Medical Billing & Coding Specialist Resume

ROBERTA WESTON

**** ******* **** *******, ** ****6 901-***-**** **************@*****.***

PROFESSIONAL SUMMARY

Customer service oriented professional with management and retail 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.

Capable of working as a team member and independently to meet goals and objectives.

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

Communication Platforms – Zoom, Google Meet, and MS Teams.

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 50 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 Diploma – 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.

MANAGEMENT EXPERIENCE

Sports Authority – Southaven, MS 05/2007 – 06/2014

Retail Sales Manager / Customer Service

Supervised 10 employees and led staffing, training, and performance reviews.

Directed sales strategy, monitored customer trends, and resolved service issues.

Managed inventory, ordered supplies, and ensured proper merchandising.

Oversaw daily operations including store openings, cash handling, and budgeting.

Collaborated with department heads to execute promotions and improve service.

Built strong team dynamics and reinforced company policies and procedures.

ADDITIONAL PROFESSIONAL EXPERIENCE

Emerson – Southaven, MS 02/2024 – Current

Package Handler

Read labels and verified product and order numbers with precision.

Inspected containers and materials to meet packing specifications.

Operated equipment to move completed or defective products to designated areas.

Recorded packaging and shipping data accurately using company software.

Measured, counted, and weighed materials to ensure correct order fulfillment.

Maintained cleanliness of workstations and adhered to safety protocols.

Prior work history includes Package Handler experience

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