Customer Service Medical Billing
Resume:
DJUNA STREET
**** ******* ****** **** *****, NC *7260 336-***-**** ***************@*****.***
PROFESSIONAL PROFILE
Well-rounded professional backed by valuable administrative 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.
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Pay close attention to detail to ensure accuracy.
Effective problem solver, able to assess situations and identify solutions.
Customer service skills necessary to communicate effectively with patients and healthcare providers.
Strong time management skills with ability to establish priorities to meet timelines.
Accounting Software – QuickBooks Pro.
Microsoft Office Applications – Word, Excel, and PowerPoint Type 27 WPM.
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) Front Office Operations Medical Office Procedures 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.
HEALTHCARE INDUSTRY EXPERIENCE
Self-Employed – High Point, NC 01/2010 – 01/2012
Caregiver
Provided short-term care on an as needed basis for individuals recovering from surgery.
Assisted with activities of daily living – grooming, hygiene, and dressing.
Worked with empathy, kindness, compassion, and respect and safeguarded sensitive and confidential information.
WORK EXPERIENCE
Stay at Home Parent – High Point, NC 03/2015 – Present
Ensure household duties are completed in a timely manner and manage household budget.
Coordinate medical care, meals, and social activities.
Remain deadline-oriented and reliable while adjusting priorities and managing time wisely.
Soup Kitchen – Winston-Salem, NC 08/2009 – 04/2011
Volunteer Server / Customer Service
Severed food to needy and homeless individuals and bagged food and care packages to give out.
Delivered food to individuals that were sick and shut in.
Distributed clothing to outreach ministries.
Piedmont Protective Services – Greensboro, NC 08/2004 – 06/2008
Administrative Assistant / Customer Service
Managed general administrative activities to ensure efficient day-to-day operations of the office.
Handled incoming and outgoing telephone calls, scheduled appointments, and maintained files.
Prioritized and managed workload to meet deadlines and provided professional customer service.
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