Quality Improvement Medical Billing

SANDRA HUNTER

HEALTHCARE QUALITY IMPROVEMENT

SPECIALIST

P R O F I L E

Healthcare quality improvement professional with over a decade of experience in quality auditing, operations and compliance development, team training, community

engagement and programming for wellness initiatives. 708–674-0088 Dolton, IL

************@*****.***

PROFESSIONAL

EXPERIENCE

EDUCATION

PROFESSIONAL

SKILLS

CERTIFICATIONS

CLINICAL OPERATIONS LEAD Chicago, IL 2020-Present REMOWELL

● Processed billing for mobile lab testing

● Maintained and audited charts for compliance standards

● Developed operations procedures for COVID-19 mobile testing and services

● Lead the team of couriers and nurses in proper protocols, charting and submissions for claims

CLINICAL CLAIMS SPECIALIST Chicago, IL 2008-2020 HCSC Blue Cross Blue Shield of Illinois

● Coached and led team to effectively audit member claims, loose bills and certifications

● Audited and analyzed medical bills in EHR systems for payment processing

● CPT, ICD-9, ICD-10 Designated and used standards for all procedures COMMUNITY HEALTH

SOUTH SUBURBAN COLLEGE

A.S. HEALTHCARE ADMINISTRATION

WESTWOOD COLLEGE

● MEDICAL BILLING AND CODING

● MICROSOFT OFFICE SUITE

● ELECTRONIC HEALTH RECORDS (EHR) SYSTEMS

● COMMUNITY HEALTH PROGRAMMING AND ADMINISTRATION

MEDICAL BILLING AND CODING

ICD-9 and ICD-10

AMERICAN HEART ASSOCIATION

CPR/AED

INTEGRITY MEDICAL COURIER TRAINING

Bloodborne Pathogens, Exposure Control, Specimen Integrity & Transportation, and HIPAA Awareness

(OSHA 29 CFR 1910.1030)(DOT 49 CFR 171-180)(HIPAA/HITECH)

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