Customer Service Medical Billing

Sonia Young

**** ********* ***** *********, ** **687 707-***-**** *****.******.*****@*****.***

PROFESSIONAL PROFILE

Well-rounded professional backed by leadership, front desk, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Effective problem solver, able to assess situations and identify solutions.

Strong time management skills with ability to establish priorities to meet timelines.

Function independently with minimal direction and guidance.

Accounting Software – QuickBooks.

Communication Platforms – Google Meet and MS Teams.

Microsoft Office Applications – Word, Excel, Outlook, Visio, and PowerPoint Type 40 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.

WORK EXPERIENCE

Irving H Lambrecht Sports Complex – Suisun, CA 04/2011 – Present

Softball League Director

Handled league administration, created schedules, and manage budget.

Organizing tournaments, playoffs, and special events to implement community engagement.

Perform data entry, built relationships, and stayed attentive to team by motivating them to succeed and improve.

St. Francis Winery & Vineyard – Santa Rosa, CA 04/2024 – 10/2024

Harvest Compliance Administration Intern – Seasonal

Coordinated dispatch operations during harvest season.

Created and maintained spreadsheets and performed calculations.

Managed inventory records and operated truck scales to weigh inbound and outbound loads.

Utilized Microsoft Excel, Word, and Paylocity software.

St. Francis Winery & Vineyard – Santa Rosa, CA 08/2023 – 11/2023

Harvest Compliance Administration Intern – Seasonal

Entered and maintained detailed harvest data, including truck weights and compliance records.

Weighed trucks in and out using industrial scales and recorded data accurately.

Filed and organized documentation, drafted correspondence, and maintained clear communication with internal teams and external partners.

Used Paylocity software.

Randstad Republic Service – Fairfield, CA 04/2022 – 06/2023

Customer Service Representative / Front Desk Associate

Trained employees, managed inbound and outbound telephone calls, and delivered excellent customer service.

Handled commercial and national accounts and BillPay.

Maintained HHW knowledge and provided troubleshooting.

Created training books and programs and reinforced policies and procedures.

Self Employed – Vacaville, CA 05/2016 – 05/2021

Traveling Notary Public / Customer Service

Certified and verified documents and served as impartial witnesses when signing legal documents.

Traveled for conferences, performed administrative tasks, and entered data in system.

Handled accounting duties and ensured compliance with applicable laws, regulations, and company policies.

Provided excellent customer service and protected private information.

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