Data Entry C A

S K I L L S

C O N T A C T

E D U C A T I O N

C E R T I F I C A T I O N

W O R K E X P E R I E N C E

P R O F E S S I O N A L S U M M A R Y

ROCHELLE ROBLES

UEI COLLEGE Medical Billing and

Coding 2023-2024 4.0 GPA

NORTHWEST COLLEGE

Medical Assistant

2011-2012 4.0 GPA

951-***-****

Apple Valley, CA

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

CLINICAL SPECIALIST Shoreline

Diagnostics 2021-2025

BILLING AND CODING

Jurupa Hill post Acute 2023-2024

Remote Data Entry Specialist

Akmakjian Orthopedic and Spine 2012-2020

DedicatedandempatheticCustomerServiceRepresentative with a strong background in healthcare administration and remote patient support. Skilled in handling high-volume calls, insurance verification, appointment scheduling, and electronic health records. Proven ability to multitask and provide excellent service in fast-paced, virtual environments. Tech-savvy and HIPAA-compliant with a commitment to patient satisfaction and operational efficiency.

• C U S T OMER S E R V I C E & C A L L

C E N T E R S U P P ORT

• R EMOTE P A T I E N T S C H E D U L I NG &

R E G I S T R A T I ON

• I N S U R A N C E V E R I F I C A T I ON

( MEDICARE, MEDICAID, P P O, HMO)

• E H R / EMR S Y S T EMS: P C C, C A R E

E V O L V E D, C L Y N I S I S

• H I P A A COMPLIANCE &

DOCUMENTATION • P R I OR

A U T HORIZATIONS & R E F E R R A L S

• MULTITASKING I N F A S T - P A C E D

E N V I RONMENTS

• S T RONG COMMUNICATION &

P ROBLEM-S O L V I NG

Accurately coded diagnoses and procedures using ICD-10, CPT, and HCPCS Submitted claims to Medicare, Medicaid, and commercial payers Reviewed documentation for proper coding and billing compliance Handled denials and corrected rejected claims for resubmission Reviewed denied claims and submitted timely appeals with proper documentation Identified coding and payer issues to reduce future denials Used PCC, Clynisis, and payer portals to manage and track appeals Collaborated with billing and clinical teams to ensure accuracy Maintained HIPAA compliance and supported audit readiness

Provided clinical support to physicians and healthcare team Trained new staff on clinical procedures, lab protocols, and medical software usage Collected, labeled, and processed patient specimens according to CLIA and OSHA standards Utilized Care Evolve, Ovation, and Clinisys Laboratory Solutions for data entry and lab tracking Monitored patient behavior and ensured safety Documented patient progress in

EHR systems Assisted with treatment plans and interventions Responded to crises using de-escalation techniques Followed HIPAA and behavioral health protocols

Collaborated with clinical staff for patient care

HIPAA COMPLIANCE BASIC LIFE

SUPPORT (BLS) CPR/AED AND FIRST

AID BLOODBORNE PATHOGENS

INTERNAL AUDITING PRACTICES ICD-

10 CLASSIFICATION OF MEDICAL

DATA

Maintained spreadsheets and internal databases to track patient information, appointments, and insurance details.

Transferred data from external sources and client databases into internal EMR/EHR systems in compliance with HIPAA regulations. Updated and verified patient records, correcting outdated information to ensure accuracy and integrity.

Organized existing data in spreadsheets, databases, and patient files for efficient retrieval.

Operated office equipment including computers, scanners, and printers to process and store records.

Sorted and organized hard copies of paperwork after entering data electronically.

Reviewed data for deficiencies or errors and made necessary corrections.

Provided administrative support including scheduling, insurance verification, and referral coordination.

Assisted with special projects requiring large volumes of data entry and documentation.

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