Verify insurance coverage for both new and existing patients remotley

Process patient prescription orders and provide excellent customer service

Intake Coordinator, Gateway Health Plan – Pgh, PA April 2016 – Feb 2019

Provided clerical support i.e., data entry, copying, filing, faxing, distributing

Resolved questions and discrepancies online and ensured compliance

Admin Assistant, Gateway Drug & Alcohol – Pgh, PA Dec 2014 – Dec 2015

Admitted patients, reviewed insurance, processed evaluations & discharges

Processed payments for treatment and copays, made weekly bank deposits

Clerical Assistant, Gateway Rehab Center – Pgh, PA Oct 2013 – Dec 2014

Processed patient admissions, evaluations, discharges and drug screenings

Completed data entry, filing, answer phones, scheduled eval appointments

Benefits Research Rep, CVS Caremark – Pgh, PA April 2011 – Jan 2013

Verified insurance coverage of restricted prescription drugs, resolved claims

Temp Various Roles, UPMC - Pgh, PA Dec 2004 – Nov 2011

Admin Assistant Associate, UPMC Shadyside Cancer Center

Supported physician staff by ordering tests, scheduled meetings and travel

Maintained electronic database and filing system, answered phones

Health Unit Coordinator, UPMC Presbyterian

Entered and communicated physician orders, assisted all staff and visitors

Maintained patient charts and medical records, update bed boards per unit

Clinical Support Rep, UPMC Children’s Pediatric and Adolescent Clinic

Prepared charts and had extensive telephone communication w/25 doctors

Registered, scheduled patients, processed copays, performed ICD-9 Coding

Clerical 1, UPMC Corporate Nurse Unit

Entered all demographic info into Access database for the Flu Vaccine

Claims Examiner, Unisons Insurance Company – Pgh, PA 2000 – 2004

Processed claims for physician, facilitated specialty providers

Reviewed claims for proper coding and demographic info, reassigned codes

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