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Title Patient Accounts Process Improvement
Target Location US-SC-Columbia
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLECOLUMBIA, SOUTH CAROLINAOBJECTIVETo utilize my administrative talents, organizational leadership skills, and extensive experience to accomplish the overall success of a result oriented organized, emphasizing the principles of continuous process improvement and cost savings achievement initiatives while improving strategic directives.SKILLS & ABILITIESMicrosoft Office Suite 365, B Planner Plus, Workforce Central Attendance Systems (Kronos & E-time)EXPERIENCE2022-Present Operation ManagerBurlington/Bush River RoadManaging the overall execution of operations and receiving SOPS, including the continuous flow process.Coach, train, and develop a team of associates, ensuring they are delivering outstanding shopping experience in a highly professional manner.Monitor the receiving process, transfer, debits/damages, and chargebacks and partner with the Receiving Supervisor to maintain the accuracy of inventory.Providing guidance to the receiving team associates to expedite the flow of merchandise from the receiving area to the sale floor.Review operational reports and records to ensure adherence to company policies and procedures.Positive communicate and demonstrate the company core values by developing trust and respect among staff, building strong teams and partnership through collaborative work ethics, and driving business by taking ownership and pride in the company and getting things done.Support the Store Manager and others in areas including interviewing, training, and succession planning.2019-2022 Cashier/Keyholder-Part timeBurlington/Bush River RoadOpen and close a store and perform other administrative duties in a retail setting.Assist cashiers during high track period.2015-2022 Surgical Revenue Charge RepresentativePrisma Health/BaptistReconciled surgery schedules/charges for three facilitiesPosted daily surgery charges and HCPCS codes.Performs daily charges balancing and reconciles discrepancies.Audits patient charges and coordinates resolution of issues with auditors, corporate compliance and patient accounts as needed.Accurately posts all surgery charges to patients accounts daily.Post adjustments to patient accounts when appropriate.Work with Lawson, when needed, to verify correct pricing of surgical items to charge patient accounts appropriately.2010-2015 Physician Billing Representative PrimaryPrisma Health-GreystoneMonitor claims for appropriate processing (Medicare, Medicaid, and Commercial Insurance.Lead others by training on processes and advising on problem accounts.Balance account activities and provide daily batch reports.Make accurate adjustments to patient accounts.Post Insurance payments via EOB remittance.Submit medical records upon request.2007-2010 Billing CoordinatorColumbia Ambulatory Surgery Center & Endoscopy CenterSupervised Billing associates.Processed accounts to internal collection.Reconciled financial activity monthly.Follow up on open commercial claims.Review daily ICD-9 and CPT codes.Posted daily commercial, government and patient payments.Work insurance tracking report daily.Posted cash payment and insurance payments.EDUCATIONMay 2006 Bachelors in Business AdministrationAllen University, Columbia, South CarolinaCum Laude GraduateAugust 2013 Certificate in LeadershipPrisma Health (One Palmetto)December 2023 Certificate on Completion Coding and Billing ClassMidland Technical College, Airport Campus, Columbia South CarolinaLEADERSHIPAbility to manage multiple projects simultaneously and meet tight deadlines, while maintaining the highest standards of quality.

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