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Click here or scroll down to respond to this candidatePECOL-DOMINIQUKIRKLINPhiladelphia, PA Street Address
EMAIL AVAILABLE / PHONE NUMBER AVAILABLESUMMARYHighly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. SKILLSMethodology SelectionDocumentation and ReportingData SynthesisData AssessmentsCross-Functional TeamworkWorks Well Under PressureEXPERIENCEVerification Researcher / Vertical Screen - Warminster, PA 12/2022 - Current Navigated through multiple online systems to obtain documentation. Executed qualitative and quantitative research studies using multiple proven research methodologies. Identified relevant questions and determined best methods of collection. Organized data in logical ways to enable efficient analysis and effective communication of findings. Financial Consultant / Society Hill Reproductive Medicine - Philadelphia, PA 06/2022 - 11/2022 Supported patients with financial analysis, budget management and procedure cost control. Met with patients to facilitate budget management and financial guidance. Reviewed packages and payments and payment options with patients. Scheduled and rescheduled patients.Collected patients payments, past due balances, and copays. Generated invoices, and refunds.Verification of insurance and benefits using ICD-10 code. Per-Authorization and Certification wising CPT Codes. Patient Service Representative/Billing Specialist / Wills Eye Hospital - Philadelphia, PA 02/2022 - 06/2022 Applied HIPAA privacy and security regulations while handling patient information. Scheduled and rescheduled patients. Verified patient insurance, collected copays, and registered patient information.Checked patients in and out.Reviewed claims for coding accuracy.Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.Performed insurance verification, pre-certification and pre-authorization. Scheduling Coordinator / CHOP - Philadelphia, PA 11/2019 - 10/2021 PKCompleted timely changes and updates to schedules in central scheduling system. Communicated with clients and caregivers to inform of schedule changes, cancellations or additions. Communicated schedule changes to appropriate department personnel and other ancillary areas. Resolved customer complaints or answered customers' questions. Set and confirmed Pulmonary patient appointments.Verify insurance coverage.Registered patients and updated patient's information. Billing Specialist / Health Advocates - Philadelphia, PA 08/2019 - 10/2019 Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.Answered customer invoice questions and resolved issues discovered during invoicing and collection process. Investigated and resolved issues to maintain billing accuracy. Worked with team members and leadership to identify and develop process improvements. Processed and sent invoices, adjustments and credit memos to customers. Billing Representative / IBC - Philadelphia, PA 09/2017 - 05/2019 Answered customer invoice questions and resolved issues discovered during invoicing and collection process. Assessed and resolved variances in accounts, databases and bills. Worked with outside parties to obtain payments and solve problems. Completed quality assurance reviews of practices and billing histories. Reviewed and analyzed contracts to resolve billing issues with vendors and carriers. EDUCATION AND TRAININGAssociate of Applied Science: Medical Assisting 06/2011 Lincoln Technical Institute - Philadelphia, PAAssociate of Applied Science: Medical Administrative Assistant 05/2007 Lincoln Technical Institute - Philadelphia, PA |
