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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE, EMAIL AVAILABLE
Summary:
I am skilled in Patient Financial Specialist. Very much confidence and have the ability to communicate coding concepts to medical staff and management. Pays close attention to details.
Work Experience
08/2016 01/2017 Wal-Mart s Global Shared Services III, Charlotte, NC
Accounts Payable
Manually match merchandise received by a store location to invoice submitted by the vendor.
Utilize deductive reasoning to balance process improvements and productivity to determine why an invoice failed the automated matching system.
Take action to reconcile the merchandise to the invoice.
11/2014 07/2016Carolinas Healthcare Systems, Charlotte, NC
Patient Financial Specialists (PRN)
HCPCS charge entry billing, ICD 9, diagnoses, edits.
Services and abstracts pertinent fields to ensure correct billing action of Carolinas Laboratory Network (CLN) claims for compliance with federal regulation and insurance requirements.
Research CLN edits and follows up with appropriate parties for remedy and collection and data entry.
Demonstrate knowledge and understanding of the confidentiality of employee information, Carolinas Laboratory Network plans, initiatives, and financial information, as well as patient privacy rights.
Monitor potential risk exposure related to billing practices to ensure accuracy and compliance, promptly report all compliance concerns.
Develop a thorough knowledge and understanding of laboratory business policies and procedures.
Perform other duties as assigned.
12/12-01/13 Truebridge Resources Charlotte, NC
Patient Account Representative
Accounts Receivable follow up, Excellent Customer Services.
Processed claims on insurances, BCBS, Medicare, Medicaid
Prepared Recovery Audit Contractor (RAC) Medicare and Medicaid accounts.
Processed Bad Debt accounts, appeals, denials and third parties,
Reviewed and understand EOBs through Government Web Portal.
Updated Medicare and Medicaid financial class on each account
Responded to third parties inquires and financial counseling.
11/11 - 02-12 AmerisourceBergen/Aerotek Professional/ Charlotte, NC
Benefit Verifications Specialist
Performed benefit insurance inquiries at various facilities and communicated with third party and reimbursement and knowledge of medical terminology.
Interfaced appropriately with insurance administrators, physicians offices, patients and internal personnel.
Developed and maintained close interface with all components of the benefits process.
Ensured that related information was obtained, documented in detail, tracked and available for access and quality review.
Suggested and recommended strategies and techniques to managers for continual improvement to customer service operations.
10/10 03-11 Ambassador Staffing/ Horizon Eye Care, Charlotte, NC
Patient Financial Counselor/Collections
Prepared delinquent accounts by mail, telephone and face to face contact.
Received and posted payments to customer accounts and processed claims.
Prepared statements and mailed letters to customers.
Served as a Liaison and performance lead for various job sites.
Produced daily and weekly spreadsheets.
Initiated physicians proceeding of outstanding balances.
Conducted audits to ensure accuracy of accounts.
11/09 01/10 Cure Staffing/Presby. Child/Adult Adolescent Psychiatric Associations, Charlotte, NC
Patient Service Coordinator III
Completed release of information requests including retrieving patient s medical charts, posting payments, scanning medical records accurately and transmitting daily report, scheduling according to requests and established standards of quality and productivity
Validated requests and authorizations for release of medical information.
Carried out responsibilities in accordance with policy and procedure including HIPAA.
Provided excellent customer service by being attentive and respectful.
11/07 12/08 C&D Contruction Company, Charlotte, NC
Accounts Receivable/Payable Assistant Part-time
Coded vendors invoices and purchase orders with supporting documents
Processed vouchers and created spreadsheets timely and accurately.
Prepared electronic billing; generated payments and issued checks.
Updated sub-ledger to the general ledger.
Communicated with sales representative, vendors and employees.
11/03 10/08 Presbyterian/Novanthealth, Charlotte, NC
Patient Account Representative III (CBO)/Financial Specialist
Processed claims for Self Pays, BCBS, Champus, AARP, Medicaid, Medicare, appeals, process denials and worked tickler files, follow ups
Keyed charges into computer (payment posting); verified CPT billing codes, HCPC and ICD9 on claims, billing patients for past due amounts.
Refer patients to Department of Social Services and/or Hospital for assistance with Federal, State or Charity programs as appropriate.
Reviewed claims for specific billing requirements; communicated with insurance companies, attorneys; interacted with employees on assignments; ran monthly accounts receivable spreadsheets.
Ensured corrected information for demographics and insurance; reviewed explanation of benefits (EOB s).
SOFTWARE/COMPUTERS SKILLS
Cerner Mill. HPS System Power Point SAP
Citrix IDX Signature Oracle Cycare System Adobe Share Point
Epic System Medical Management Word Perfect
Excel (Advanced) Misys PeopleSoft
Education:
Microsoft Office Suites 2010, Central Piedmont Community College January, 2013
BS, Montreat College, June 2009 to May, 2011
AA, Montreal College, July, 2006 to May, 2009 |
