Medical Billing & Coding Specialist

Janie Mccloud (Cont.)

JANIE MCCLOUD

*** ***** *** **********, ** 35209 205-***-**** ************@*****.*** PROFESSIONAL PROFILE

Customer service oriented professional backed by medical administrative support and healthcare industry 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 ensure patient privacy and confidentiality. Familiar with fast-paced hospital workflows.

High Academic Honors Recognition / Dean's List / Honor Roll.

Regarded as a natural people person with strong interpersonal communication skills.

Motivate to create a collaborative and respectful environment.

Work well as part of a team and maintain a professional and positive environment.

Communication Platforms – Zoom.

Microsoft Office Applications – Word; Type Speed: 40 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, and 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, HCPCS, CPT) EDUCATION

Ultimate Medical Academy – Associate of Science Degree – Medical Billing and Coding, 2025 Ultimate Medical Academy Diploma – Medical Billing and Coding, 2024 Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate 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. HEALTHCARE INDUSTRY EXPERIENCE

Brookwood Hospital – Birmingham, AL 09/2006 – 05/2010 Unit Secretary / Administrative Support

Performed a range of clerical duties that supported the operations of the unit.

Managed incoming and outgoing telephone calls.

Assisted with baby delivery tasks and maintained nursing station in neat and orderly manner.

Followed Standard Precautions using personal protective equipment as required. Southview Medical Group – Birmingham, AL 05/2004 – 08/2007 Medical Assistant

Performed direct patient care and administrative duties.

Managed incoming and outgoing telephone calls, responded to patient inquiries, and communicated with insurance companies regarding claims.

Reviewed referrals and transcribed physician notes into company system with high levels of accuracy.

Took vital signs, prepared patients for examination and treatment, and ensured exam rooms were stocked supplies.

Abided by HIPAA guidelines to secure and protect private and confidential information. Janie Mccloud (Cont.)

ADDITIONAL EXPERIENCE

Stay-at-Home Parent – Birmingham, AL 05/2010 – 04/2024 Homemaker

Invested in providing a stable environment for the family.

Provided care, discipline, and nurturing.

Showed strong leadership skills and managed budget. Birmingham Race Course – Birmingham, AL Emergency Medical Technician 08/1994 – 09/2006 Caraway Hospital – Birmingham, AL Medical Secretary 01/1995 – 01/1997 Hank’s Ambulance – Birmingham, AL Emergency Medical Technician 01/1991 – 01/1993

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