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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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