Medical Office Specialist Billing and Coding Expert

KRYSTAL JONES

**** ********* ** *********, ** ***17

803-***-**** **************@*****.***

OBJECTIVE

Dedicated and detail-oriented Medical Office Specialist seeking a position in medical billing and coding where I can utilize my knowledge of healthcare administration, insurance claims processing, and coding systems to support providers and ensure efficient patient care operations.

SKILLS & COMPETENCIES

·Professional communication and patient interaction

·Verify insurance eligibility and coverage

·Process and submit insurance claims

·Proficient in EHR/EMR systems

·Knowledge of ICD-10, CPT, and HCPCS coding

·Prepare and review CMS-1500 and UB-04 claim forms

·Schedule and confirm patient appointments

·Maintain accurate medical records

·Transmit and track electronic claims

·Create and manage billing spreadsheets

·Support front office with patient check-in/out

·Patient education and confidentiality (HIPAA compliance)

·Microsoft Excel, QuickBooks, PowerPoint

EDUCATION

Arlington Career Institute, Grand Prairie, TX

Medical Office Specialist Certificate 2022 – 2023

Bladen Community College, Dublin, NC

Credential in Early Childhood Education 2017

East Columbus High School, Lake Waccamaw, NC

High School Diploma 2011 – 2014

EXPERIENCE

LeafSpring Daycare, Charlotte, NC

Teacher Assistant November 2023 – Present

·Support lead teachers in implementing daily educational and care routines.

·Supervise children to ensure safety and positive engagement in classroom activities.

·Maintain organized and clean learning environments.

·Communicate effectively with parents regarding children’s daily progress and needs.

·Assist in lesson planning, activity preparation, and individual learning support.

·Foster a nurturing and inclusive atmosphere for all students.

CPSI (Remote)

Medical Insurance Claims Specialist March 2023 – November 2023

·Processed and reviewed insurance claims ensuring accuracy and timely submission.

·Verified patient insurance coverage and benefits across multiple carriers.

·Utilized ICD-10, CPT, and HCPCS codes for accurate claim documentation.

·Worked within EHR systems to update patient records and billing information.

·Resolved claim denials and rejections by researching payer policies and submitting corrections.

·Generated billing and reimbursement reports for management.

·Communicated professionally with patients, providers, and insurance companies.

·Maintained compliance with HIPAA and confidentiality standards.

KinderCare Learning Center, Charlotte, NC

Teacher Assistant March 2022 – December 2022

·Supported lead teachers with classroom management and lesson activities.

·Maintained classroom organization and cleanliness.

·Monitored and ensured the safety of children throughout the day.

Childcare Network, Charlotte, NC

Teacher Assistant January 2021 – February 2022

·Assisted in classroom preparation and daily activities.

·Provided attentive care and supervision to children.

·Communicated effectively with parents and staff.

The Sunshine House, Charlotte, NC

Teacher Assistant May 2018 – January 2021

·Supported teachers with instructional and care duties.

·Maintained classroom order and cleanliness.

·Monitored children’s well-being and safety.

Bladen Community College, Bladen County, NC

Office Assistant January 2017 – June 2017

·Answered phone calls and greeted visitors.

·Filed and faxed student and administrative paperwork.

·Sorted and distributed mail and office correspondence.

Department of Aging, Whiteville, NC

Office Assistant September 2015 – January 2017

·Managed office duties including filing, data entry, and phone correspondence.

·Assisted clients and staff with paperwork and scheduling.

·Oversaw office operations during supervisor absences.

Food Lion, Whiteville, NC

Cashier January 2014 – September 2015

·Operated cash register and handled customer transactions.

·Provided excellent customer service and maintained accuracy in sales.

CERTIFICATIONS

·CPR & First Aid Certified

·Stop the Bleed (if applicable)

·SIDS Training

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