Medical Billing & Coding Professional

THERESA SWANK

Ormond Beach, FL ***** 916-***-**** ********.******@**********.*** LinkedIn

MEDICAL BILLING & CODING HEALTHCARE ADMINISTRATION MEDICAL RECORDS PROFESSIONAL SUMMARY

Medical billing and coding professional with extensive healthcare administrative experience supporting medical records, disability claims, benefits administration, and HIPAA compliance. Strong knowledge of medical terminology, healthcare documentation, insurance claims processes, and provider communication with a detail-oriented approach to maintaining accurate records. Recently completed Medical Billing and Coding training and preparing for the NHA certification exam. Recognized for strong analytical skills, accuracy, organization, and the ability to manage sensitive healthcare information while meeting documentation and compliance standards. CORE COMPETENCIES

Medical Billing & Coding: Medical Billing Medical Coding ICD-10 CPT HCPCS Medical Records Management HIPAA Compliance Claims Processing Benefits Administration

Healthcare & Administrative: Medical Terminology Medical Documentation Electronic Health Records (EHR) Provider Professional Skills: Documentation Management Administrative Support Microsoft Office Team Collaboration Detail-Oriented PROFESSIONAL EXPERIENCE

Administrative Assistant TnT Investigations April 2023 – Present Ormond Beach, FL

• Managed schedules, maintained records, and prepared administrative documents to support daily business operations.

• Responded to calls and emails while coordinating client communications with professionalism and timely follow-up.

• Entered accurate data, organized files, and supported daily office operations while maintaining confidentiality and accuracy. Dental and Vision Benefits Advisor UNUM Group December 2021 – December 2022 Chattanooga, TN

• Assisted members with dental and vision benefit inquiries, policy updates, payment processing, and plan changes while maintaining confidentiality.

• Documented member interactions, resolved benefit-related concerns, and maintained accurate healthcare records.

• Utilized Microsoft Office applications to support healthcare benefit administration and customer service operations. Benefits Administration Assistant UNUM Group December 2020 – December 2021 Chattanooga, TN

• Coordinated communication with physicians and claimants to obtain documentation supporting benefits administration.

• Prepared correspondence, forms, and documentation while maintaining HIPAA compliance and confidentiality.

• Maintained accurate records and achieved daily productivity metrics through effective administrative support. Medical Support Specialist UNUM Group April 2018 – November 2020 Chattanooga, TN

• Obtained medical information from healthcare providers while maintaining claimant confidentiality and accurate documentation.

• Supported disability and FMLA workflows by coordinating medical documentation and maintaining productivity standards.

• Mentored new employees, facilitated team huddles, and collaborated across departments to support efficient claims processing. Short Term Disability Specialist UNUM Group January 2018 – March 2018 Chattanooga, TN

• Reviewed disability claims using policy guidelines to support eligibility determinations and claims processing.

• Communicated with claimants and healthcare providers to obtain required documentation for claim decisions.

• Managed daily claim workloads while maintaining documentation accuracy, confidentiality, and customer service standards. Medical Records Specialist UNUM Group January 2013 – December 2018 Chattanooga, TN

• Requested, tracked, and followed up on medical records through phone, fax, and written correspondence.

• Updated disability claim records with medical documentation while maintaining confidentiality and accuracy.

• Supported departmental operations by mentoring new employees and coordinating medical records workflows. EDUCATION

Medical Billing and Coding Miller-Motte College January 2025 – May 2026 Associate's degree, Medical/Clinical Assistant Virginia College August 2008 – May 2009 CERTIFICATIONS & LICENSES

NHA Certified Billing and Coding Specialist (CBCS) In Progress

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