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Street Address Heron Pointe DR.Nashville, TN Street Address
PHONE NUMBER AVAILABLEObjectiveSecure a long-term career both challenging and rewarding. Continue to Grow within the company and obtain knowledge in new positions.Work experienceDoor Dash/UberNovember 2020 CurrentDoor Dash:Food DeliveryUber:Food delivery, transport customers, pick up packages from a senders house and deliver to their recipient and shop for customers and deliver their items they have asked for.The Kroger Little Clinic - 2630 Elm Hill Pike Nashville, TN 37214December 2013 - June 2021Job Titles: AR Credit Balance/Refunds Lead, AR Payment Posting Rep. and Customer Service Rep.Credit Balance Lead:Oversaw a department of 6Reviewed their work monthly for QA and production statsApproved high dollar refunds for insurance companies and patientsMade sure the training guide for the department stayed up to dateAssigned each rep refund claims to work each week through ECWConducted interviews for open positionsPayment Posting:Posted insurance and patient payments for over 100 clinicsReviewed out of balance payment to find the issue to balance the paymentReviewed insurance contracts to ensure they were paying the correct reimbursement rateCustomer Service:Worked a call answering queAnswered calls from patients and clinic to resolve their issues or concernsReviewed delinquent patient accounts to try 3 calls to retrieve past due amount last attempt would be to mail a letterReview patient accounts that were missing demographic information to call the patient to obtain the missing information to help the patient's claim be billed in a prompt fashion.FMC - 1550 West McEwen suite 500 Franklin, TN 37067October 1, 2012 November 2013 Medicare Billing SpecialistTimely follow up and collection of accounts within the assigned region.Maintains accuracy of patient insurance informationSubmission or resubmission of unpaid claims as warrantedAccount adjustmentsReporting trends, problem accounts and unique circumstances to SupervisorHCA Healthcare Shared Service Nashville TNJune 2007 until Sept. 2012Job Titles: Medicaid Appeals Analyst, Insurance Data Entry Analyst and Pre-RegistrationMedicaid Appeals Analyst:Writing appeal letters to insurance companies; appealing on behalf of the facility and patient as well.Verifying pre-cert information on behalf of our facilities and Doctors offices.Calling insurance companies to check the status of our appeal.Reading insurance contracts for details on how we may appeal each individual case.Work in systems such as Artiva, Rcom, Dei, Meditech and HostInsurance data entry representative:Verify patient insurance for 17 facilitiesSchedule patients for 17 facilitiesRegister patients for 17 facilitiesAlways multitaskKeep up with productivity standardsHead of EAG committee, coordinated all birthdays, functions and celebrations for a department of 48.Pre-Registration:Pre-register patients before their upcoming appointment for 17 facilitiesKeep up with productivity and QAAlways multitaskCollect patient amount due***While in pre-registration I had the opportunity of piloting the order facilitator program for the department. Make corrections to the program to make it better for our departments use. It was later pushed out to the department and made wonderful changes in production and the overall work of the department.EducationMcGavock High SchoolDiploma 1999-2003Completed the SAW class at the Shared Service Center in 2010SkillsComputer savvyDependableGreat customer service skillsReferencesAshley Myers PHONE NUMBER AVAILABLEKimberly Brown PHONE NUMBER AVAILABLEManagerial ReferencesKaren Northington PHONE NUMBER AVAILABLETammy Merchant PHONE NUMBER AVAILABLE/pre> |