Candidate Information Title Reimbursement case manager, medical collections and patient regi Target Location US-NC-Raleigh Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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KLOBJECTIVETo secure a position as a Reimbursement Specialist with a reputable company where I can expand my skills and help strengthen the company.SKILLSOrganized problem solver with strong attention to detail.Ability to recognize and deal with priorities.Understanding of medical terminology, accounts receivable, insurance collections and billing.Strong interpersonal skills with excellent written and verbal communication.Knowledge of Microsoft Office Suite, Quickpath, PLP, Finesse and Cisco programs.Verification of patient benefits and determining if prior authorization is required.KENYON LEEKSREIMBURSEMENT SPECIALIST CASE MANAGEMENT2920 SPRINGSWEET LN #14 RALEIGH, NC 27612PHONE NUMBER AVAILABLE EMAIL AVAILABLEEXPERIENCEREIMBURSEMENT CASE MANAGER
TRIALCARD MORRISVILLE, NC
11/2019  PRESENTServes as an advocate to patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement process, and other general access issues i.e., pharmacy prescription triage, buy and bill and medical benefit verification for complex pharmaceuticals.Evaluates program enrollment forms for data integrity and coordinate data processing.Assists with insurance benefit investigations and triage cases according to program standard operating procedures.Ensures the accurate collection and reporting of information.Coordinates financial options for those with financial need.INTAKE AND TRIAGE COORDINATOR
TRIALCARD MORRISVILLE, NC
10/2017  11-2019Reviewed and ensured all incoming forms were complete, collected and captured missing information if needed.Efficiently made and received inbound/outbound calls to advise patients of program benefits and guidelines. Also triaged inbound calls to assigned care coordinators and case managers.Provided support, training, development, and coaching assistance to team members with questions or concerns.Resolved problems by clarifying issues, researching, and exploring answers/alternative solutions.Maintained a high level of ethical conduct regarding confidentiality, privacy and HIPPA regulations.Collaborated with specialty pharmacy liaison and supervisors by creating cases and distributing assigned workload to Reimbursement Case Managers.Worked closely with internal team to appropriately manage and resolves issues.MEDICAL COLLECTIONS COORDINATOR
OPTIMUM OUTCOMES RALEIGH, NC
2/2014  10/2017Responsible for collecting outstanding balances on medical debt for WakeMed, UNC, Duke, Missions Hospital, and various other clients.Set up payment arrangements for the collection of outstanding medical debt.Followed all HIPAA regulations and placed/received between 80-100 calls per day.Consistently exceeded monthly collection goal and quality assurance requirements.COLLECTIONS COORDINATOR
ILLINOIS COLLECTION SERVICES TINLEY PARK, IL
9/2002  10/2013Responsible for the set up and daily operation of the automated dialer system to include unattended desks and collector pools.Responsibilities also included assigning work tasks, disposition of accounts, processing of telephone and walk in payments.Direct liaison for client accounts and assisted the supervisor with calls and duties.Supervised over the small balance department and handled the Assistant Manager functions for the collection floor.EDUCATIONAA IN BUSINESS ADMINISTRATION  MAY 1994  SOUTH SUBURBAN COLLEGE - SOUTH HOLLAND, IL.DIPLOMA  JUNE 1991  SOUTH SHORE HIGH SCHOOL  CHICAGO, ILREFERENCESAvailable upon request