Medical Billing & Coding Professional with Healthcare Operations

Shawntika Simril

***** ********** ****** #** **********, CA 90706 424-***-**** ************@*****.***

PROFESSIONAL PROFILE

Well-rounded professional backed by pharmaceutical, management, cross-functional administrative, healthcare industry, retail, and customer service experience. 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.

High Academic Honors Recognition / Honor Roll.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Effective problem solver, able to assess situations and identify solutions.

Work well in team-based environments with emphasis on quality, performance, and accountability.

Function independently with minimal direction and guidance.

American Red Cross – Adult, Child and Baby First Aid, CPR, and AED certified.

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

Microsoft Office Applications – Word, Excel, and PowerPoint Type 43 WPM.

California State Board of Pharmacy – Long Beach, CA Registered Pharmacy Technician – (#TCH207186)

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, 2026

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.

HEALTHCARE INDUSTRY EXPERIENCE

CVS Pharmacy – Long Beach, CA 11/2024 – 08/2025

Registered Pharmacy Technician / Customer Service – Retail

Filled and dispensed prescription medications, verified for accuracy, ensured patient information was correct and current, and updated when necessary.

Pulled and un-filled return-to-stock prescriptions, checked in orders, and stocked shelves.

Managed assigned workstation and tasks to support team in providing prompt and timely customer service.

Abided by HIPAA guidelines to protect private and confidential information.

ADDITIONAL EXPERIENCE

Career break to focus on family requirements in caring for children (10/2023 – 11/2024)

Wilson Hart 2 Hart Trucking, Inc – Long Beach, CA 07/2021 – 10/2023

General Manager / Key Holder

Supervised 12 team members, created schedules, interviewed, hired, and trained new employees, processed employee terminations, opened store, and delegated tasks.

Managed inbound and outbound calls, kept accurate and complete department records, processed payroll, prepared bank deposits, took inventory, ordered supplies, and ensured adherence to policies and procedures.

Addressed issues in a professional manner and resolved staff and customer service problems.

Built relationships and stayed attentive to employees by motivating them to succeed and improve.

The Home Depot – Lakewood, CA 09/2021 – 04/2023

Retail Cashier / Customer Service

Trained new hires, answered inbound calls, and delivered excellent customer service with a positive attitude.

Operated cash register, scanned merchandise, accepted payments, ensured accuracy of cash drawer, stocked shelves, confirmed inventory, and kept work area clean and organized.

Worked in a professional, team-oriented manner, followed policies and procedures, and interacted with diverse customers and staff.

American Executive Private Security – Inglewood, CA 06/2016 – 08/2020

Administrative Assistant / Secretary

Managed daily frontoffice operations, including phones, scheduling, and customer assistance, ensuring smooth workflow.

Maintained confidential employee records, reports, and correspondence with strong attention to detail and accuracy.

Coordinated staff schedules, shift changes, and onboarding documentation to support efficient team operations.

Provided highlevel administrative support to management, including preparing reports, organizing files, and handling special projects.

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