Medical Billing & Coding Specialist

Toshia Ricks

Indianapolis, IN ***** 317-***-**** ************@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional with retail experience, able to provide timely and accurate data to ensure reimbursement for patient services. Follow directions, policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Data entry skills, pay close attention to detail to ensure accuracy.

Independent thinking skills essential to interpret and apply information with minimal supervision.

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

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

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

Microsoft Office Applications – Word.

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.

WORK EXPERIENCE

Lowe’s Home Improvement – Indianapolis, IN 01/2018 – 03/2023

Retail Customer Service Representative

Served as initial contact, answered inbound calls, and responded to customer inquiries.

Entered data and filled out daily reports in a concise manner.

Attended meetings and communicated effectively with leadership and management team.

LSC – Plainfield, IN 09/2018 – 06/2020

Assembly Worker / Machine Operator

Trained staff and new hires and ensured adherence to policies and procedures.

Inspected outgoing orders for shipment from the warehouse for accuracy.

Packed orders and placed boxes to be sorted for shipping.

YMCA of Greater Indianapolis – Indianapolis, IN 05/2007 – 08/2018

Childcare Provider

Implemented and facilitated activities, lesson plans, and supervised children to ensure safety at all times.

Entered data, maintained daily paperwork and weekly records, and communicated effectively.

Conducted staff training, supervised employees, and ensured positive rapport with children, parents, and volunteers.

Attended weekly meetings with management and leadership and remained knowledgeable of industry standards.

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