Crystal Primavera is a skilled medical billing and coding professional seeking to continue her career in healthcare. She has an Associate's degree in Medical Billing and Coding from Ultimate Medical Academy and is AAPC certified in hospital outpatient and physician office coding. She has experience in data entry, customer service, medical billing, coding, and working with electronic medical records systems.
Medical Billing and Coding Professional Seeks Healthcare Career
1. CRYSTAL PRIMAVERA
Skilled and determined professional, expert in data entry/processing and customer service, seeking to continue
successful transition to the healthcare field by building off robust medical billing and coding education.
AAPC Certified in hospital outpatient and physician office coding.
Proficient in a plethora of relevant computer programs, while typing 52 words per minute with 10-key skills.
Works cooperatively with both internal and external customers, maintaining strong working relationships within the
organization.
Consistently recognized by supervisors and instructors for team orientation, critical-thinking skills and keen desire
for continuous learning.
MEDICAL EDUCATION OVERVIEW / CORE SKILLS
Ultimate Medical Academy
Associate of Science Degree – Medical Billing and Coding, 2014
Medical Billing and Coding Diploma, 2013
Analyzing and coding surgical procedures and diagnosis using ICD-9-CM & CPT codes.
Collaborating across collection/billing departments to ensure billing-related issues are resolved.
Assisting in the maintenance of medical charts and/or electronic medical records (EMR) systems.
Verifying insurance and eligibility, and submitting claims to various insurance companies electronically.
Navigating and utilizing a classification system to assign codes for all patient symptoms, diagnoses, diseases and
procedures that are used in insurance reimbursement and research.
Medical Billing Medical Coding Payment Posting
ICD-9-CM, HCPCS, CPT Introduction to ICD-10-CM Scheduling
Insurance Verification Co-Payments and Deductibles Medical Terminology
Anatomy & Physiology HIPAA Compliance Government Payers
Medicare & Medicaid TRICARE Third- Party Payers
CMS 1500, CMS 1450 (UB-04), EOBs Greenway PrimeSUITE EMR Worker’s Compensation
Managed Care (HMO, PPO, and POS) EOB Office Management
PROFESSIONAL EXPERIENCE
Suddenlink Communications / Parkersburg, WV 08/2015 – Present
Customer Service Representative
Play a critical role in providing an interface between customers and the company.
Research and resolve billing inquiries and technical issues.
H&R Block / Parkersburg, WV 12/2014 – Present
Seasonal Tax Professional
Calculate maximum possible refunds or minimum balances due by researching all credits and deductions applicable.
Promote company products and services to clients based on individual needs.
Highmark / Parkersburg, WV 11/2013 – 06/2014
Customer Service Representative
Built client confidence through primary benefits liaison and billing specialist roles.
Researched and resolved claims issues within required time constraints.
Wal-Mart / Rockaway, NJ 12/2009 – 06/2010
Asset Protection
Identify shoplifting suspects through implementation of the four elements of unlawful taking.
Conduct safety meetings to inform store manager and department managers of safety issues.
Nature’s Cove Pet Center / Newton, NJ 05/2007 – 09/2009
Sales Manager / Customer Service Representative
Monitored and assessed performance of employees, organization and self to honestly uncover flaws and areas of
needed improvement, before working closely with all pertinent parties to collectively develop innovative and
successful plans of action.
829 Quincy Street, Parkersburg, WV 26101
(304) 917-9175 / cprimavera86@yahoo.com
2. Earned recognition from management for maintaining company’s highest customer satisfaction rating.