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Click here or scroll down to respond to this candidateCandidate's Name
Hazel Green, ALEMAIL AVAILABLEPhone: PHONE NUMBER AVAILABLESkillsMedical office programs Quick to learn dependableteam player and eager to gain as much working knowledge to benefit myself and the company.Work Experience EducationAssociate DegreeCalhoun Community CollegeAugust 2012 to May 2014AccomplishmentsGraduated Cume Laude. Phi ThetaKappa member. CPAR certificatein September 2017, scoring 100%.Billing Specialist IIIDiatherix LaboratoriesJuly 2018 to May 2023Remote employee: Part of the posting team, work daily deposits, pull remits from payor sites and post the money. Work open batch reports. Correct discrepancies on the daily deposit. Perform month end tasks in a timely manner each month. Responsible for protection, security, and proper handling of all PHI. Meet daily and monthly departmental productivity goals set forth by management to ensure the company is achieving its financial goals.Denial Resolution Specialist: working denials, appeals, overpayment reviews for top Commercial payers Including, but not limited to United Healthcare and several BCBS payers. Worked Medicaid plans and other misc., payers for lab claims. Worked and appealed high volume of Covid-19 claims. Research and submit refund requests. Followed the adjustment process on claims, and posted payments to accounts when needed. Obtain diagnosis codes, ordering physician and any other correspondence to get the claim out the door and paid in a timely manner. Research and request medical records. Collections Team LeadHuntsville HospitalJuly 2014 to May 2018Oversee and train co- workers how to post payments, review insurance problems, check eligibility correct and submit or re- submit claims for payment. Incoming calls, collecting payments. Work accounts to resolve problems for patient/ customer satisfaction before escalating to management. Work bad debt and send the appropriate accounts to outside collection agencies for potential recovery. Research and process patient refund requests and send spreadsheet to finance each week, once received back from finance apply to patient accounts and mail the check. Handled all collections correspondence from collection agency, sending documents on request to agency, attorneys and insurance companies with the appropriate release of information attached. Worked necessary projects for management in an efficient and timely manner.Collections RepresentativeNorth Alabama ENT AssociatesAugust 2006 to July 2012Helped organize a statement process, collections protocol, and handled all collections correspondence for eight doctors. Posted patient and insurance payments and obtained Medicaid referrals. Incoming calls, collecting payments and making out going calls to obtain payments. Set up payment plans for patients, worked bad debt, and sent accounts to outside collections when instructed by the physician. Helped medical records, phone room and front desk, when needed. Dermatology Consultants/BuckheadAtlanta, GA Jan 2000-July 2001Insurance verification, referrals, patient check out collecting copays, insurance department working correspondence and follow-up.VA Peds and Adolescent CenterSpringfield, VA Sept 1995-July 1998Opened the clinic in the morning for the walk-in clinic hours, patient check in and out. Appointments and phones. Dr. Michael Davidov/CardiologyFalls Church, VA Mar 1995- Sept 1995Front desk, appointments, phones, and medical records. Dr. Linda Livingston/AllergyHuntsville, AL Aug 1992- Nov 1994Front Desk, appointments, phones, patient check out collecting copays, and medical records. |
