Kaci Adams
Douglas
Summary
At Douglas Internal Medicine, I excelled in clinical support and patient confidentiality, significantly enhancing physician workflow through real-time transcription and meticulous ICD-10 documentation. My expertise in clinical assistance and problem-solving skills ensured compliance and improved patient care, demonstrating a profound commitment to healthcare excellence.
Overview
6
6
years of professional experience
Work History
Scribe/Nurse
Douglas Internal Medicine
06.2024 - Current
- Worked under an assigned Nurse Practitioner to tediously record specific ICD-10 codes and transcribe what was discussed during the patients' visit.
- Maintained patient confidentiality by adhering to HIPAA guidelines and other applicable privacy regulations throughout the documentation process.
- Streamlined physician workflow by transcribing medical information in real-time during patient consultations.
- Reduced errors in medical records through meticulous attention to detail and thorough knowledge of medical terminology.
- Kept up-to-date with evolving healthcare regulations to ensure compliance in all aspects of documentation and recordkeeping.
- Checked patient vitals such as temperature blood pressure, and blood sugar/A1C levels.
- I administer shots to patients that the BP informs me, need them.
- Send in new medications as well as refills to the patients' preferred pharmacy.
- Call patients' to gather more information.
- Perform prior authorizations according to the patients' insurance company and pharmacy.
RCA (Rural Carrier Associate)
USPS
09.2023 - 06.2024
- Communicated customer complaints, requests, and feedback to company management for swift resolution.
- Provided exceptional customer service through effective communication with clients at every stage of the process.
- Developed strong relationships with clients, providing excellent customer service and support.
- Achieved high levels of punctuality and reliability in meeting scheduled pick-up and delivery times.
- Loaded and secured items in trucks to avoid damage to parcels during delivery.
- Optimized routing schedules to minimize transit times while reducing fuel consumption.
Medical Billing Specialist
Douglas Internal Medicine
01.2021 - 09.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Filed and updated patient information and medical records.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Call Center Sales Representative
Billy Merritt Marketing
08.2019 - 01.2021
- Increased customer satisfaction by efficiently handling inbound and outbound sales calls.
- Navigated multiple software platforms concurrently while engaging customers in conversations, enhancing multitasking skills in a fast-paced environment.
- Developed long-term relationships with customers by providing exceptional service and tailored solutions.
- Enhanced team productivity by collaborating on strategies to improve call center performance metrics.
- Boosted revenue by identifying up-selling and cross-selling opportunities during customer interactions.
- Utilized CRM systems proficiently to track customer interactions, ensuring accurate records for future reference and followups.
- Strengthened customer loyalty through empathetic listening and understanding individual requirements.
- Managed escalated calls professionally, resolving complex issues effectively while maintaining rapport with callers.
- Maintained high-quality standards through thorough knowledge of products, services, and company policies.
- Adapted communication style according to diverse clientele backgrounds for better connection and rapport building during calls.
Education
Some College - Biology
Valdosta State University
Valdosta, GA05-2020
High School Diploma -
Coffee High School
Douglas, GA05-2018
Skills
- Clinical support
- Documentation skills
- Data entry experience
- Knowledge of CPT/ICD-10 codes
- Accurate transcription
- Clinical assistance
- Patient history expertise
- Customer support
- Problem-solving skills
- Customer service
Timeline
Scribe/Nurse
Douglas Internal Medicine
06.2024 - Current
RCA (Rural Carrier Associate)
USPS
09.2023 - 06.2024
Medical Billing Specialist
Douglas Internal Medicine
01.2021 - 09.2023
Call Center Sales Representative
Billy Merritt Marketing
08.2019 - 01.2021
Some College - Biology
Valdosta State University
High School Diploma -
Coffee High School
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