Medical Billing & Coding Professional - Patient-Focused Administrative

Crystal Rainey

**** ******* ****** *** ** Bladensburg, MD 20710 240-***-**** ***************@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional backed by healthcare industry. 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.

Communication skills needed to provide healthcare and community setting support and advocacy.

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

Attention to detail needed to maintain high levels of accuracy.

Communication Platforms – Zoom, Google Meet.

Microsoft Office Applications – Word Type 60 WPM.

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 Diploma – 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

Private Duty Care – Frederick, MD 08/2015 – 12/2023

Home Health Aide

Provided in-home personal care services, and maintained a safe, secure, and healthy environment.

Assisted with activities of daily living – mobility, personal hygiene, and feeding.

Kept household clean and organized, ran errands, and prepared and served meals.

Documented services provided, patient condition, and changes in patient behavior.

Respected and safeguarded patient’s privacy.

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