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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Old Salem Circle SEConyers, Ga. Street Address PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional Summary:Supervisor Billing/Collection and Patient Account Representative/Financial Coordinator with +4 years of experience in a sensitive corporate environment. Skilled and experienced in Revenue Cycle with a strong knowledge of medical insurance verification. Outgoing and detail-oriented, I am proficient at building and maintaining professional relationships. Proven ability and determination to manage multiple projects under tight deadlines. .EducationSouth University-South Carolina August 2016 September 2020Degree: Master of Clinical Mental Health CounselingWith DistinctionColumbia Southern University, Orange Beach, AL. August 2014 - May 2015Degree: Bachelors of Health Care ManagementHonors: Alabama Life Scholarship RecipientTogether Sisters Scholarship RecipientDeans Honor ListWork ExperienceSchindler Elevator, Atlanta GA, Lead District Account Manager January 2023- PresentCommunicate with customers with focus on reducing the overall accounts receivables for districtsDocument all customer communication and prepare any necessary documents neededParticipate and lead monthly conference calls with the local districts to review the top account impacting the financial performance of the districtResponsible for resolving customer disputes through contract review or negotiation and escalating if necessaryMeet or exceed financial targets set by managementTracking of and filing liens on properties and setting up legal/collection filesReview unapplied payments to help resolve all unclaimed property items for assigned districts.Interdepartmental communication is a must to achieve financial resultsWilling to assist and train new members within the are of activityWorking a flexible time schedule and some travel may be required in accordance with the assigned districtManage service escalationsManage book of businessCollaborate with stake holders to discuss contractsDevelop and implement annual plans to develop to meet goals for stakeholdersDevelop and present Kep performance indicators that adhere to specific goals for stakeholdersFresenius Medical Care, Kennesaw, GA, Supervisor Collections and Billing Representative August 2016 December 2022Conduct training of current processes; ensuring activities are in compliance with company policies and procedures.Mentor other staff by providing guidance, leadership and support with the assigned function(s).Identify, research, and resolve complex errors, issues and discrepancies within the assigned function(s).Handled inbound and outbound calls with the objective of collecting delinquent account(s).Researched, analyzed, and settled all customer billing dispute(s).Classified overdue accounts for efficient collections.Worked to resolve claims by disputesIdentify not only that a claim has been denied, but also the reason for the denialAssisted clinics with determining what requirements are needed to efficiently process claimsDeveloped reports to assist with trending issues that prevent claims from billingEnsure that correct procedure, modification, and diagnosis codes were implemented on each claimCreated and submitted 1st, 2nd, and 3rd level of appeals as documentation needed for specific payerDeveloped plan of action for trending payer denialsAssisted and devised power points to assist with visual aids for trainingsEPIC Credentials in ADT, CADENCEMonitor accounts receivables to ensure accuracy and performanceHire new partners for vacanciesMonitor team through work flow through Key Performance IndicatorsRay of Hope, Conyers, Ga. Revenue Cycle Finance Lead Sept 2019-Present (Part-Time)Bill Medicare Part A & B Claims Processing through CMS through SNF guidelinesBilling Insurers through consolidating BillingEnsuring Occurrence coding is correctCompleting Claims with correct ICD-10 and Rev CodesCompleting billing with implementing guidelines for re-admissions, benefits exhausted, No-paymentEnsuring that Claims are billed in regards to coverage requirements.Worked to resolve claims by disputesIdentify not only that a claim has been denied, but also the reason for the denialAssisted clinics with determining what requirements are needed to efficiently process claimsDeveloped reports to assist with trending issues that prevent claims from billingSleepworks, Atlanta, GA, Benefits Specialist September 2014- August 2015Maintains benefit records and prepares documents necessary for implementing benefit coverage. Communicates with plan service providers relative to claims issuesFacilitates new hire enrollmentAssist employees with administering benefits plan so that they are in compliance with governing regulationsPartner with the Communications and Training department to update internal communications including that include: benefits newsletters, wellness and retirement education sessions, benefit announcements for various events such as open enrollment, new hire enrollment, wellness events, wellness screenings, etc.Continuing assistance in areas that are associated with Human resource and benefits needsGeorgia Cancer Specialist, Atlanta, GA, Financial Coordinator November 2012 September 2014Worked in the oncology revenue department and held the responsibility of identifying coverage issues.Assisted patients who are under-insured with alternate resourcesSubmitted financial assistance application and Medicaid/ Medicare application processResearched assistance optionsFollows up with agencies to provide monthly reportsTarget Pharmacy, Conyers, GA. Lead Certified Pharmacy Technician July 2011-September 2014Worked as the lead technician as a trainerAssisted the pharmacy with filling, scripts, taking orders over the phone, scheduling pickupsDemonstrated leadership abilities with assisting new Pharmacists with the process and proceduresSchedules all new orders to replenish stock of over the counter meds as well as prescription medsAffiliations/SkillsProficient in Microsoft Office*Verbal Communication*Strong Work Ethic*Customer Service* Problem Solving*Medical Insurance Verification*Human Resources Management*Mentoring*Strong Leadership*Team Management*Experience with Sharepoint *Decision Making*Experience with Relay Health Clearance*Experience with Cerner Soarian Financials*Data Analysis*Research and Planning*Organizational Skills*Revenue Cycle*Document Imaging*Pre-Authorizations and ReferralsReferencesavailable upon request |
