Candidate Information Name Available: Register for Free Title Medical Billing Customer Service Target Location US-RI-Pawtucket Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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Candidate's Name
Central Falls, RIPHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVE: Solution oriented professional, eager to apply past experience and current education in Medical Billing and Coding towards launching a successful career with an organization that will capitalize on administrative, analytical, communication, and leadership skills while providing opportunity for ongoing professional growth in exchange for a solid work ethic, integrity, and commitment to superior performance.SKILLSOffice Administration SkillsMicrosoft Suite (Word/Excel/PowerPoint)Medical TerminologyICD-10 CM Diagnosis CodingPathology and AnatomyCPT Procedure CodingICD-10 PCS Hospital CodingM.O.S.S Revenue CycleHIPPA and ConfidentialityCommunications/Customer ServiceTelephone Techniques and EtiquetteFile Management and Creating Patient chartsCERTIFICATION9/23 AAPCCPC (Certified Professional coder)EDUCATION12/22-07/23 MTTI Technical Training Institute, Seekonk, MAMedical Billing and Coding/Office Administration Certificate6/19-9/19 911 Programs, Warwick RIMedical Billing CertificateEXPERIENCE7/23 - present: Acadia Healthcare, Providence, RIRevenue Cycle SpecialistResponsible for accessing eligibility. Obtaining prior authorizations. Submitting claims for payment. Working with the Senior Revenue cycle manager to achieve optimum results. Learned different software systems such as SMART and Wave Star, and eligibility search engines for Medicare, Medicaid, and private insurers. Responsible for working Aged claimsA/R for a clinic with over a thousand patients.11/19 - 7/23 Pharmerica, Taunton, MAClaims SpecialistResponsible for adjudicating pharmacy claims denied by Med D and Medicaid prescription plans. Worked on projects that required attention to detail, and high level communication with prescription drug plans, mail order, retail pharmacy, and team of adjudicators, leads and supervisor. Responsible for working quickly and accurately to meet daily production goals, and documenting adjudicated claims.7/16 - 10/19 Professional Ambulance. Providence, RIAdvanced EMTResponsible for medical transport from and to outpatient, inpatient, and private residence. Responding to emergency calls for both medical and accidental injury, provided first aid treatment or life support to sick or injured patients. Responsible for documenting all runs for accurate medical coding and billing.