Medical Billing & Coding Specialist with RCM Focus
Resume:
LINDA KISHPAUGH
Phillipsburg, NJ ***** 908-***-**** **************@*******.***
PROFESSIONAL PROFILE
Well-rounded professional backed by valuable healthcare industry 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.
Fluent in English and Italian.
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Understand the patient treatment process and familiar with hospital workflows.
Strong verbal, written, and interpersonal communication skills.
Show sound judgment and good decision making when dealing with problems.
Pay close attention to detail to ensure accuracy and maintain compliant documentation.
Communication Platforms – Zoom and MS Teams.
Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint 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 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.
Ashworth University Certificate of Completion – Medical Billing and Coding
HEALTHCARE INDUSTRY EXPERIENCE
iQor – Bethlehem, PA 09/2019 – 09/2021
Customer Service Representative
Interacted with inbound and outbound calls, explained benefits, and helped with enrolling information.
Communicated with customers via email and chat support.
Assisted senior and disabled customers with billing inquiries and Medicare plans based on needs.
Provided navigational support for Priority Health website and received customer payments.
Helped customers with bills and troubleshooting websites.
Ensured confidentiality and privacy standards of protected health information.
Private Duty Care – Phillipsburg, NJ 09/2011 – 04/2018
Caregiver
Provided companionship and personal care.
Monitored medication and assisted with personal hygiene and mobility needs.
Handled light housekeeping duties, prepared meals, and transported to locations outside the home.
Ensured privacy of sensitive and confidential information.
Warren Hospital Behavioral Health – Phillipsburg, NJ 04/2009 – 09/2011
Medical Secretary / Nurse Aide
Accountable for day-to-day operations and assisted the charge nurse with medical floor responsibilities.
Greeted families and patients, answered questions, admitted incoming patients, and assigned rooms.
Discharged outgoing patients to home or nursing facilities.
Assisted physicians with corresponding procedures and handled inbound and outbound calls.
Organized patient charts and paperwork and utilized best practices to keep client information confidential.
Previous healthcare industry history includes Medical Secretary and Medical Billing and Coding experience
ADDITIONAL WORK EXPERIENCE
Career break to focus on educational requirements at Ultimate Medical Academy (07/2024 – 06/2026)
Sequential Technology – Bethlehem, PA 12/2023 – 07/2024
Customer Service Representative
Handled inbound and outbound calls and documented information into customer accounts.
Assisted business to business customers with billing inquiries and discovered suitable plans for needs.
Provided navigational support through the Premier portal via e-bill chat.
Processed payments, received customer payments, verified customer payments, and navigated websites.
Communicated with customers, managed troubleshooting, and helped with plans for vendors at AT&T.
CoWorks – Bethlehem, PA 04/2018 – 09/2019
Customer Service Representative
Managed accounts receivable and payable, changed plans, and unlocked customers’ phones.
Processed orders, handled inbound and outbound calls, accepted payments, and assisted with website.
Identified customer needs, provided resolutions to problems, and followed established procedures.
Documented activity in customer accounts in an accurate manner and ensured confidentiality.
Volunteer experience at Breakpoint Community Church in Hackettstown, NJ since 09/2022
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