Can anyone make resume more professional

5050 Mary Blvd 32832 555-555-555

[email protected]

Objective: To succeed in an environment of growth and excellence and earn a job which provides me job satisfaction and self-development and help me achieve personal as well as organization goals.

Education:

Master of Health Services Administration 01/05/2015-present

Strayer University, Birmingham, Al

Healthcare Administration B.S. August 2012-November 2014

Columbia Southern University, Orange Beach, Alabama

Medical Billing and Coding Program, April 2014

One Source Healthcare Services, Birmingham, Alabama

Medical Coding September 2015-April 2016

Medical Coding Prepatory Online Orlando,Fl

Experience

Insurance Verification/PreRegistraion Representative May 2015-present

Office Team/Accretive Health Birmingham, Al

· Maintained and updated insurance information for all patient files.

· Coordinated patient data collation with various external referral sources.

· Assessed and adjusted insurance policy medication coverage as required.

· Contacted physician offices for procedure and medication authorizations as needed.

· Investigated and resolved queries and complaints pertaining to urgent orders.

Medical Records Coordinator, July 2013 to April 2015

Noland Health Services Birmingham, AL

· Helped hospital pass JCAHO inspections by consistently meeting JCAHO requirements.

· Maximized reimbursement by ensuring accurate ICD-9-CM and CPT coding and conducting regular quality audits of providers' selected codes compared to chart documentation.

· Ensured records met quality and risk-management requirements by participating in hospital chart review committee.

· Provided ongoing training to staff on intricacies of insurance submissions, codes and intake procedures to minimize rejections for referral- or registration-related reasons.

· Admit patients while extracting and compiling data and recording pertinent information.

Admissions Coordinator and HIM Assistant, March 2005 to June 2013

UAB Hospital Birmingham, Alabama

· Coordinate admissions process, admitting 40-50 patients on daily basis.

· Verify insurance through insurance companies.

· Collect co-pay, deductible, and out-of-pocket cash.

· Schedule appointments, procedures, tests, generate appointment letters

· Process pre-certifications and referrals through Medicare, Medicaid, BC/BS etc;

Medical Scheduler, March 2008 to December 2012

Naphcare Incorporated, Birmingham, Alabama

· Schedule Doctor appointments for inmates that consist of five different sites

· Request Medical Records regarding the inmate’s scheduled appointment

· Verify if inmate kept their visit with Coordinator of Prison for claim processing

· Have direct contact with all jail sites’ and Hospitals’ for emergency issues

· Roll Authorizations and appointment times into BOP processing system 

· Skills

· Proficient in Microsoft Office Suite, Terminal Digit Filing, Keyboarding, and Excel

· Medical Terminology, Healthcare Insurance, and Customer Service Skills

· Knowledge of HIPAA Compliance Laws

· Health Quest and IMPACT, and IDX training complete, ICD -9 coding

· Process pre-certifications and referrals.

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