Medical Coding and Billing Specialist, PAS Representative

Monique Fox

Denver, CO ***** ************@*****.***

PROFESSIONAL PROFILE

Self-directed professional backed by health insurance, call center, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Communicate effectively with clients, internal staff, providers, and insurance payers to support the billing process. Attention to detail for accurate and compliant documentation. Manage time and priorities in multi-task environments.

High Academic Honors Recognition / Honor Roll.

Electronic Health Records – Epic Cloud-Based EHR.

Communication Platforms – MS Teams, Google Meet, Skype, Zoom.

Microsoft Office Applications – MS Excel, MS Word, MS PowerPoint, MS Outlook.

10-key Data Entry Skills Type 56 WPM.

State of Colorado Health & Life Insurance License KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO PPO POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT) EDUCATION / TRAINING

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2024 Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate Veteran Health Administration PTSD Consultation, Racism-Related Stress and Trauma: Definitions and Interventions Phlebotomy Learning Center Phlebotomy

PROFESSIONAL EXPERIENCE

Konnect/Episource – Remote-CO 10/2023 – Present

Chart Retrieval Specialist II

Collect medical records from healthcare providers, in person or remotely. Enter data accurately and communicate in a clear, concise manner.

Follow HIPAA and other federal and state regulations for medical record retrieval.

Maintain database for storage and retrieval of medical records. Kaiser Permanente – Denver, CO 04/2021 – 10/2023

Customer Service Representative II

Interact with members, discuss coverage and eligibility concerns, and assist with medical and premium billing.

Enter data accurately and communicate in a clear, concise manner.

Notate member accounts and adhere to HIPAA guidelines. Independent Contractor Alto Pharmacy LLC – Denver, CO 11/2019 – 04/2021 Courier (PRN)

Transport prescriptions to customer homes while providing exemplary customer service.

Complete tasks in the required time limits with high levels of accuracy.

Document product, packaging, and order information on specific forms and records.

Follow traffic laws and adhere to HIPAA guidelines. Monique Fox, Cont.

Wix.com – Denver, CO 02/2021 – 09/2021

Remote Customer Service Representative (Call Center)

Interacted with customers via inbound and outbound phone calls, email, and chat.

Assisted small business owners by troubleshooting technical issues on websites.

Updated account and billing information and followed up to ensure efficient issue resolution. Amazon.com, Inc. – Denver, CO 09/2016 – 11/2019

Remote Customer Service Representative

Assisted drivers with route issues when working in Logistics, tracked packages, and assisted with billing and subscription inquiries.

Entered and processed data and checked data batches for errors.

Adhered to policies, procedures, and guidelines and handled confidential information.

Worked in a positive, respectful, and team-oriented manner and interacted with diverse customers and staff. VOLUNTEER EXPERIENCE

District 8 Denver City Council Candidate Christian Steward – Denver, CO 02/2023 – 05/2023 Campaign Staff

Served as Secretary during staff meetings.

Organized fundraising efforts and canvassed neighborhoods. Denver Great Kids Head Start – Denver, CO 10/2018 – 05/2020 Policy Council Parent Representative

Discussed policy and procedures for Head Start programs throughout the city.

Voted on the financial budget for all Head Start centers and planned events for fundraising and awareness.

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