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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEHighly motivated and goal oriented who displays quick learning and self-starting abilities. Proficient in problem identification, evaluation, and resolution. Team player who works well under pressure, independently and within a cohesive group.CAREER HIGHLIGHTSEstablished Seasonal Tax Preparer for over 10 Years. Working Independently as well as for different Tax Organizations.Worked on all accounts receivable and submitted necessary documentation to ensure payment. Calling appropriate insurance companies for claim status. Resolved any Non-Payment issues.Maintain a working knowledge of third party payor contractual requirements. Correspondences follow ups, Interaction with Client regarding issues. Analyzing Claims Closing patient accounts receivable monthly. Maintaining follow up procedure for outstanding balances.PROFESSIONAL EXPERIENCECustomer Service Rep Aston Carter Mar 2023 PresentAnswer inbound calls and some follow up calls, work inquires on prior authorization, utilize multiple systems and programs such as Max, Ring Central, Teams and Slack to track information and update communication with customers. Stand as the communicator between patients and Physicians. Check benefits and coverage.Dispatch calls for medical transportation, arranged maps for accurate directions.Customer Service Rep State of Arizona AHCCS June 2022 Nov 2022Resolve customer issues. Interact with customers via telephone and email. Route customer inquires to the proper resource and make appropriate referrals when necessary. Maintain various data logs. Check and verify benefits and coverage.Review all documents to make sure they are complete and accurate, needed for eligibility determinations, and route appropriately. Actively participate in the Arizona Management System initiative within the unit, division and agency.Appointment Coordinator Executive Placement - Penske Jan 2022 April 2022Answer incoming calls from customers. Schedule repairs for high end vehicles.Address customer questions and concerns with accurate information. General data entry. Communicate with service advisors to obtain repair quotes and records. Update customer accounts.Case Investigator Insight Global - AZDHS Dec 2020 - Oct 2021Provide guidance to the team regarding job processes in team chat and huddles. Understand the current job processes and policies to support their teams performance. Provide solutions to overcome obstacles.Maintain a perception of approachability within the team, and be available to peers when support is needed. Represent the teams interest when conveying feedback to leadership. Relay information about the project/program back to the team accurately and in a timely manner, with relevant context as needed.Medical Biller/Executive Assistant MomentumTherapy Services April 2017 - Dec 2019Worked directly with the Director to plan and execute special projects to support therapy programs. Scheduled and attended meetings and events and recorded meeting minutes. Prepared, manually processed and created checks for payroll.Problem-solved accounts payable questions on behalf of internal team members, management and vendors.Processed financial documents including contracts, expense reports and invoices.Ordered supplies and material for 3 clinics and arranged set up for installation and clean up.Trained staff for all positions and duties.Medical Biller Robert Half 2015 - 2017Computerize posting past due balances, aging report, and rejections and follow up. Billing for commercial insurance companies, Blue Cross and Medicare.Specialize in State insurance guidelines.Working knowledge of ICD-9 and ICD-10, Insurance verification, Pre-certification, and authorization, Put all the charges on the superbills & created the claims.Transmit the paper & electronic claims to the insurance companies & follows up with the pending claims also, Do the deposits & posting.Calling insurance companies, filing claims (electronic and paper), A/R management/follow-ups (online, telephone), denial analysis, monthly payment reports to providers.Auditing, client interactions, and people management billing softwares known: Medical Manage Handled Oncology, Auto Claims, Pain Management, Cardiovascular, and Workers Comp Claims.Office Manager Piller Child Development 2013 - 2015Run day to day operations. Ensure info requests are handled promptly and effectively, negotiating/maintaining direct contact with vendors. Manage the front office for three facilities, oversee the billing department.Maintain the schedule for over 10 therapist, made billing follow up calls, sent corrected claims to insurance companies, collected copayments at the time of visits. Verified insurance, submit for prior authorization, set up payment plan for patient. Generate documentation for collections.Medical Biller Desert Hand Therapy 2011 - 2013Responsible for billing and collecting on all accounts and to obtain accurate reimbursement in a timely manner for all charges generated from patient treatment.Responsible for completing and submitting all daily/weekly/monthly reports accurately and on time. Prepare deposit or post payments/adjustments to accounts on a daily basis. Maintain/work all accounts from initial visit until account has zero balance.Director of Finance RAPHA Pain Solutions, LLC 2005 - 2011Interpret Explanation of Benefits. Demo Charge and Payment postings on daily batches Post all denials into billing system and coordinates and submits appeals as necessary. Call insurance companies for claim analysis. Handling Workers compensation claims. Transfer all electronic forms, work A/R report, Enter charges, Code, Post payments, Call attorneys for legal matters.Resubmitting claims to appropriate insurance companies. Training junior associates, new team leaders, and team members on billing and calling procedures. Provide weekly billing statistics. Weekly refreshers for updates discussion and billing knowledge. Make appointments and checkout for patients, schedule test for patients.COMPUTER SKILLSProficient in Microsoft/IBM based PCs, Software, Windows XP/20000/NT, Word, PowerPoint, Outlook, Excel, Access, Medisoft, QuickBooks, Handheld PDA, Web Denis, Nasco Claims System, EThomas, Genius, Misys, Raintree, AdvancedMD, OfficeAlly, Slack, and EpicREFERENCES AVAILABLE UPON REQUEST |
