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Click here or scroll down to respond to this candidateCandidate's Name
Nashville, Tennessee Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional SummaryReliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.Accomplishments Supervised team of (15) staff members. Resolved product issue through consumer testing. Used Microsoft Excel to develop inventory tracking spreadsheets. Skills Course Materials and Supplies Computer Technology Invoice Processing Payroll Processing Payment Processing Patient Health Information Access Medicare and Medicaid Process Bill Payment Disability Claims Process Accounts PayableWork HistoryBusiness Office Manager02/2024 to PresentCloverland Park Senior Living - Brentwood, Tn Prepares and submits necessary documentation for resident move-ins, move- outs, transfers and ancillary charges. Oversees cash controls including the depositing and posting of cash receipts and implementing and monitoring controls over petty cash Maintains daily cashbooks for operational accounts and prepare monthly bank reconciliation. Monitors and oversees the processing of accounts payable. Ensures department managers complete appropriate assignment of departmental expenses and supporting documentation is executed and maintained. Coordinates the processing of payroll and employee benefits; and the payment of insurance, real estate taxes and related reporting requirements. Prepares and enters journal entries and maintains appropriate sub schedules for Balance Sheet accounts. Reviews and distributes the monthly financial statements. Prepares Management reports as requested. Maintains team member, resident, vendor and financial accounting files in accordance with established policies and requirements. Interfaces with residents on billing/collection issues. Oversees preparation and maintenance of resident files, records and reports. Manages community Human Resource function. Responsible for ensuring a positive first impression, following the established new hire orientation program. Oversees payroll and Team Member paperwork including new hire and Change forms. Manages open positions using the applicant tracking system (ATS) and job postings. Manages scheduling for Concierge team members. Creates set-up and oversight for Health Center residents/patients private accounts and prepares necessary reports to adhere to State, Local and Federal guidelines. Other duties as assigned.Medical Billing Specialist / Billing Trainer 05/2021 to 11/2022 WILLOW TREE HEALTHCARE (COMPANY CLOSED) Franklin, TN Verify each insurance payment for accuracy and compliance with contract Reviewed explanation of benefits (EOBs) for payment accuracy Trained new employees on multiple medical billing programs and data entry software Developed training procedures and program curriculum to support corporate objectives Ensuring bills and payroll are paid in a timely and accurate manner while adhering to departmental procedures Prepare and process electronic transfers and payments Prepare and perform check runs Post transactions to journals, ledgers, and other records Reconcile accounts payable transactions Prepare analysis of accounts Processing due invoices for payments. Communicated with insurance providers to resolve denied claims and resubmitted. Located errors and promptly refiled rejected claims. Mentored new hires, resulting in stronger staff development and increased productivity. Monitored and reported trainee progress, introducing new learning tools to address individual needs. Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissuesREIMBURSEMENT /INSURANCE VERIFICATION SPECIALIST 11/2019 to 03/2020 CLEAN SLATE (COVID/ THEY CLOSED) Franklin, TN Patient billing including payment plans, printing/mailing bills, phone calls, unapplied transactions, etc Assist with insurance and internal billing audits Billing Process Oversight: Charges, payment posting, appealing AR, claim center, and event tracking Performed TN and federal regulations compliance audits related to documentation and reporting. Followed up on denied and unpaid claims to resolve problems and obtain payments. Coordinated with insurance providers to verify customer's policy benefits in relation to claims. Answered telephone calls to offer office information, answer questions, and direct calls to staff. Complied with HIPAA guidelines and regulations for confidential patient data.ACCOUNTS PAYABLE & RECEIVABLE TEAM LEAD 03/2016 to 10/2019 EVICORE HEALTHCARE(CONTRACT) Franklin, TN Worked closely with department personnel to produce accurate and timely bills Problem-solved accounts payable questions on behalf of internal team members, management, and vendors Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems Prepared vendor invoices and processed incoming payments Processing accounts and incoming payments in compliance with financial policies and procedures Performing day to day financial transactions, including verifying, classifying, and recording accounts payable data Preparing bills, invoices, and bank deposits Process outgoing payments in compliance with financial policies and procedures Perform day to day financial transactions, including verifying, classifying, and recording accounts payable data Reconcile the accounts payable ledger to ensure that all bills and payments are accounted for and properly posted Verify and investigate discrepancies, if any, by reconciling vendor accounts and monthly vendor statements. Worked different stations to provide optimal coverage and meet production goals. Coached team members in techniques necessary to complete job tasks. SUPERVISOR AUTO CLAIMS / PAYROLL SPECIALIST 03/2014 to 02/2016 GLOBAL INTERACTIVE SERVICES Monitored my reps, as they call insurance companies to set appointments for the adjusters to go out and take photos of the damaged vehicle Trained my reps on new projects self-inspection apps for the customer, to send their photos of their vehicle to the adjusters Monitored leave time for over 15 employees Gathering payroll statistical data per quarter for HR contract management. Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows. Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.EducationAssociates Degree: Cosmetology, Art, & Science 05/2011 Regency Beauty Institute - Nashville, TN Awarded (Most Creative) Honor Roll (2011) Honoree of (Candidate's Name ) Dean's List (2011) Professional Development (Cosmetology) (4.0) GPAHigh School Diploma 05/1995Dickson County Senior High School - Dickson, TNCertifications Medical Terminology HIPAA Compliance Certification Information Confidentiality Verbal and Written CommunicationAwardsHIPAA Compliance Certificate |
