Medical Billing Specialist with HIPAA Compliance

Kaesha Wilson Patterson

**** ******** ***** **** **********, NC 27834 252-***-**** *********@*****.*** PROFESSIONAL PROFILE

Customer service oriented professional, 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.

Manage deadlines and meet quality standards with accuracy and consistent attention to detail.

Able to make decisions based on facts and experience and implement course of action.

Adapt to new challenges and ideas and able to develop relationships with diverse populations.

Communication Platforms – Google Meet.

Microsoft Office Applications – Word and Excel.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Medical Office Procedures Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Insurance Verification Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, POS) Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Workers Compensation Front Office Operations Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT) EDUCATION

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2024 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

Stay-at-Home Parent – Greenville, NC 05/2020 – Present

Ensure household duties are completed in a timely manner and manage household budget.

Coordinate medical care, meals, and social activities.

Observe irregularities, take temperature, and administer medications as directed to maintain children's health.

Remain deadline-oriented and reliable while adjusting priorities and managing time wisely. Washington High School – Washington, NC 12/2019 – 05/2020 Food and Nutrition Assistant

Reduced food waste by closely monitoring inventory levels and implementing proper storage techniques.

Improved meal satisfaction by carefully preparing and serving nutritious food items in accordance with dietary guidelines.

Provided cross-training support for colleagues in various Food and Nutrition Assistant tasks as needed.

Enhanced food safety by maintaining a clean and organized kitchen and adhering to sanitation regulations. VOLUNTEER EXPERIENCE

Volunteered at Vidant Medical Center in Greenville, NC Transported patients and used strong interpersonal skills to convey information to others Exhibited excellent communications and customer service relations skills Maintained clean facilities to better serve program needs

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