Medical Billing and Coding Specialist Resume

Precious Cook

***** ***** ****** **********, ** *8021 313-***-**** ***************@*****.***

PROFESSIONAL PROFILE

Well-rounded professional with clerical, retail, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Communicate effectively with clients, internal staff, providers, and insurance payers to support the billing process.

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

Microsoft Office Applications – MS Word, MS Excel, MS PowerPoint, MS Outlook.

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 and 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

Introduction 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.

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2023

Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate

Bryan Stratton College Diploma – Medical Administrative Assistant, 2020

HEALTHCARE INDUSTRY EXPERIENCE

Teleperformance – Remote 12/2025 – Present

Customer Service Representative

Assist customers with modifying appointments in real time and perform warm transfers to appropriate departments or providers as needed.

Support members with annual premium inquiries, explain insurance benefits in detail, and process requests for replacement ID cards.

Provide accurate out-of-pocket cost estimates based on the provider or office location selected by the customer.

Maintain strict HIPAA compliance while handling sensitive patient information and resolving complex inquiries.

Manage high-volume inbound calls, demonstrating strong conflict resolution skills and the ability to work independently in a remote team environment.

Process customer payments securely using MSK Prominence and document all interactions in accordance with company protocols.

Foundever – Remote 12/2024 – 05/2025

Customer Service Representative

Provided customer service as a point of contact and communicated via inbound and outbound calls.

Managed, updated, and upgraded accounts.

Entered data and accurately documented on accounts.

CVS – Detroit, MI 06/2020 – 10/2021

Insurance Biller

Handled inbound and outbound calls and provided excellent customer service.

Accepted and managed copays.

Avaya systems to notate and oversee patient records

Submitted medications for patients and customers.

ADDITIONAL EXPERIENCE

Jetter’s Hazel Park, MI Crew Member /Customer Service 01/2024 – 01/2025

Majorel Detroit, MI Contact Social Media/Content Moderator 02/2023 – 05/2023

Family Dollar Detroit, MI Retail Cashier / Customer Service 02/2019 – 05/2022

JVIS LLC – Clinton Township, MI Assembly Associate 12/2020 – 03/2022

Additional work experience includes 2+ years as Assembly Associate and 1 year as Retail Stocker

VOLUNTEER EXPERIENCE

Brankley Trucking Company – Detroit, MI 01/2010 – Present

Secretary / Clerical Staff

Schedule freight deliveries and complete clerical duties.

Prioritize and manage workload to meet deadlines and provide professional customer service.

American Red Cross – Detroit, MI 01/2010 – 01/2015

Volunteer

Assisted with food drives and distributed toys during the holidays.

Maintained positive attitude and acted with respect while performing duties.

Contact this candidate