The combination of my medical billing expertise with completed coursework in phlebotomy demonstrates a unique understanding of both clinical and administrative aspects of healthcare operations. This clinical knowledge enhances my ability to accurately code procedures, understand medical terminology, and effectively communicate with healthcare providers about patient care documentation.
My medical transcription training further strengthens my capability to maintain accurate patient records and ensure proper documentation for billing purposes. This skill set is particularly valuable in maintaining detailed patient records, transcribing physician notes, and ensuring all medical documentation meets compliance standards while supporting efficient billing processes.
In practice, these combined skills allow me to offer comprehensive medical office administrative services, including:
Processing and submitting clean claims to insurance providers
Verifying patient insurance eligibility and benefits
Managing prior authorizations and referrals
Handling claim denials and appeals
Maintaining accurate patient records and medical documentation
Ensuring compliance with healthcare regulations and privacy laws
Coordinating with insurance companies and healthcare providers
Processing payments and managing patient billing inquiries
Implementing efficient workflows for medical office operations
My expertise extends to understanding various insurance plans, including Medicare, Medicaid, and private insurance, ensuring accurate benefit verification and claim submission. I maintain current knowledge of healthcare regulations, coding updates, and insurance requirements to ensure compliance and maximize reimbursement rates.
The integration of my clinical knowledge from phlebotomy training with administrative expertise allows me to better understand medical procedures, laboratory tests, and diagnostic codes, leading to more accurate coding and billing practices. This comprehensive understanding of both clinical and administrative aspects of healthcare contributes to more efficient office operations and improved patient care coordination.
Through my specialized training and diverse skill set, I offer medical practices a valuable combination of technical expertise, administrative efficiency, and understanding of clinical processes, all while maintaining strict adherence to HIPAA regulations and other healthcare compliance requirements.
Professional Summary
Healthcare administration professional with extensive experience in medical billing, coding, and benefits verification. Proven expertise in HIPAA compliance, medical records management, and insurance processing. Demonstrated success in streamlining workflows and maintaining high accuracy in claims processing. Seeking a remote position in medical claims processing to leverage comprehensive background in healthcare administration and billing.
Core Competencies
Medical Billing and Coding
Claims Processing and Benefits Analysis
HIPAA Compliance and Privacy Standards
Medical Records Management
Insurance Verification and Eligibility
Healthcare Documentation
Medical Office Administration
Electronic Health Records (EHR)
Healthcare Revenue Cycle Management
Professional Experience
Benefits Eligibility Agent (Blue Cross Blue Shield)
Teleperformance | Remote | June 2021 – July 2022
Managed complex benefits verification processes for healthcare providers and patients
Maintained 95% customer satisfaction rate while handling high-volume insurance inquiries
Ensured strict HIPAA compliance in all patient information handling
Optimized benefits eligibility workflows to improve processing efficiency
Resolved complex insurance coverage questions and claims issues
Benefits Eligibility Agent (Medicaid)
Independent Contract | Remote | 2022
Facilitated Medicaid eligibility verification and enrollment processes
Resolved complex eligibility discrepancies to ensure accurate coverage determination
Maintained detailed documentation for compliance and audit purposes
Provided guidance on Medicaid benefits and coverage options
Collaborated with state agencies to resolve complex cases
Medical Records Retrieval Agent
Parameds | Remote | 2010 – 2012
Coordinated medical records retrieval for insurance claims processing
Ensured compliance with medical documentation standards and regulations
Managed relationships with healthcare facilities to obtain required documentation
Maintained accurate tracking of records requests and fulfillment
Resolved documentation gaps through provider collaboration
Education and Certifications
Professional Certifications
Medical Office Administration with Billing and Coding Certification | Performance Training Institute (2012)
Phlebotomy Certification | Greenville Technical College (2000)
Academic Education
Master of Science in Marketing | Southern New Hampshire University (2022)
Specialization: Digital Marketing
GPA: 3.75/4.0
Honors Roll 2020-2022
Bachelor of Science in Business Management | Mid-America Christian University (2016)
Specialization: Business Management & Ethics
Technical Skills
Medical Billing Software
Electronic Health Records (EHR) Systems
Insurance Verification Platforms
Medical Coding Systems
Healthcare Documentation Software
HIPAA-Compliant Communication Tools
Medical Office Management Systems