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Click here or scroll down to respond to this candidateCandidate's Name
Street Address NE 18TH AVE #111OAKLAND PARK, FL Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective: Seeking a professional position within your Healthcare Corporation / Facility for my personal growth and advancement as a Medical /Collectors or Patient Accounting Representative, Administrative Assistant or EDI Analyst.Experience:MedReceivables LLC. Deerfield Beach, FLEDI Analyst 09/2019 to Present Analyze rejected claims from various insurance carriers. Contact the insurance carriers for correct payer identifications numbers. Verify patients identification numbers, demographic information, and policy number with insurance carriers. Research patient information through various hospital and insurance portal systems.Communicate any abnormal findings with manager and teammates. Refile claims with all the correct information to their respective insurance carriers.Bill patients if additional information is required.Optum 360 Atlanta, GAMedical Billing and Collection Analyst 04/2019 to 09/2019 Provide medical billing and collection for four Philadelphia hospitals. Read and interpret insurance Explanation of Benefit. Check insurance payments for accuracy and compliance with contract discount. Call insurance companies regarding any payment discrepancies. Correct patient demographics in the system Ensure patient and insurance information is accurate on claim before billing. Follow up with insurance regarding unpaid or unresolved claims. Resolve issues and resubmit corrected claims for payment. Prepare appeal letters with supporting documentation, to dispute insurance denials. Post insurance payments and adjustments.One Call Care Jacksonville, FLTransporter Sep 2012 to12/2019 Transport injured workers to various appointments. Maintain transportation records for each trip. Contact the company with any discrepancies between drivers and passenger. Provide daily vehicle maintenance. Compile and submit weekly transportation invoices.Healthcare Corporation of America Norcross, GAPatient Medical Billing and April 2005 to April 2010Collections Analyst Provided medical billing and collection for twenty one different hospitals across the United States. Supplied all documentation requested by the insurance carriers, in order to make necessary financial changes. Partnered with the collection agencies to make the required adjustments to patients accounts, also with bankruptcy status. Maintained monthly aged trial balance per facility. Verified patient's insurance coverage. Extended charity adjustments to aid patient's account. Posted bankruptcy status on accounts that provided court documentation.American Express and Travel Related Fort Lauderdale, FLConsumer Relations Liaison Jul 1998 to Aug 2004 Provided quality customer service to card members and merchants. Supported card member's airlines, travel and transportation, goods and services departments. Primary liaison between card members and the merchants to obtain credits on their accounts for disputed services. Interacted with primary card members and secondary card members and merchants in order to achieve a satisfactory resolution.St. Vincents Hospital Harrison, NYPatient Accounting Representative Feb 1996 to Oct 1997 Managed and implemented new billing and registration policies and procedures for four Catholic Charities, behavioral health clinics. Trained the clinic staff on the new billing system and protocol. Follow up with clinics weekly, for new insurance and new patient's information. Billed and reconciled accounts for all major carriers and self pay, for all facilities. Compiled weekly and monthly financial reports for directors meetings. Post payment and adjustments to the accounts. Follow up and maintain monthly aged trial balance per facility. Coordinate and conduct quarterly meetings with all facility managers.SKILLS: Various hospital systems within the HCA facilities network.Medicare and Medicaid systemsEpicAvaility systemRevenue ManagerCerner operating systemPIC operating system Navinet operating system United Healthcare data base Promise Philadelphia Medicaid system UPMC operating systemWindows 360Medical codes and terminology.UB-04HCF-1500Education: Georgia State University Atlanta, GAHealth Science and Health Information Systems 2011References: Available upon request. |
