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Amorita Ellis
Cell: 401-523-6712 Providence, RI amorita77@gmail.com
Summary______________________________________________________________________________
A diversified medical professional experienced as nursing assistant and administrative responsibilities.
Seeking challenging opportunity in which I can contribute to a team in order to utilize my excellent
communication skills, solid and productive work ethic and medical experience that will contribute towards
achieving the goals of the organization as an individual who genuinely cares about the quality of care for
those in need.
Skills and Qualifications_________________________________________________________________
Caretracker MedicalBilling System
GE Centricity Medical Billing System
eClinical Works Medical Billing System
Allscripts Medical Billing System
Microsoft Office Suite
Medical Terminology
Patient Vitals
Certified Nursing Assistant
CPR Certified
Experience_____________________________________________________________________________
PMG (Priority Management Group) 2015 – Present Providence, RI
Account Manager
 Interfaces daily with PMG billing client concerns including reporting requests, financial inquires,
reviewing patient accounts and Acted as liaison between billing clients and operations assuring
proper information transfer.
 Ensures QA of data entry production at no more than 10% of total workload unless error rate
exceeds 3%.
 Oversees all denied claims acting as liaison between clients and operations team for information
exchange, seeking avoidable trends.
 Participates in monthly presentations and weekly conference calls with revenue cycle director and
clinic management to address unresolved operational issues and concerns. Proposes processes and
policies to improve workflow.
PMG (Priority Management Group) 2015 – 2015 Providence, RI
Account Associate
 Acted as liaison between billing clients and operations assuring proper information transfer.
 Monitored the progression of charges and payments through the month keeping on track per client
stats through communication, training and supervision.
 Prepared month-end reports; entering monthly financial data and accounts receivable data.
 Maintained and documenting rules, procedures and instructions for clients for all departments.
Charlesgate Nursing Center 2014 – 2015 Providence, RI
Certified Nursing Assistant
 Acts as liaison between patient and clinical lead/charge nurse, recognizing changes in behaviors and
communicating accordingly for the benefit of the patient.
 Performs patient vitals check such as blood pressure,pulse & and O2 saturation.
 Follows unit maintenance and safety checks procedures at all times.
 Tends to needs of resident when requesting assistance from rooms in a timely manner.
 Assists residents with activities of daily living.
Dr. Nicholas lannuccelli 2015 North Providence, RI
Medical Receptionist
 Provided patients with prep instructions for ultrasounds and other radiology procedures.
 Filing faxing and handling any other miscellaneous clerical duties.
 Resolved claims upon request.
Fatima Hospital 2014 - 2015 North Providence, RI
Mental Health Worker
 Provided a safe environment for patients in the psychiatric wards including but not limited to
geriatric psychiatric unit.
 Followed unit maintenance and safety checks procedures at all times followed with detailed and
accurate documentation.
 Recognized warning signs indicative of an increase in potential of violence against self and others
and took appropriate action.
 Monitored patients while in restraints and seclusion.
 Assisted all areas of the hospital to give help to nursing teams with hands on patient care.
Humana (Concentra) 2012 - 2013 Cranston, RI
Group Health Accounts Receivable Rep II
 Prepared and submitted adjusted claims to various insurance companies. Appealed denials for
accurate claim resolution.
 Researched patient provider and insurance questions and ascertain an appropriate resolution in a
timely manner. Posted adjustments and payments to patient accounts.
 Identified and resolved patient billing issues. Followed up on claims that are pending insurance.
 Reviewed facility contacts with various insurances to ensure contract guidelines are being adhered.
UnitedHealth Group 2010 - 2012 Providence, RI
Group Health Accounts Receivable Rep II
 Assisted with workflow and training of new hires and identified training issues.
 Monitored incoming calls to ensure quality assurance. Answered patient questions regarding claim
status, payments and billing.
 Reviewed and resolved denial issues related to claims submission and insurance processing.
 Researched patient, provider and insurance questions and ascertain an appropriate resolution in a
timely manner. Identified contact discrepancies related t incorrect claims processing.
 Reviewed electronic billing reports from insurance companies to ensure accurate transmission.
 Transferred electronic claims to multiple insurances (AIR).
Education______________________________________________________________________________
CPI/Crisis Prevention
Fatima Hospital – North Providence, RI
2014
Certified Nursing Assistant Program/CPR
Crossroads Rhode Island – Providence,RI
2014
Phlebotomy and EKG
Healthcare Training Services Inc. - Fall River,MA
2008-2009

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Medical Billing Professional Resume

  • 1. Amorita Ellis Cell: 401-523-6712 Providence, RI amorita77@gmail.com Summary______________________________________________________________________________ A diversified medical professional experienced as nursing assistant and administrative responsibilities. Seeking challenging opportunity in which I can contribute to a team in order to utilize my excellent communication skills, solid and productive work ethic and medical experience that will contribute towards achieving the goals of the organization as an individual who genuinely cares about the quality of care for those in need. Skills and Qualifications_________________________________________________________________ Caretracker MedicalBilling System GE Centricity Medical Billing System eClinical Works Medical Billing System Allscripts Medical Billing System Microsoft Office Suite Medical Terminology Patient Vitals Certified Nursing Assistant CPR Certified Experience_____________________________________________________________________________ PMG (Priority Management Group) 2015 – Present Providence, RI Account Manager  Interfaces daily with PMG billing client concerns including reporting requests, financial inquires, reviewing patient accounts and Acted as liaison between billing clients and operations assuring proper information transfer.  Ensures QA of data entry production at no more than 10% of total workload unless error rate exceeds 3%.  Oversees all denied claims acting as liaison between clients and operations team for information exchange, seeking avoidable trends.  Participates in monthly presentations and weekly conference calls with revenue cycle director and clinic management to address unresolved operational issues and concerns. Proposes processes and policies to improve workflow. PMG (Priority Management Group) 2015 – 2015 Providence, RI Account Associate  Acted as liaison between billing clients and operations assuring proper information transfer.  Monitored the progression of charges and payments through the month keeping on track per client stats through communication, training and supervision.  Prepared month-end reports; entering monthly financial data and accounts receivable data.  Maintained and documenting rules, procedures and instructions for clients for all departments. Charlesgate Nursing Center 2014 – 2015 Providence, RI Certified Nursing Assistant  Acts as liaison between patient and clinical lead/charge nurse, recognizing changes in behaviors and communicating accordingly for the benefit of the patient.  Performs patient vitals check such as blood pressure,pulse & and O2 saturation.  Follows unit maintenance and safety checks procedures at all times.  Tends to needs of resident when requesting assistance from rooms in a timely manner.  Assists residents with activities of daily living. Dr. Nicholas lannuccelli 2015 North Providence, RI Medical Receptionist  Provided patients with prep instructions for ultrasounds and other radiology procedures.  Filing faxing and handling any other miscellaneous clerical duties.  Resolved claims upon request. Fatima Hospital 2014 - 2015 North Providence, RI Mental Health Worker  Provided a safe environment for patients in the psychiatric wards including but not limited to
  • 2. geriatric psychiatric unit.  Followed unit maintenance and safety checks procedures at all times followed with detailed and accurate documentation.  Recognized warning signs indicative of an increase in potential of violence against self and others and took appropriate action.  Monitored patients while in restraints and seclusion.  Assisted all areas of the hospital to give help to nursing teams with hands on patient care. Humana (Concentra) 2012 - 2013 Cranston, RI Group Health Accounts Receivable Rep II  Prepared and submitted adjusted claims to various insurance companies. Appealed denials for accurate claim resolution.  Researched patient provider and insurance questions and ascertain an appropriate resolution in a timely manner. Posted adjustments and payments to patient accounts.  Identified and resolved patient billing issues. Followed up on claims that are pending insurance.  Reviewed facility contacts with various insurances to ensure contract guidelines are being adhered. UnitedHealth Group 2010 - 2012 Providence, RI Group Health Accounts Receivable Rep II  Assisted with workflow and training of new hires and identified training issues.  Monitored incoming calls to ensure quality assurance. Answered patient questions regarding claim status, payments and billing.  Reviewed and resolved denial issues related to claims submission and insurance processing.  Researched patient, provider and insurance questions and ascertain an appropriate resolution in a timely manner. Identified contact discrepancies related t incorrect claims processing.  Reviewed electronic billing reports from insurance companies to ensure accurate transmission.  Transferred electronic claims to multiple insurances (AIR). Education______________________________________________________________________________ CPI/Crisis Prevention Fatima Hospital – North Providence, RI 2014 Certified Nursing Assistant Program/CPR Crossroads Rhode Island – Providence,RI 2014 Phlebotomy and EKG Healthcare Training Services Inc. - Fall River,MA 2008-2009