CAREY LOVE
Summary
Clinical operations leader with over 10 years of experience in operational oversight and medical administration. Demonstrated success in leading teams to enhance workflows and improve performance in complex clinical settings. Expertise in HCPCS, ICD-10, and CPT coding, complemented by a solid understanding of medical terminology. Focused on promoting patient-centered care while achieving operational excellence and high-quality outcomes.
Overview
19
19
years of professional experience
2
2
Certifications
Work History
Patient Access Representative
Johns Hopkins Howard County Medical Center
01.2025 - Current
- Serves as first point of contact for patients and visitors who visit the Emergency Department.
- Greets patients, answers telephone calls, and interacts with patients to enhance customer experience.
- Managed customer service operations for Patient Access.
- Maintain regulatory and functional knowledge while registering 50-70 accounts directly into EPIC.
- Educates patients regarding adequate insurance coverage.
- Coordinates details for procedures in the medical office.
- Understands applicable hospital and physician billing requirements and communicates.
- Demonstrates professional leadsership qualities and lead by example by presenting a positive image and helpful attitude to patients, physicians, staff, and other guests.
Sr. Medical Office Coordinator- Peds Strabismus/ Neuro Ophthalmology
Johns Hopkins University- Wilmer Eye Institute
09.2024 - Current
- Execute front desk operations while supporting patient service coordinator duties.
- Collaborate with management to establish and implement departmental policies and workflows.
- Ability to work under pressure to meet submission, project and reporting deadlines.
- Monitor provider schedules proactively to ensure alignment with clinic operations.
- Executed weekly transport of surgical instruments between facilities for ophthalmic procedures.
- Resolve complex scheduling conflicts independently to enhance operational efficiency.
- Abstract clinically relevant data from EMR medical records and report to registry or hospital databases
- Process prior authorizations for high-volume $800 Xeomin/ Botox $600. medications and ophthalmology treatments with insurance providers.
- Supported hiring process for potential candidates with the manager and contributing to assessment discussions.
CO Charge Entry Specialist
Johns Hopkins University
08.2021 - 09.2024
- Bill high-volume $2,000-$4,000 Pathology, EMG, EEG, Labs for Neurological procedures.
- Process 100-165 charges daily.
- Streamline charge entry process by collaborating closely with clinical staff to obtain necessary documentation.
- Reviewed and resolve Epic Charge review edits daily.
- Conducted a thorough review of patient records to ensure accurate complaint billing to the Neurology department.
- Analyze Sleep Lab reports for appropriate time and dx codes.
- Thoroughly check for upcoming procedures while verifying appropriate information.
- Register new patients for upcoming procedures performed.
- Verified place of service for inpatient and outpatient visits, enhancing accuracy in coding.
- Generated reports for billable encounters to support financial accuracy and operational efficiency.
- Ensured compliance with regulatory standards through timely completion of required tasks.
- Facilitated the addition of new providers in Epic to ensure accurate data management.
Sr. Financial Clearance Specialist
Johns Hopkins Health System
05.2015 - 08.2021
- Managed team of 6 junior account professionals, improving performance by 15%.
- Resolved 20 customer inquiries daily regarding medical copay and insurance eligibility, enhancing patient understanding.
- Completed 35-40 cases daily, achieving over 150 weekly through Epic work queue.
- Determined prior authorization procedures for neurology, orthopedic, sleep, ophthalmology, and acupuncture specialties.
- Partnered with clinics to streamline scheduling processes, improving patient flow.
- Clarified documentation of services provided and responsibilities of financial advisors.
- Educated patient-guarantors on financial liabilities and maintained accurate documentation in system.
- Coordinated communications with patients, insurance companies, and departmental staff.
Insurance Verification Rep/Follow Up
Advanced Radiology
01.2014 - 04.2015
- Processed new cases with notes attached for review of appropriate insurance companies.
- Maintained good rapport with referring physicians, secretaries and clinical site staff.
- Documented information on UB 1500 forms for submission to insurance companies, ensuring accurate processing.
- Verified CPT codes for correct procedure needing completion for testing.
- Updated daily status records in Excel, incorporating notes from specialist physicians to track case progress.
- Facilitated appointment preparation by faxing scanned reports and requesting films.
- Maintained good rapport with referring physicians, secretaries and clinical site staff.
- Maintained good rapport with referring physicians, secretaries and clinical site staff.
Physician Support Services
Physician Support Services
12.2013 - 01.2014
- Managed over 50 customer calls per day, with increased revenue by 10%.
- Aided in reduction of bad debt write-offs through diligent monitoring of aging reports and proactive collections efforts.
- Guided customers on actions and strategies for effective debt repayment.
- Investigated and problem-solved customer billing disputes.
- Posted customer payments to accounts, ensuring accurate transaction records.
- Compiled account status reports for leadership to inform decision-making.
Data Entry Cashier
Total Health Care Inc
03.2007 - 11.2013
- Coded and transcribed 30 invoices daily into accounting software, facilitating timely processing.
- Created and maintained data entry logs to monitor accuracy and efficiency of data entry activities.
- Posted receipts to general ledger accounts, ensuring accurate financial records.
- Created daily and weekly cash reports for accounting management.
- Processed daily insurance verification schedules for all departments.
- Used Maryland Medicaid website to verify eligibility accuracy.
- Scheduled appointments and followed up with contacts.
- Updated registration and demographics for patients' electronic medical record.
Education
Associate Degree - Healthcare Business Management
ACCC
Arnold, MD01-2021
Certificate of Completion - Medical Coding
AAPC
Baltimore County Community College, Towson, MD01-2017
Diploma - Medical Billing/Coding
Allstate Career
Dundalk, MD05-2006
Skills
- Patient-centered care
- ICD-10/CPT knowledge
- Medical terminology expertise
- Optimize executive schedules
- Consultation coordination
- Medicare secondary claims submission
- Data entry accuracy
- Data analysis
- Report preparation skills
- Microsoft Office proficiency
- Organizational abilities
- Deadline management
- Process management proficiency
- Productivity enhancement
- Customer communication
- Patient liaison
- Task flexibility
- Problem-solving
- Analytical skills
- Self-management
- Training support assistance
Certification
• Adult Mental Health First Aid, 09/01/24
• CPR, 10/01/23
• CMS Certificates (Novitasphere), Evaluation & Management- Observation and Inpatient Hospital Services, Evaluation & Management- Critical Care Services, Verifying Beneficiary Benefit Eligibility, Submitting Part B Claim, Rural Emergency Hospital Guidelines, Medicare Part B Updates, Defining Place of Service Codes.
• CPR, 10/01/23
• CMS Certificates (Novitasphere), Evaluation & Management- Observation and Inpatient Hospital Services, Evaluation & Management- Critical Care Services, Verifying Beneficiary Benefit Eligibility, Submitting Part B Claim, Rural Emergency Hospital Guidelines, Medicare Part B Updates, Defining Place of Service Codes.
Accomplishments
Center for Staff Life Design Program,December 2025
Timeline
Patient Access Representative
Johns Hopkins Howard County Medical Center
01.2025 - Current
Sr. Medical Office Coordinator- Peds Strabismus/ Neuro Ophthalmology
Johns Hopkins University- Wilmer Eye Institute
09.2024 - Current
CO Charge Entry Specialist
Johns Hopkins University
08.2021 - 09.2024
Sr. Financial Clearance Specialist
Johns Hopkins Health System
05.2015 - 08.2021
Insurance Verification Rep/Follow Up
Advanced Radiology
01.2014 - 04.2015
Physician Support Services
Physician Support Services
12.2013 - 01.2014
Data Entry Cashier
Total Health Care Inc
03.2007 - 11.2013
Associate Degree - Healthcare Business Management
ACCC
Certificate of Completion - Medical Coding
AAPC
Diploma - Medical Billing/Coding
Allstate Career