Medical Billing Quality Control
Resume:
TAMORA LEWIS
Fayetteville, GA *****
Professional Summary
Dedicated healthcare professional with over 10 years of experience in patient care, customer service, and administrative roles. Proficient in medical billing and coding, with strong knowledge of ICD-10, CPT, and HCPCS coding systems. Skilled at delivering compassionate patient assistance, managing inquiries, and ensuring accurate and efficient billing practices. Seeking a position in medical billing and coding to leverage my skills and contribute to American Health Imaging.
Professional Experience
PAR (Patient Access Representative)
American Health Imaging — Chamblee, GA
Present
Collect demographic and insurance information
Verify insurance coverage, scheduling appointments, explaining policies to patients
Ensure accurate patient data entry and enter patient orders and attach to patient charts
Quality Control Specialist
New Georgia Project — Riverdale, GA
January 2024 to Present
Review, scan, and verify data from outreach campaigns, showing discrepancies and reporting findings to management.
Communicate feedback about discrepancies in program results, ensuring accurate data reporting to Headquarters (HQ).
Utilize databases such as VAN to track and report on findings, ensuring smooth project execution.
Quality Control Analyst
Amcor Specialty Cartons — Peachtree City, GA
June 2023 to December 2023
Measured products using calipers, micrometers, and gauges, showing defects or deviations from specifications.
Reported and removed products that did not meet industry standards, ensuring quality control compliance.
Applied data-driven decision-making to improve product quality.
Customer Care Advocate (Remote)
Under Armour — Fayetteville, GA
June 2022 to June 2023
Assisted customers with order placements, returns, order status inquiries, and lost packages.
Addressed customer questions, resolved complaints, ensured transaction accuracy, consistently meeting customer satisfaction goals.
Utilized knowledge of products and services to support bulk ordering and customer inquiries while adhering to company policies.
Patient Care Assistant
Southside Medical Center — Fayetteville, GA
January 2020 to August 2021
Updated and managed provider demographics, contract details, and office information in United Healthcare systems.
Served as the first point of contact, answering calls, addressing inquiries, and directing patients to appropriate departments.
Gained experience with insurance verification and billing processes, ensuring patient coverage and service authorization.
Medical Front Desk Receptionist (Remote)
Shannon Hospital — Fayetteville, GA
September 2018 to December 2019
Coordinated daily administrative tasks, including scheduling appointments and managing patient inquiries.
Handled patient emergencies, monitored stock and supplies, and ensured proper service authorizations, especially for out-of-network services.
Worked with insurance companies for authorization and billing inquiries.
Certified Medical Assistant
DeKalb Family Medicine — Lithonia, GA
January 2015 to November 2016
Maintained digital client records and assisted in transitioning hard copy records to digital format.
Recorded vital signs, medical histories, and performed EKG and phlebotomy procedures.
Supported front office operations, including answering phone calls, greeting patients, scheduling appointments, and handling insurance billing.
Education
Certified Medical Assistant (CMA) Diploma
Herzing University — Atlanta, GA
Present
Certificate in Medical Billing & Coding
DeVry University — Fayetteville, GA
March 2023
Relevant coursework: Medical Terminology, ICD-10, CPT, HCPCS, Healthcare Reimbursement, Healthcare Insurance Processes
Certified Medical Assistant (CMA)
Laurus Technical Institute — Decatur, GA
February 2009
Hands-on training in direct patient care, including vital sign monitoring, mobility assistance, and infection control.
General Equivalency Diploma
DeKalb Technical College — Clarkston, GA
2004
Skills
Medical Billing & Coding: ICD-10-CM, CPT, HCPCS Level I & II
Healthcare Software: [List any relevant software here, e.g., Epic, Cerner, AdvancedMD]
Medical Terminology & Insurance Processes: Knowledgeable in insurance verification, claim submission, and healthcare reimbursement practices
Customer Service: Excellent communication skills with patients, healthcare providers, and insurance companies
Data Entry & Accuracy: High attention to detail in entering and reviewing patient information and billing data
Healthcare Regulations: Familiarity with HIPAA, Medicare, Medicaid, and private insurance policies
Problem Solving: Expertise in denials management and follow-up to ensure timely reimbursement
Additional Certifications
CPR and First Aid Certification — [Pursuing] — [2025]
References
Available upon request.
Contact this candidate