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Medical Claims Processor resume examples

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Skills

  • IMX
  • Written and verbal communication
  • Treatment of conditions
  • Mentoring and coaching
  • Interpersonal skills
  • Expertise in procedure billing
  • Mobility assistance
  • Meticulous recordkeeping
  • Bi-lingual in English and Portuguese
  • Medical assisting specialist

Work Experiences

  • Aided
  • Maintained strict patient privacy and confidential patient information, adhering to all HIPAA data security guidelines and statutes.
  • Motivated
  • Nursed
  • Recommendation
  • Made certain that claims were properly billed and paid.
  • Kept track of everything.
  • Coordinated the review, revision, and creation of operational policies within the emergency department.
  • Administered IV therapy, treadmill stress tests, and nerve conduction tests in the cardiac unit.
  • Sought advice.

Summaries

  • Leadership skills that guide nursing teams to positive outcomes and drive organizational performance are demonstrated.
  • Medical Claims Processor with 17 years of successful quality assurance and budget management experience.
  • Strong ability to communicate with patients and staff in a clear and effective manner.
  • Patient assessment, medication administration, and health education are all skills she possesses.
  • Compassionate Quality Improvement Coordinator working in system settings to improve care plans.
  • Patient Registrar with 16 years of experience in a healthcare office and administrative expertise.
  • Expert in all aspects of patient care, both direct and indirect.
  • Committed to providing high-quality care to a diverse patient population as part of a larger team.
  • Capable of carrying out leadership responsibilities effectively and thoroughly.
  • Scheduling, record-keeping, and insurance processing are all skills that I possess.

Accomplishments

  • Leveraged advanced understanding of ICD-10 and CPT coding to reduce payer rejections by 16%.
  • Clinical Skills: Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Perinatal Care: Assisted physicians in focus studies of prenatal care. Performed basic physical assessments of newborns and infants.
  • Documented and resolved framework which led to metric.
  • Collaboration: Collaborated with physicians to plan and implement patient care.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Patient Transfer: Safely lifted up to 80 pounds and pushed 300 pounds on wheels.
  • Intensive Care: Responsible for unit of 18 patients, providing daily functions such as grooming, bathing, feeding and turning in bed.
  • Training: Trained team of staff nurses in medical office procedures to ensure consistent quality of care.
  • Home Aid: Assisted patients with bathing, dressing, daily hygiene and grooming. Provided patients with transportation to and from medical appointments.

Affiliations

  • Completed training in HIPAA-compliant claim submissions provided by Cedar Works in 2015
  • Society of Women Engineers
  • National Healthcareer Association (NHA) – Certified Billing and Coding Specialist (CBCS) 2016
  • Joined the Raleigh Chapter of MGMA to broaden knowledge on healthcare operations and reimbursement
  • Professional Association of Health Care Office Management (PAHCOM) – Affiliated Professional Member since 2016
  • Active attendee of Healthcare Compliance Association (HCCA) conferences focusing on coding and billing
  • Society of Human Resource Management
  • Certified Professional Biller (CPB) – Credential from AAPC received in 2024
  • Jaycees
  • Certified Medical Reimbursement Specialist – ITIL from the American Medical Billing Association (AMBA)

Certifications

  • Holds current furnishing license
  • ServSafe
  • Cisco Certified Internetwork Expert (CCIE)
  • Nitrous Oxide Administration Certification
  • Pediatric Advanced Life Support (PALS)
  • Graduate Certificate in Global Health
  • Certified Billing and Coding Specialist (CBCS) – National Healthcareer Association
  • Current American Academy of Nurse Practitioners (AANP)
  • Board Certification for Emergency Nursing
  • Certified Nurse Executive

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