Medical Insurance
Resume:
DAWN COVINGTON-FALL
**** ****** ***** ***, *******, NC. 28027• 980-***-**** acy4d5@r.postjobfree.com EDUCATION
Certificate - Medical Insurance Billing and Reception Specialist Schoolcraft College, Livonia, MI 2007
Associate of Arts Degree - Humanities and Social Science Washtenaw Community College, Ann Arbor, MI 2005
PROFILE
o More than three years of healthcare experience augmented by certificates in Medical Insurance Billing and Reception.
o Skilled in medical procedures such as, patient histories, patient confidentiality (HIPAA), medical office procedures, nutrition, scheduling and patient protocols. o Experienced in medical billing - authorization, reimbursements, private insurances, Medicare/Medicaid and ICD-9-CM and CPT coding and HCPCS; strong comprehension in medical terminology, including pronunciation, spelling, and abbreviations.
o CPR and First Aid.
o Trained and experienced in organ donation compatibility coordination paperwork. o Trained for Effective Communication, Cultural Diversity and Boundaries in Home Care, Documentation: Charting Smarter, Teamwork, Collaboration and Conflict Resolution o Technical skills: Medical billing software, Pro Systems accounting software, and Microsoft Word and Excel.
RELEVANT EMPLOYMENT HISTORY
Benefits Advisor (Contract)
10/2016 - 01/2017 Insight Global, Charlotte, NC
● Would answer calls from clients who wanted health, or dental insurance. Would collect all their demographic information, and income to see what insurance would be best for them. Would offer BCBS for the state they live in, it was either on Healthcare.gov or regular BCBS website. Would take payment for insurance and post to their account. Benefits Counselor (Contract)
10/2014 - 01/2015 Aerotek, Charlotte, NC
● Would receive medical information from medical providers for their patients/future patients, check demographics, contact the patient's insurance to get breakdown of coverage for their providers. Update changes in the medical software system.
Home Health Aid 03/2011 - 12/2011
Personal Touch, Ypsilanti, MI
● Assisted with activities of daily living, including bathing, dressing, cooking, cleaning, shopping, and running daily errands and anything the client needs to be done. Direct Care Worker 01/2011 - 07-2011
Quest, Livonia, MI
● Provided direct care to disabled clients: feeding, bathing, dressing, daily errands, and medications; documented patient progress on a daily basis.
Medical Biller 12/2000 - 07/2002
St Joseph’s Mercy Hospital, Ann Arbor, MI
● Greeted patients, pulled and filed charts, answered a multi-line phone system, copied / faxed documents, collected and processed payments, verified insurance, billed Insurance companies, balanced payment books, and prepared bank deposits. OTHER EMPLOYMENT
Print Specialist (Wells Fargo)/Print Specialist (Ricoh)/Document Imaging Specialist (Ricoh)/Production
(Ricoh) (Contract) 06/2014 – 06/16
Randstad Staffing Services, C harlotte, NC
● Assure timely and accurate reproduction of printed materials; advices, coordinates and prioritizes production of work orders, understands copyright regulations; maintains accurate and complete copying records; calls for equipment repairs, maintain supply and copy issues for clients.
● Validate and categorize incoming mortgage document images into appropriate document folders, and associate the images with the correct loan file identifier, as designated by business units. The imaging performed will set up loan records in company system of record which supports business operations. Responsible for reviewing the quality of the document images to ensure the use of the documents across all departments in the life cycle of the loan.
● Receive bank supplies, build kits for clients pertaining to their banking needs, would ship out to different bank location throughout the states, where the kits would be given to the banking associates.
Tax Preparer (Contract) 10/2013 – 04/2014
Liberty Tax Services, G arden City, MI
● Prepare and review individual and business taxes using software within the corporation, review clients W2’s and other documents to stay within the compliance with the IRS policies. Tax Preparer (Contract) 10/2013 – 04/2014
Datamatics Global Services, Inc., Livonia, MI
● Prepare and review 1040 tax returns using Pro Systems software, prepare review notes and reconcile statements, in compliance with IRS and corporate regulations and policies. Tax Preparer (Contract) 10/2012 – 05/2013
Liberty Tax Services, G arden City, MI
● Prepare and review individual and business taxes using software within the corporation, review clients W2’s and other documents to stay within the compliance with the IRS policies. Data Entry (JPMorgan)/Picker Packer/Mail Processor (JPMorgan)(Contract) 09/2012 – 01/2013
Randstad Staffing Services, L ivonia, MI
● Responsible for data input; entering pertinent data from source documents and performing detailed edit checks of input.
● Handles pick tickets/orders from warehouse management/staff to pull items from warehouse inventory, use RF guns and other electronic equipment as necessary, physically pulls warehouse items by the stated number, size, color, quantity, quality, etc. requirements. Compare and inspect physical items pulled to the requirements of the pick ticket/order, packs/wraps orders as required by item/delivery type, and prepares for shipment.
● Review document requests for accuracy, Submit and follow up on document orders through various vendor systems, Data /document review and verification, Letter / mail processing, Data entry. Tax Preparer (Contract) 10/2011 – 05/2011
Datamatics Global Services, Inc., Livonia, MI
● Prepare and review 1040 tax returns using Pro Systems software, prepare review notes and reconcile statements, in compliance with IRS and corporate regulations and policies. ACCOMPLISHMENTS AND COMMUNITY SERVICE
Schoolcraft College - G raduated with honors
Willow Run Community Schools - A wards for volunteer work ADDITIONAL TRAINING AND LICENSES
Life & Health Insurance License
NIPR State of North Carolina 2016
Continuing Education Certificate 05/2014
Bayada Home Health Care, Charlotte, NC
Took continuing education medical classes to refresh my medical certificate. Tax Preparer License 02/2012
Master at Arms (In Training) 05/2010 - 07/2010
United States Navy, Great Lakes, IL
Underwent specialized training to serve as a Master at Arms; trained to serve and protect. Life Insurance License 2004
Dearborn Financial Services, Southfield, MI
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