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Yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000 abc@xyz.com xxx-xxx-xxxx
Experienced administrative and operations professional with 10+ years of experience within high-stress environments with a keen ability to lead others and increase organizational efficiency. Experienced in processing medical billing, overseeing patient admissions, and ensuring organizational compliance. Equipped with a significant level of communication and interpersonal abilities in addition to a strong background in effectively fostering positive relationships with patients, co-workers, and vendors.
Key Competencies
Medical Billing Admissions Coordination Medicare/Medicaid Healthcare Industry |
In-Depth Reporting Scheduling/Placement Patient File Management Insurance Appeals |
Process Improvement Attention to Detail Complex Problem Solving Team Leadership |
Professional Experience
Ingleside Continuing Care Retirement Communities, Washington, DC 2010-Present
Billing Specialist
Directly manage several administrative and operational functions within a fast-paced organization with a focus on increasing productivity and efficiency
Process financial transactions related to Medicare, Medicaid, HMO, managed care, and private insurance for three locations which requires a significant industry knowledge
Maintain a keen knowledge of both Medicare/Medicaid regulations while simultaneously maintaining a working knowledge of Microsoft Office, Answers on Demand, FISS, and CWF
Process all insurance appeals/denials, manage patient medical documentation, file co-insurance transactions, and contact patients in order to resolve outstanding balances
Clinton Nursing & Rehabilitation, Clinton, MD 2002-2009
Admissions Coordinator
Coordinated all admissions logistics for an organization which holds 267 beds and averaged 10 Medicare admissions per day
Acted as a liaison between internal departments, played a lead role in the placement of patients with infectious diseases, and scheduled bed assignments based on availability
Created both daily census reports and reconciliations, assisted patients with admissions paperwork, obtained medical documentation, and worked with outside medical professionals
Maintained a keen knowledge of medical regulations in order to ensure organizational compliance
Training
Medicare Training, CMS, 2014-2015
Advanced Medicare Part A and B Training, Novitas Medicare, 2011-2012
Professional Affiliations
Alzheimer s Association
Hospice of Charles County
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