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Click here or scroll down to respond to this candidateCandidate's Name
Snellville, GA PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional ProfileHealthcare Professional with over 14 years of successful experience in medical billing, medical office scheduling, pre-certification, healthcare policies. Highly analytical with strong attention to detail to ensure a high level of performance and quality services to the client and/or patient.Demonstrated strengths include:Medical Office Coordination Problem Resolution Client/Patient SupportGoal Orientation Account Resolution Billing and CodingAccounts Payable Accounts Receivable Benefits CoordinatorRecruiting Account ManagerProfessional ExperienceOctober 2017-PresentAerotek, Duluth (Kaiser Permanente)-ContractorIntake Review Coordinator (Contract Lead)Responsible for initiating the pre-certification request received via fax.Assign and approve ICD-10, CPT and HCPC codes for all pre-certification request.Review all pre-certification request for initial eligibility and benefits of the member, utilizing established criteria and guidelines, process authorizations and exceed goal by 200 percent.Review denials and correct the problems and resubmit for payment.Remain knowledgeable of contract benefits, eligibility guidelines and current relevant State and Federal regulations that may affect managed care and utilization management.Investigate, identify and report problems and inefficiencies in existing systems and recommends changes when appropriate to the Intake Review ManagerTrain new coordinatorsJanuary 2017- June 2018Kelly Services-New York, NYAssurant LLC, Duluth, GeorgiaCustomer Care Team LeadAssist in side by side training of new team membersAssist customers in insurance requirements and basic mortgage related questionsManaged the accurate and timely processing of up to 1200 invoices a monthProcessed invoices, purchase orders, credit memos and payment transactionsPosted payments, calculated interest, generated invoices and account statements, investigated and resolved irregularities or inquiresContacted clients with past due accounts to arrange a payment planJune 2015-August 2016Hire Dynamics, Buckhead GAContract Worker Various AssignmentsAdministrative Assistant and Accounts Payable and ReceivableEntered customer paymentsDeveloped reports to detail aging and past due accounts for senior managementInitiated collections proceedings against accounts past dueManaged incoming paymentsOpen and assigned new vendor accountsProcessed vendor invoicesResearched and resolved payment problemsFebruary 2013-April 2015Hillandale Medical Associate, PC Lithonia GAFront Office CoordinatorChecked patients in/out, collected co-pays and past due amountsScheduled/Confirmed appointments, verified insurance, called in prior authorizations and pre-certifications, transmitted prescriptions and generated referralsUploaded and scanned patient documents into Care360 EMR System, printed super bills, ordered office supplies, researched unpaid lab claims/insurance claims and applied EOBsBalanced receipts, prepared deposit slips and made nightly depositsJune 2006-February 2009Allied Logistics, Inc., Tucker GAOffice ManagerEvaluated and reviewed customer statements for accuracy, made key adjustments, and provided customer support in response to critical concerns or questions. Cultivated & sustained long-term client relationshipEstablished payment programs and applied to customer accounts; monitored accounts to assure compliance; prepared monthly reports detailing collection activity which dropped by 30%, negotiated contractsDistributed mail, scheduled meetings, travel arrangements, typed correspondence, ordered supplies and maintained office equipmentPerformed payroll, arranged benefits, accounts payable and accounts receivable, balanced accounts monthly, expense reports, created and updated job descriptions for office personnel, dispatching, recruiting, interviewing,March 2005-May 2006Dr. Dharmaraj Patil, Internal Medicine, Decatur GAFront Office CoordinatorGreeted patients, scheduled/confirmed appointments, handled phone communications, collected payments, posted charges and receipts into computer systemFiled insurance claims, verified insurance, performed pre-certifications and generated referrals, medical billing and coding.Posted charges and payments from EOB and sent out statements.Maintained office policies which decreased appointment no-shows by 50%Assisted and performed surgical procedures, IM Injections, EKGs, urinalysis & strep cultures and X-rays.Performed payroll, accounts payable and receivable, billed and invoicedUnderstanding of DOT requirement on physicalsEDUCATIONNew Horizons, Atlanta, GAMedical Billing & Coding, Microsoft Suite, 2011Career Education Institute (CEI), Norcross, GAMedical Administrative Assistant 2005PROFESSIONAL TRAINING & SKILLSEpic, RightFax, QuickBooks, McKesson, EMR, Medisoft, Care360, Microsoft Office |
