Medical Billing & Coding Specialist Candidate
Resume:
Nyesha Whitaker
**** ***** ***** *****, ** ***** 903-***-**** ****************@*****.***
PROFESSIONAL PROFILE
Customer service oriented professional with healthcare industry experience, able to provide timely and accurate data to ensure reimbursement for patient services. Follow directions, policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.
High Academic Honors Recognition / Honor Roll.
Written and verbal communication skills required to deal effectively with patients and healthcare providers.
Well-organized, able to manage time and priorities in multi-task environments.
Customer service skills necessary to meet client needs and build productive relationships.
Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 35 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)
CERTIFICATIONS
State of Maryland Phlebotomy Technician
American Heart Association – Dallas, TX Basic Life Support
EDUCATION
Ultimate Medical Academy Diploma – Medical Billing and Coding, 2025
Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate
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.
Rise Academy High School – Tyler, TX Diploma, 2021
HEALTHCARE INDUSTRY EXPERIENCE
Garden Estates of Tyler – Tyler, TX 01/2024 – 04/2024
Resident Care Provider
Provided personal care assistance to residents – personal hygiene, feeding, and mobility.
Reported resident conditions and activities and promoted a safe, clean, and organized environment.
Complied with policies and procedures and abided by HIPAA guidelines to protect privacy.
ADDITIONAL WORK EXPERIENCE
Walmart – Tyler, TX 04/2024 – 12/2024
Retail Cashier / Customer Service
Managed daily operations to ensure positive customer experience and efficient service.
Conducted cash handling responsibilities while maintaining a positive rapport with customers.
Enhanced customer satisfaction by fostering a welcoming and friendly environment.
Trane Technologies – Tyler, TX 12/2022 – 04/2024
Assembly Worker / Machine Operator
Executed refrigerant recovery, evacuation, and charging procedures in compliance with manufacturer guidelines ensuring safety and regulatory adherence.
Maintained equipment functionality and operational standards by consistently following precise procedural requirements.
Managed the addition of necessary chemicals to A/C units during the assembly process.
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