Medical Billing and Coding Professional
Resume:
RACHAEL CONWAY
*** ***** ***** **** ********, OH 614-***-**** **********@***.***
PROFESSIONAL SUMMARY
Customer service oriented professional with management and administrative experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Strong knowledge of HIPAA, Federal, and State regulations regarding release of private health information.
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Written and verbal communication skills necessary to work with patients and healthcare providers.
Pay close attention to detail for accurate and compliant documentation.
Strong organizational and time management skills with ability to establish priorities to meet timelines.
Adaptable to change and consistently deliver quality customer service.
Professional Software – Slack, Light Speed, and Epic EHR.
Communication Platforms – Zoom, Google Meet, and MS Teams.
Microsoft Office Applications – Word, Excel, 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.
PROFESSIONAL EXPERIENCE
Aloft Columbus Westerville – Columbus, OH 10/2024 – Current
Supervisor / Front Desk Agent / Receptionist / Customer Service
Greet and check guests in and out, ensuring a smooth arrival and departure experience.
Manage reservations, guest accounts, and process payments with accuracy.
Provide information and assistance throughout guest stays, resolving issues with professionalism and empathy.
Coordinate with other hotel departments and partner hotels to deliver seamless guest services.
Utilize strong communication and problem-solving skills to enhance overall guest satisfaction.
Express Employment Professionals – South Bend, IN 04/2011 – 10/2024
Employment Specialist
Matched qualified candidates to roles that aligned with their skills and experience.
Built and maintained rapport with a diverse pool of job seekers and employer clients.
Provided customer service support, assisting candidates with job search strategies and employment resources.
Managed multiple priorities with strong organizational and time management skills.
Resolved conflicts and developed problem-solving strategies to support candidate and client success.
Cricket Wireless – South Bend, IN 02/2005 – 04/2021
Retail Store Manager / Customer Service
Supervised team of four employees, overseeing scheduling, training, and performance management.
Managed daily opening and closing procedures, ensuring smooth store operations.
Delivered excellent customer service, increasing retention and attracting new customers.
Conducted staff meetings, planned events, and executed local marketing initiatives.
Oversaw sales of wireless phones, services, and accessories in a fast-paced retail environment.
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