Medical Billing & Coding Specialist Resume

SHAKGRANDA TURNER

682-***-**** **************@*****.*** ARLINGTON, TX 76006

SKILLS

• Medical terminology

• HCPCS coding

• Insurance verification

• Data entry

Insurance coding (ICD-9

and CPT)

•

• UB-04 & CMS 1500

Knowledgeable in

software

•

Accounts receiveable and

payable

•

OBJECTIVE

To obtain my desired position with strong background in medical billing and coding. Demonstrated success in accurately processing claims and maintaining patient records. Proven ability to navigate complex billing systems and ensure compliance with healthcare regulations.

EXPERIENCE

October 2024 - Current

Claims Associate, State Farm Insurance, Richardson, Texas November 2022 - October 2024

Membership Retention Agent, AAA Texas Headquarters, Coppell, Texas Upsell when appropriate; meet daily/weekly sales and objectives. March 2018 - November 2022

Emergency Dispatch Operator, SIEMENS, Irving, Texas August 2015 - December 2017

Collections Agent, BRIDGECREST, Fort Worth, Texas

May 2011 - August 2015

Medical Biller, BLUE CROSS BLUE SHIELD (Dialog Direct), Fort Worth, Texas

• Gather pre-claim handling information

Apply knowledge of state and federal laws, statues and insurance regulations through the claim handling process

•

• Receive 70-100 inbound calls as well as make outbound calls policyholders and claimants Complete investigative steps when needed to determine customer needs, next steps and explaining these decisions to the customer

•

• Retain AAA memberships to effective communication.

• Share product knowledge, service features and benefits.

• Help increase customer acquisition and retention.

• Make notification to customers and dispatch emergency personnel as needed

• Generate statistical or investigative reports for management

• Conduct scheduled video tours of security cameras

• Provide outstanding customer service by meeting company quality standards

• Continuously monitor the alarm signal queue with prioritized response

• Collect payments on past due bills

• Organize list according to severity of delinquency

• Locate customers using credit bureau information, background checks, loan docs, & etc. Set up payment plans or offered modifications to help bring their accounts to a current status

•

S

• Make notification to customers and dispatch emergency personnel as needed

• Generate statistical or investigative reports for management

• Conduct scheduled video tours of security cameras

• Provide outstanding customer service by meeting company quality standards

• Continuously monitor the alarm signal queue with prioritized response EDUCATION

November 2023

Certificate, Medical Billing And Coding

Concorde Career Institute, Arlington, TX

October 2005

Some College, Medical Technology

Panola College, Carthage, TX

May 2003

Logansport High School, Logansport, LA

LICENSE

Texas All Lines Adjuster License #3255131

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