Medical Billing and Coding Professional

TIFFANY LOMAX

**** ********** ***** ******, ** **618 678-***-**** *****.*********@*****.***

PROFESSIONAL PROFILE

Well-rounded professional backed by cross-functional healthcare industry and management 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.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

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

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

Written and verbal communication skills necessary to work with patients and healthcare providers.

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

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint. 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. SAAD Healthcare – Mobile, AL Certificate of Completion – Nursing Assistant, 2016 HEALTHCARE INDUSTRY EXPERIENCE

Atherton Place Assisted Living Facility Wellstar Kennesaw Hospital Campus – Marietta, GA 08/2017 – 07/2018 Certified Nursing Assistant / CNA / Medication Technician

Assisted elderly and disabled patients with personal hygiene, feeding, ambulation, and daily activities.

Administered medications as a Certified Medication Technician, including insulin injections and blood sugar checks.

Promoted a safe, compassionate care environment while supporting patients’ medical and personal needs.

Monitored and documented patient activities, conditions, and vital signs in compliance with HIPAA and infection control procedures.

Springhill Medical Rehabilitation Center – Mobile, AL 01/2017 – 07/2017 Certified Nursing Assistant / CNA

Supported patients with short-term memory issues in a rehab setting.

Provided daily care including hygiene, mobility, and feeding assistance.

Monitored patient health conditions and reported changes promptly to nursing staff.

Ensured compliance with HIPAA and infection control standards while documenting care activities. Tiffany Lomax, Cont.

ADDITIONAL PROFESSIONAL EXPERIENCE

Amazon Fulfillment Center – Stone Mountain, GA 03/2021 – 06/2022 Forklift Driver

Trained new employees on equipment operation and safety standards.

Transported inbound pallets and merchandise from trucks to departments using forklifts and pallet jacks.

Performed data entry to update product information and verify accuracy of shipments.

Followed PPE regulations and company safety guidelines at all times. McDonald’s – Chamblee, GA 07/2018 – 01/2021

Manager / Customer Service

Supervised up to 7 employees per shift, delegating tasks and ensuring compliance with company policies.

Created schedules, hired and trained staff, and built positive team relationships.

Resolved customer service issues professionally while maintaining sales and productivity goals.

Prepared bank deposits, conducted inventory, and submitted sales and time clock progress reports to district manager. Beau Rivage Resort & Casino – Biloxi, MS 03/2016 – 12/2016 Housekeeper

Cleaned and prepared guest rooms and common areas to meet high hospitality standards.

Ensured a welcoming, safe, and sanitary environment for guests.

Prioritized and organized work and ensured duties were accomplished by deadlines. Prior work history includes 1 year of Crew Member / Cashier / Customer Service at McDonald’s experience

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