Medical Billing & Coding Specialist

Donna Kerns Sartwell

*********@*****.*** 336-***-**** 705 Porter Swamp Rd, Cerro Gordo, NC 28430

Summary

I am seeking a full-time position that will allow me to utilize my medical knowledge and billing and coding skills. I thoroughly enjoy this work, as it is rewarding to analyze and figure out the problem and finally get the claim paid. I am very motivated and conscientious regarding the efficiency and accuracy of my work. I take pride in the fact that I am honest and take accountability for my own work. I have an extensive background in the medical field, and I am very detail oriented and enjoy helping others. I am very proficient in technology and various medical platforms. I enjoy always learning something new and resolving issues.

Skills

●Billing & Coding to include insurance verification & claim examination & appeals

●25 years of various types of administrative duties, budget, billing and basic clerical duties as well as coordinating a surgical department and a testing department

●Extensive knowledge in the medical field

●Excellent communication and people skills

●Reliable attendance and transportation/Highly disciplined to work remotely.

●Valid NC driver's license (Real ID status)

●Technology proficient

●Proficient in MS Office and various medical platforms

●Extremely organized

●Conscientious and loyal

●No children or personal obligations that would prevent me from going above and beyond and being flexible when needed

Experience

Walters Surgical Associates/ Whiteville, NC

Billing Dept/ Claims & Insurance management

11/01/25 – Current

Carteret Healthcare/Morehead City, NC

Carteret Medical Group/Billing Specialist

09/01/24 – 09/01/25

Carteret Healthcare/Morehead City, NC

Patient Accounts Department/Coordinator

08/01/23 – 09/01/24

Craven County Schools New Bern, NC

Administrative Assistant Test Coordinator

11/2012 – 07/2023

●Clearinghouse examination of claims/ Work Denials & Rejections

●Verification of eligibility & coverage

●Track & update insurance information

●Resolve discrepancies, denials & rejections with insurance companies

●Prepare & submit reconsiderations & appeals

●Submit claims to insurance companies for payment

●Answer patient billing & insurance inquiries

●Ensure compliance with industry regulations

●Scan insurance websites for active claims requiring additional documentation for processing

●Prepare claims for Audit and Review

●Coded patient claims accordingly for submission to insurance.

●Answered billing calls for patients & payers

●Resolved patient claims and discrepancies.

●Processed electronic third-party payments into Athena platform.

●Worked claim denials and followed up with insurance companies.

●Worked on a list of collections provided by Athena platform.

●Maintain Cash Sheet for the Hospital, CMG, and Home Health Hospice, using the previous day’s bank summary from United Bank and Truist. Remote Deposit all checks from third party billers, pulling remits for all checks from various platforms and websites. In addition, all correspondence & refunds must be appropriately distributed and uploaded into the patient’s EMR and then in a folder for the billing department to process. Strong organization with the ability to multitask.

●Provides digital technology assistance and state certified test training to Assistant Principals/school test coordinators on use of scanning software, pre-coding programs, and online test registration and scheduling systems for state assessments.

●Responsible for creating documents and presentations for training and creating different teams to share documents with school administrative staff for testing and accountability (using all Microsoft applications)

●Responsible for efficient and effective communication with strong organizational skills to communicate with assistant principals and other school staff.

●Multiple calendar coordination and management for Accountability and Testing department, scheduled state testing for NCDPI, and curriculum and instruction department.

●Generates and provides accommodation monitoring reports to school test coordinators and works with them to ensure accurate accommodation and documentation were appropriate for the state test being given.

●Maintains NC Education platform and assisted in training and organization of school test coordinators digital files for accuracy and efficiency.

●Maintain test security, data security and student confidentiality at all times.

High Point Regional Hospital High Point, NC

CNA/Medical Unit Secretary

05/2003 - 05/2008

UNC Hospitals Chapel Hill, NC

Medical Transcriptionist & Surgery Scheduling Coordinator

1992 - 1996

Social Security Administration (Temp)

Winston-Salem, NC 1989-1991

Wake Forest Baptist Medical Center

Winston-Salem, NC

Medical Technician & CNA & Unit Secretary

1988 - 1992

●Put together new admission paperwork for RN and entered physician ordered lab work and procedures via the hospital digital system

●Communicated appropriately with staff, visitors, and patients.

●Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.

●Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.

●Collected specimens monitored vitals and maximized patient comfort to maintain an optimal environment.

●Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.

●Documented activities and recorded information in EMR system.

●Answered signal lights, bells or intercom systems to determine resident needs.

●Observed and reported unusual symptoms and changes to charge nurse

●Worked in Urology, Urophysiology, Operating Room, Oncology

●Medical Transcription, Surgery Scheduling Coordinator and insurance verification and Pre Certification

●Disability Claims Clerk

●Emergency Room CNA

●Nursing Office Admin Assist & Transcriptionist

●Day Hospital Med Tech

Education and Training

Carteret Community College Morehead City, NC

Certificate in Medical Assisting Billing & Coding May 2024

●Graduated with Honors

University of North Carolina At Chapel Hill Chapel Hill, NC

Some College (No Degree) 1992

●Maintained 4.0 GPA

●Undergraduate classes: English, Literature, Math, Advanced Weight Training

Forsyth Technical Community College Winston-Salem, NC

Associate of Applied Science in Administrative Technology 05/1991

●Advanced English, Accounting, Business Law, Business Communications, Office Management and Supervision

●Business & Biological Medical Terms

●Microsoft Office Professional (MS Word, Excel, Publisher, PowerPoint, Outlook, and Access Database Management Systems, Adobe Pro, Business Card Pro, Internet Research, and a variety of other software Applications, E-Mail, and Internet based programs.

Forsyth Technical Community College Winston-Salem, NC

Certificate in Medical Transcription in Medical Informatics 05/1991

Guilford Technical Community College Jamestown, NC

College Transfer Credits in College Transfer Credits 05/1988

Southern Guilford High School Greensboro, NC

High School Diploma 05/1986

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