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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE - PHONE NUMBER AVAILABLEPeople and results detailed oriented individual with eight years' experience emergency room registration, eleven years' experience in medical claims examining, and four years' experience AR Specialist revenue cycle. Track record of exceeding accuracy. Authorized to work in the US for anyemployer. WORK EXPERIENCEOffice Specialist 1OhioHealth Work Health300 Polaris Parkway- Westerville, Ohio March 2018 to Present Responsibilities Provides receptionist/clerical support assuring patient flow, comfort and satisfaction, This position is responsible for processing referrals, scheduling patients, obtaining medical records from emergency room, doctor's offices, and urgent care also answering phone calls. This position will also provide front desk support to assist with checking patients in and out of the office. Also provides urinalysis drug screens/breath alcohol screening for pre- employment, random, post-accident and observed drug screens per company request. A/R Specialist Revenue CycleOhioHealth Physician Group - Dublin, OH - March 2014 to Present ResponsibilitiesLook through my work queue start from the oldest date, if the claim is denied I'll go through the claim and find out why the line has been denied and if I can solve the problem with calling the insurance company I do, if not, I contact the insurance company and find out why they have denied the line or CPT code. Then I would file an appeal with the payer, defer the claim for fifteen days, then do a follow - up with the insurance company to see if the appeal was received, have the representative give me the document control number and defer the claim for another thirty days. Then after the thirty days have elapsed I follow up with the insurance company to hear what determination has been made. If the original determination was upheld I find out why it has been upheld or if the determination was overturned I forward it to the next responsible party after the claim line has been paid. SkillsStrong experience ICD-9 coding, medical terminology, medical claims examiner, excellent verbal and written communication skills, collection skills, analytical skills, experienced supervisor, customer service, telemarking, patient financial specialist, power point, and word and excel.Patient Financial specialist one/registrationMount Carmel west emergency room - Co lumbus, OH - February 2011 to March 2014 Ensures the collection of accurate and complete registration/admission information and con:ipletion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician office. Understanding relation between diagnosis and procedure codes using CPT and ICD-9 coding to ensure compliance with third party regulations. Understanding Medicare, Medicaid and other third-party information requirements and adheres to all third-party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Associates in AccountingColumbus Technical Institute/CTI - Columbus, OH 1983 to 1985 |
