Medical Billing & Coding Specialist Applicant
Resume:
Andrea Steele
West Sacramento, CA ***** 916-***-**** **********@*****.***
PROFESSIONAL PROFILE
Customer service-oriented professional with call center and administrative experience. Provide an understanding of clerical duties and the importance of accurate claims processing. Follow policies and procedures to assure consistent quality. Maintain patient privacy and confidentiality.
Convey thoughts and express ideas for effective communication and documentation.
Identify and define problems, generate solutions, and determine appropriate strategies.
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Cloud Communication Platforms – Zoom and MS Teams.
Microsoft Office Applications – Word, Excel, PowerPoint, and Outlook.
CORE 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
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.
WORK EXPERIENCE
Career Break 01/2019 - 12/2025
Covered California, Sacramento, CA 01/2018 – 01/2019
Customer Service Representative
Managed 60+ inbound calls per day, addressing customer inquiries related to health insurance plans and services.
Resolved customer complaints by identifying issues, researching solutions, and implementing effective resolutions, resulting in a 95% customer satisfaction rate.
Utilized CRM software to document customer interactions, track inquiries, and update account information accurately.
Entered customer account data and communicated in a clear and concise manner.
Identified customer needs, provided resolutions to problems, and followed established procedures.
The Good People Agency, Loreto, CA 01/2017 – 07/2018
Secretary
Performed a variety of administrative and clerical tasks to help keep the office organized.
Managed general administrative activities to ensure efficient day-to-day operations of the office.
Answered incoming phone calls, scheduled appointments, and maintained files.
Prioritized and managed workload to meet deadlines and provided professional customer service.
Ultimate Staffing Agency, Sacramento, CA 11/2011 – 07/2017
Administrative Assistant
Managed daily operations, completed administrative and clerical functions, and prepared reports.
Responded to phone calls and emails and organized and maintained both physical and digital files.
Organized trips and made travel arrangements as first point of contact for visitors.
ADDITIONAL WORK EXPERIENCE
Kaiser Permenante, Sacramento, CA 01/2007 – 01/2008
Temporary Clerical Support
Managed daily operations, completed administrative and clerical functions, and prepared reports.
Maintained department files and updated patient charts
Verified and confirmed provider authorization on medical charts
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