Customer Service Medical Billing

Destiny Wayne

*** ***** **** ****** *** * Centerville, IA 52544 641-***-**** *******.*********@*****.***

PROFESSIONAL PROFILE

Well-rounded professional backed by healthcare industry and valuable customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

High Academic Honors Recognition – Dean's List Honor Roll.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Customer service skills necessary to communicate effectively with patients and healthcare providers.

Show sound judgment and good decision making when dealing with problems.

Adapt to new challenges and ideas and able to develop relationships with diverse populations.

Communication Platforms – Zoom and Google Meet.

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 38 WPM.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Medical Office Procedures

Revenue Cycle Management Government (Medicare & Medicaid) Third Party Payers Insurance Verification

Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, POS) Posting Payments

Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Workers Compensation Front Office Operations Scheduling

Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT)

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2025

Introduced to the following concepts:

Medical terminology, medical billing and coding, claims processing, medical office procedures, insurance verification, accounts receivable, collections, co-pays, and deductibles.

Electronic health records systems and healthcare claims preparation and submission processes.

Coding for diseases, surgeries, and medical procedures using ICD-10, CPT, and HCPCS coding systems.

Organizing, analyzing, and examining health insurance claims for reimbursement and resubmitting rejected claims.

HIPAA rules and regulations related to patient information privacy and security.

Indian Hills Community College – Ottumwa, IA Medication Manager

Iowa Department of Health and Human Services – Centerville, IA Dependent Adult Abuse Mandatory Reporter Training

Iowa Department of Health and Human Services – Centerville, IA DS 168 Adult Abuse Mandatory Reporter Training

HEALTHCARE INDUSTRY EXPERIENCE

Reach Services – Centerville, IA 04/2023 – Present

Direct Support Professional

Provide mental and emotional stimulation through facilitation of engaging activities

Support residential activities and functions through active planning and participation

Observe, report, and document resident conditions and activities.

Promote a safe, clean, and organized environment.

ADDITIONAL EMPLOYMENT

Career break to focus on family requirements in caring for children (01/2023 – 04/2023)

Amcor – Centerville, IA 04/2021 – 01/2023

Assembly Worker / Machine Operator

Paid close attention to detail and followed work instructions to ensure proper part assembly.

Performed product assembly process within assigned work area in a team-oriented environment.

Worked at required pace to meet daily production schedules.

Ensured quality met specifications and quickly addressed quality concerns.

Tyson-Independence – Independence, IA 09/2020 – 03/2021

Poultry Line Worker

Processed poultry to ensure safe packaging and shipping for public use and consumption.

Followed established procedures and abided by quality control measures.

Complied with federal rules and regulations, met production goals, and communicated effectively with team members.

USPS – Independence, IA 03/2020 – 08/2020

Mail Carrier

Scanned labels on letters and parcels to confirm receipt.

Sorted and arranged mail for delivery and delivered to residential and commercial establishments.

Obtained signed receipts for registered and completed necessary paperwork.

Returned to the post office with mail collected from homes, businesses, and public mailboxes.

Prior employment includes work at Dollar General as a Retail Assistant Manager and Customer Service

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