Clerical

Lauretta D. Baldwin-Wilson NCICS

Mobile 901-***-****

Home 901-***-****

**********@*****.***

**********@***.***

CAREER OBJECTIVES

A position that is challenging and diverse in a progressive organization that will allow me to utilize my skills and education.

EDUCATION

2004 - Present Christian Brothers University College Business Administration

2003 - 2004 Concorde Career College Medical Office Professional

1999 -1999 Memphis Urban League Computer Operation

CERTIFICATION

National Center for Competency Testing

National Certified Insurance & Coding Specialist

ID # 351*-****-***

Expiration Date: 03/19/2011

EXPERIENCE

Ø Experienced Medicare Specialist, laboratory insurance billing, internal/family medicine and home health billing, workers compensation billing, ICD-9/ CPT-4 coding, some HCPCS as needed for DME

Ø Medical Collections, aging reports, special reports, payment poster, accounts receivable, commercial insurance

Ø Patient registration, insurance verification, referral, prior approvals and pre-certification

SKILLS

Carekeeper HIPPA Guidelines Mysis

Meditech MS PowerPoint Medisoft

Medical Manager Medical Terminology MS Excel

MS Word Oracle PTCT

SAP Transcription Type 36 wpm

Interlink 10-Key by touch 9,500 kph Document Scanner

EMPLOYMENT HISTORY

2009-April 2010 Interim Healthcare Memphis, TN Medical Records Coordinator

Responsible for sorts, audits, retrieves, and files medical records for daily scheduled appointments & work-ins. Creates label charts for new Pts. Check medical record contents for new reports, correspondence, etc. to be attached. Making sure medical # is present /visible & chart’s are in good condition/appearance. I also pull medical record in timely fashion for prescriptions and next day appointments. Maintain the paper in the fax machine & copier, schedule appointments when needed. Purge old records & prepare them for storage. Work with MA & other staff to assure correction of charts for each patient. I make sure the availability of current appointment list to each physician prior to seeing patient.

March 2008-March. 2009 Fiserv TPS Memphis, TN -Patient Account Specialist

Responsible for collecting on Workers Compensation claims that are past due because the insurance carrier or employer has not paid for the medications that patient has received on his/her claim

Sept. 2007- Feb. 2008 Accredo Health Memphis, TN-Customer Service Rep.

Responsible for contacts/interacts with customers to schedule and confirm product delivery and gather information and disseminate same to appropriate clinician and technician staff, obtain and records non-order data and prepares reports as directed.

April 2004- Dec. 2007 Methodist Healthcare Memphis, TN- Buyer

Responsible for negotiate and purchase supplies and equipment for LeBonheur Children Medical Center. I also have to interact with vendors regarding purchases, order placement, follow up and delivery.

Methodist Healthcare Memphis, TN- Medical Records Auditor

Responsible for auditing the Hernado, Memphis, Munford, and Somerville patient medical record charts (Commercial & Medicare) to assure all doctor’s order are signed/ dated, visit frequency are correct, diagnosis codes match the 485 and all supplies are billed correctly. If charts not correct I generate a pending list on excel. For, the homecare billing team on a weekly basis to identify unbilled revenue on patient accounts alerting the medical billers and the appropriate staff in a timely manner by emailing any changes that needs to be completed before claims can be release for billing.

Methodist Healthcare Memphis, TN- Patient Account Rep.

Responsibilities included billed and posted daily deposit, refund and adjustments. Created spreadsheets with status of determination for claims doctors billed to patients. Verified accuracy of EOB’s and checked patient’s medical records. Analyzed and coded surgical procedures; diagnosed using ICD-9 & CPT-4 codes

April 2003-April 2004 Schnucks Memphis, TN- Cashier

Responsibilities included excellent communication skills serving as a front-line customer service associate in representing company and expediting check out. Maintain productivity and morale of front-end personnel. Assist customers with special needs, elderly and handicapped.

Sept. 2001-Dec. 2003 ABL Management Memphis, TN- Office Manager

Responsibilities include handling large sums of cash, processing weekly paperwork to corporate office, data entry of all debit deposits, maintained balance cash drawers, process payroll, maintain inventory, and other office duties as assigned by the Director.

July 2000-Dec. 2002 TelePerformance USA Memphis, TN- Billing Associate

Responsibilities include monitoring the re conciliated funds that aged on open report to the correct invoice. Created invoice adjustments to balance statement transaction to zero once completed. Maintained contract billing records, processed credit and re-bills, obtained meter readings and processed annual price increases. Renewed contracts with company purchase orders information. Handled cash application posted payment amount exceeding up to $1 million in monthly revenue. Maintained accurate billing that were in compliance with SOX (Sarbanes- Oxley Act)

Jan 1998-Dec.1999 Holiday Inn Select Memphis, TN-PBX Operator

Responsibilities were to answer a multi line telephone and transfer calls. I also made reservation.

References available upon request

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