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Cynthia Crooms

Name : Cynthia Crooms
Experience : 2
Specialty : Chiropractic, Pediatrics, Podiatry, Radiology & Dental
Location : OakPark,MI
Description :

Cynthia Crooms is looking for A position within the Health Care environment to provide excellent customer service, administrative support, and utilize her current skills and expertise, while learning more advanced and innovative processes, procedures, and information to help the business entity. 

Her Past Role:

  • Utilized client’s system to complete insure claim review of outstanding insurance and patient balances
  • Reconciled charges listed on claim forms with the payments made on the EOB
  • Researched correlation between previously submitted claims with current coding and billing regulation based on specific payers to include Medicare, Medicaid and commercial insurances.
  • Developed process for claims follow up, located documentation for approximately $200,000 worth of recoverable claims
  • Researched claims activity on payer websites and over the telephone.
  • Initiated credentialing and enrollment process for physicians not previously enrolled
  • Requested authorizations and referral for prior services.

Essential Functions concentrated in her course:

  • Able to communicate with a wide range of health care professionals and other EHR stakeholders.
  • Able to apply fundamentals of computer technology including set up, troubleshoot, maintenance of computers and networking systems to a wide range of EHR environments.
  • Able to contribute to teams charged with the selection and implementation of EHR’s (then suggest specific language to background or the actual job; e.g. if public health emphasize…  If ambulatory care emphasizes….etc.)
  • Serve as front end lead in EHR selection that best fits practice from a usability perspective, able to outline and plan staff training.
  • Ability to critically analyze and comply with roles and responsibilities on team models for implementation and adoption of EHRs.
  • Understand coding guidelines and conventions used in ICD-9-CM, HCPCS, and CPT facility and professional coding.
  • Correctly code conditions utilizing V and E codes in ICD-9-CM.
  • Identify, understand, and explain the different levels of categories for:  three-, four-, and five-digit ICD-9-CM codes; as well as the differences between categories, subcategories, and sub-classifications.
  • Working knowledge of CMS-1500 and UB-04 (CMS-1450) insurance forms.

Professional Association Affiliations
American Association of Professional Coders (AAPC)
            Student member, 03/2010 to present

American Health Information Management Association (AHIMA)
            Student member, 04/2011 to present

Experience with the following software and Medical websites: 

  1. Microsoft Office Suite 2010
  2. MedOffice
  3. Medisoft
  4. Mediware
  5. ClaimGear
  6. Visio
  7. PeopleSoft
  8. eThomas
  9. Web-Denis
  10. S-Snap
  11. Practice Fusion EHR
  12. VistA