Billing & Customer Service Specialist
Resume:
DayShawnda Stephens
Customer Service / Billing and Coding Specialist
Fayetteville, NC 28311
*********.*********@*****.***
Professional Summary
Customer service-oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to ensure consistent quality. Maintains and assures patient privacy and confidentiality.
• Accurate data entry; knowledgeable of office equipment and procedures
• Problem solving skills necessary to research and resolve discrepancies, denials, appeals, and collections
• Presents a consistent willingness to learn new skills
• Function independently with minimal direction and guidance
• Microsoft Office / MS Excel MS Word MS PowerPoint Typing Speed: 36 WPM Work Experience
Assistant Manager
Ruby Tuesday's-Spring Lake, NC
November 2024 to Present
overseeing all aspects of the restaurant's daily operations, from managing staff and finances to ensuring customer satisfaction and maintaining a clean and safe environment, according to Workable. Responsible for training, and supervising employees, managing inventory, and ensuring compliance with regulations. Promoting the restaurant, developing marketing strategies, and attracting new customers. Fill in for bartenders and servers when needed to maintain a smooth running restaurant. StatCare Primary Care
Fayetteville, NC
March 2023 to July 2024
• Bill and Re-bill insurance after appointments
• Change codes for correct billing
• Mail invoice to insurance companies and patients
• Greets patients in the facilities and over the phone.
• Assists doctors, nurses, and patients.
• Schedules doctors' appointments for patients.
• Performs clerical and administrative tasks.
• Prepares medical files.
• Maintains and keeps patient information confidential.
• Preparing patient charts and gathering information and documents from patients
• Ensuring that the medical records are organized, accurate and complete
• Creating digital copies of paperwork and storing the records electronically
• Filing the paperwork and reports of inpatients quickly and accurately
• Safeguarding patient records and ensuring that everyone complies with the HIPAA standards
• Transferring data into the facility’s main system database
• Processing the records for admitting and discharging patients
• Preparing invoices
Processing Assistant IV
Cumberland County Health Department-Fayetteville, NC September 2022 to February 2023
• Enter Medical Insurance
• Checking Patients Into Clinics and Processing Information
• Adhered to HIPAA regulations and the organization policy
• Assuring Consents and Policies are enforced
• Substantial contact with the general public while directing them to appropriate clinics and/or programs for services, scheduling appointments, and ensuring that patient's needs are met.
• Accurately identify and process medical and billing data for claims processing.
• Must have the ability to compile and tabulate data in order to balance the cash drawer at day's end and reconcile drawer to accounts receivable.
• May be required to compose letters and memos to patients regarding missed appointments, rescheduled appointments.
• Provide support services for Public Health Nurses and Medical Providers in the clinical setting.
• Will serve as back-up to the clinic receptionist by greeting incoming patients, completing necessary intake paperwork, assemble patient medical records, answer telephones and direct calls to the appropriate staff member, schedule appointments for in-house patients and prepare medical records for registration
Customer Service Representative
eClerx-Fayetteville, NC
May 2022 to September 2022
• Answering or making calls to clients to learn about and address their needs, complaints, or other issues with products or services.
• Responding efficiently and accurately to callers, explaining possible solutions, and ensuring that clients feel supported and valued.
• Engaging in active listening with callers, confirming or clarifying information and diffusing angry clients, as needed.
• Adhering to all company policies and procedures. Customer Service and Billing Representative
Sykes Work from Home-Fayetteville, NC
November 2021 to February 2022
• Handle inbound and outbound telephone calls
• Contact customer, physician's office and third party vendors to respond to medical related inquiries
• Update prescription history and demographic information via Interaction Connect EMR Software
• Maintain reports via Kronos Health System Software
• Navigate the medical management systems to review patients' profile via MAP Healthcare Program Software
• Follow established guidelines and standard SOP's and procedures
• Document contact interactions, records details, complaints, and comments and actions Medical Biller
Teleperformance-Florida
October 2019 to June 2020
Handled inbound telephone calls and scheduled for the patients’ medications to be delivered
• Adhered to HIPAA regulations and the organization policy
• Updated patient’s prescription plan and confirmed dosage information via Pharmaceutical Medical EMR
• Verified insurance and updated medical information as needed Cafeteria Worker
Cedar Creek Assisted Living-Fayetteville, NC
April 2014 to July 2017
• Performed skilled tasks necessary for the preparation and serving of meals
• Operated standard commercial kitchen equipment
• Established priority order of tasks necessary to complete an assignment
• Assisted in arranging tray carts, loading food carts, and serving meals Cashier / Customer Service
Party City-Fayetteville, NC
August 2012 to March 2014
• Interacted with customers in a positive manner and demonstrated high level of customer service
• Processed retail transactions, accepted payments, answered phones, and stocked shelves
• Worked as a team member to ensure customers received the best possible service
• Followed all policies as they related to customer confidentiality Administrative Assistant
Prosperity Properties-Fayetteville, NC
June 2008 to October 2010
• Performed clerical duties and maintained organization and cleanliness of establishment
• Answered phones, coordinated calendars and created documents
• Operated office equipment and provided excellent customer service to both staff and visitors
• Scheduled and confirmed appointments for clients, customers, and supervisors
• Set up and managed paper or electronic filing system and used computer for various applications Education
Medical Billing and Coding (Associate)
Ultimate Medical Academy-Tampa
March 2018 to October 2019
Medical Billing & Coding (Associate's degree)
Skills
• Janitorial experience
• Bookkeeping
• Home & community care
• Personal assistant experience
• Caregiving (2 years)
• Insurance Verification
• Kitchen experience (2 years)
• Writing skills (10+ years)
• POS
• Microsoft Outlook
• Profit & loss (Less than 1 year)
• Microsoft Outlook Calendar
• Customer Service (10+ years)
• Private practice
• CPT Coding
• Phone answering (6 years)
• Computer networking
• Managed Care
• 10 key typing (10+ years)
• Office Management (4 years)
• Payroll (2 years)
• Medical Records
• Mentoring
• Vital signs (1 year)
• Medical Office Experience
• AI
• Epic
• Mental health services (3 years)
• Calendar management
• Computer hardware
• Windows
• Documentation review
• ICD-10
• Client communication
• Urgent care
• Recruiting
• Acute care
• Hospital experience
• Casual dining experience
• Customer support
• Outbound calling
• Grammar Experience
• CRM software
• Mac OS
• Triage
• Medical collection
• Bartending (Less than 1 year)
• Marketing (5 years)
• Food preparation
• Patient care (3 years)
• SAP
• Substance abuse (2 years)
• iOS
• GAAP
• Behavioral health (3 years)
• Hospitality
• Inpatient
• Analysis skills
• Databases
• Microsoft Access
• Dental terminology
• Time management (6 years)
• Ethernet
• Human resources
• ICD coding
• Data collection
• Food Service (6 years)
• Grocery store
• QuickBooks
• Google Docs
• Medical Terminology (2 years)
• Medical Coding
• Guest services
• Medical Billing
• Intake Experience
• Anatomy Knowledge
Certifications and Licenses
medical billing and coding
October 2019 to Present
ServSafe
First Aid Certification
Certified Home Health Aide
medical coding certification
BLS Certification
CPR Certification
Driver's License
Certified Coding Associate
AHIMA
Certified Coding Specialist
RHIA
RHIT
Certified Professional Coder
Medical Billing Certification
Additional Information
Electronic Health Records (EHR) * Payment Posting * Scheduling * HIPAA Compliance * Medical Terminology
Insurance Verification * Insurance Claim Processing * EOBs * Co-Payments * Deductibles Managed Care (HMO * PPO * POS) * Government Payers * Third Party Payers * Worker's Compensation Medical Billing * Medical Coding * ICD-9 * ICD-10 * HCPCS * CPT Medicare * Medicaid and Tricare * CMS 1500 * CMS 1450 (UB-04) * Fee Schedules Greenway Prime Suite EHR * Electronic Medical Records (EMR) * Medical Office Procedures
Contact this candidate