Benefits Verification Specialist and Medical Records Technician
Resume:
Danyelle Washington
Clairton, PA *****
*********@*****.***
Authorized to work in the US for any employer
Work Experience
Benefits Verification Representative
CVS SPECIALITY
May 2024 to Present
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Verification process could include electronic validation of pharmacy coverage and medical eligibility. Medical Records Technician
Optum-Eden Prairie, MN
October 2023 to March 2024
• Recording patient records, including data entry of classification codes for symptoms, diagnoses, procedures, treatments, and prescriptions for insurance reimbursement and further data analysis
• Ensuring these records are confidentially collected, stored, and analyzed, as well as easily transferred to other medical providers’ offices
Benefits Verification Representative
Alight
March 2023 to October 2023
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Verification process could include electronic validation of pharmacy coverage and medical eligibility Benefits Verification Representative
CVS Caremark/SilverScript PDP-Monroeville, PA
December 2019 to March 2020
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Verification process could include electronic validation of pharmacy coverage and medical eligibility. Benefits Verification Representative
Highmark Health-Pittsburgh, PA
June 2019 to September 2019
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Verification process could include electronic validation of pharmacy coverage and medical eligibility. Medical Assistant
UPMC Hillman Cancer Center at McKeesport-McKeesport, PA April 2018 to January 2019
Greet, screen, and room patients
● Schedule appointments
● Telephone triage
● Insurance verification
● Perform routine blood draws
Certified Medical Assistant
Rankin Family Health Center-Pittsburgh, PA
September 2013 to April 2018
Prepare and administer medication as directed by the physician
• Greet, screen, and room patients
• Schedule appointments
• Telephone triage
• Insurance verification
• Perform routine blood draws
• Collaborate with medical providers to determine billing and proper codes
• Entered medical codes into billing software
• Completed necessary appeals
Education
High School Diploma in Medical Office Support Program Pittsburgh Job Corps Center-Pittsburgh, PA
Skills
• Customer service
• Records management
• Microsoft Excel
• ICD-9
• Epic
• HIPAA
• Receptionist
• Transcription
• BILLING (Less than 1 year)
• Medical records
• ICD-10
• Home & community care
• Medication Administration
• TELEPHONE (Less than 1 year)
• Medical Coding
• Laboratory Experience
• EMR
• Phlebotomy
• Hospital Experience
• Triage
• Medical Records
• Clerical Experience
• Vital Signs Experience
• Medical Billing
• Microsoft Word
• Office Management
• Insurance Verification
• Vital Signs
• EKG
• Venipuncture
• Medical coding
• Computer Skills
• CPR
• 50 WPM (Less than 1 year)
• Vital signs
• Medical Terminology
• Injections
• Front desk
• Medical billing
• Anatomy knowledge
• Medical terminology
• Phone Etiquette
• Medical scheduling
• Medical Scheduling
• Hospital experience
• ICD coding
• Patient Care
• CLAIMS (Less than 1 year)
• Clerical experience
• Anatomy Knowledge
• EMR systems
• Medical Office Experience
Certifications and Licenses
Certified Clinical Medical Assistant (CCMA)
Certified Medical Assistant (CMA)
Medical Billing Certification
Certified Medical Assistant
Certified Phlebotomist
September 2013 to September 2019
Certified Medical Assistant (AAMA)
September 2013 to September 2019
Billing and Coding Specialist
August 2017 to August 2019
Certified Medical Administrative Assistant (CMAA)
August 2017 to August 2019
Additional Information
RELEVANT SKILLS
Microsoft Office Suite Understanding of Medical Law and Ethics Ability to type 50 wpm Telephone Etiquette
Effective Communication Skills Excellent Customer Service Skills Knowledge of Medical Terminology File Records Management Knowledge of Billing and Coding Knowledge of Insurance Claims Processing
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