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Click here or scroll down to respond to this candidateDGCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE CLARKSVILLE, IN Street Address
SummaryDedicated professional with over two decades of experience in healthcare administration and customer service roles. Skilled in processing patient enrollment forms, verifying information following HIPAA regulations, and effectively communicating with patients and healthcare providers. Proven track record in handling denials, appeals, and insurance verification. Experienced in billing, AR follow-up, and training new hires. Proficient in data entry and handling various reports. Seeking a challenging position where I can leverage my expertise to contribute to a dynamic team and support the delivery of quality patient/customer care. SkillsMedicaid Reimbursement ExpertiseProficient in Data Entry OperationsCollaborative Team Player withEffective Management InteractionSkilled in Enrollment VerificationProcessesPositive Attitude and ProfessionalDemeanorSelf-motivated and Productive withMinimal SupervisionCapable of Independent Work andDecision MakingExperienceUber Partner -September 2021 - Current: Delivered exceptional transportation services to a diverse clientele across Kentucky and Indiana, ensuring safe and comfortable journeys. Recognized for outstanding reliability, punctuality, and adherence to safety protocols. Nessco Resource Staffing Service/KnippeRx - Patient Advocate 9/2023 2/2024 2024 Review, process, and verify patient enrollment forms for the Patient Assistance Program (PAP), ensuring HIPAA compliance. Manage approvals, denials, and treatment scheduling, handle inbound/outbound calls, and report adverse events/complaints.RemX- Billing A/R and Payment Poster 3/ 2020 1/ 2021 Print encounters and file for billers. Review remittance for denied claims Call insurance to verify denials or request insurance to reprocess. Post payments from the remit. 360Care Billing Payment Poster 5/2019 4/2020Post cash and credit card payments from patients and insurance companies Inbound / Outbound calls. Scan and copy paymentsClark Memorial Health Medicaid Billing Specialist 9/2001-2-2019 Bill inpatient/outpatient claims; A/R Follow-up; appeal denied claims; Train new hires HUMANA INC Military Enrollment Specialist 8/1988 9/ 2001 Data Entry enrolled military families for insurance; Correct and add changes per request of insured Contact the insured for additional information; Work on various reports as assigned Handle billing-related tasks such as printing encounters, reviewing remittances, calling insurance companies, posting payments, etc.EducationIndiana State University Business Management 1984-1985 Jeffersonville High School General Graduated 1984 |
