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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLEObjectiveProfessional ProfileTo obtain the position that will allow me the opportunity to utilize my insurance claims examiner experience as well as my healthcare management skills.An ambitious personality results driven and delivers on established commitments and goals.Highly skilled in conducting research and problem solving.Demonstrated effective communication and organizational skills.Ability to learn and apply new information and to support new patient growth.Knowledge of coding issues by using CPT/IICD-9 coding books and Encoder Pro.Experience using Microsoft Office Suite (97, 2007); Excel, Word, Access, Outlook and Power Point.Experience2023- Present Surgery Partners Corporate, Shared Services Center, RemoteRevenue Cycle Shared Service Center Collection SpecialistCommunicate with the insurance companies, patients and other third parties in reference to collection of he accounts, through the Advantix Billing and Desktop Collectors modules.Responsible for contacting insurance carrier to dispute incorrect payments.Researching claims and accounts to make sure that benefits were verified properly.Responsible for follow-up on unpaid claims and collections of unpaid balancesGreat presentation and communication skillsKnowledge of CPT and ICD-10 coding and electronic billing informationAssists with admitting personnel in the areas of insurance verification.2007- June 12th, 2023, Surgery Partners / Birmingham Surgery Center, Homewood AL,35209Accounts Receivable Specialist/CollectorResponsible for all collection accounts 30-, 60-, & 90 and over 120-day bucket. Prioritizes per our monthly strategy, generally from largest to smallest.Workers compensation specialist also, I ensure accurate and timely management of time lost.Communicate with the insurance companies, patients and other third parties in reference to collection of he accounts, through the Advantix Billing and Desktop Collectors modules.Responsible for contacting insurance carrier to dispute incorrect payment or nonpayment daily.Run monthly reports to review outstanding Workers Comps and patient account balances and verify that insurance companies are reimbursing accounts correctly. Are 60-90 days past due. Pulling EOBs and operative notes and documents or inquires on patient account to provide detail of account activities.Required submitting month end projections and reports to Business office manager regarding the A/R and responsible for handling any question that may arise.2006-2007 Birmingham Surgery Center Homewood, ALInsurance Verification/Payment PosterContacting all insurance carriers per patient to ensure proper coordination and reimbursement of benefit.Obtaining and verifying patient insurance information for proper claims to process.Verify patient eligibility, and benefits for outpatients surgery in a timely manner.Verify patients deductible, co pays, co-insurance, out of pocket maximum and lifetime maximum benefits.Posted patient and insurance payments on accounts.2004 - 2006 Blue Cross Blue Shield of AL Birmingham, ALInquiry Analyst TraineeIdentify customer inquiries and resolve them in an accurate and timely manner.Research and interpret benefits using DORS, MRO, BOL and GEMS, paying attention to details.2000 - 2001 United States Postal Service Birmingham, ALPostal WorkerReceived incoming packages and freight from truckers and delivered mail and packages throughout the Birmingham assigned areas.1991 - 1997 Brookwood Medical Center Birmingham, ALMultiple Competency Clinical TechnologistResponsible for collecting, processing and analyzing biological specimens and other substances.Performed analytical test of body fluids, cells and other substances.Demonstrated professional conduct and interpersonal communication skills with patients, laboratory personnel, health care professionals and with the public.Meeting needs of and with existing and prospective patients, as well as clinicians and staff and educates1989 1991 Veterans Hospital Birmingham, ALMedical SecretaryProvided direct case management services including service linkage, crisis intervention, advocacy, assessment and maintained existing relationships with major hospitals in the territory.Responsible for interviewing patients to assess their needs and providing information and referrals to other agencies while monitoring service delivery.Ability to easily multi-task, and Great presentation and communication skillsEducationShelton State Community College Tuscaloosa, AlabamaAssociate of ScienceMajor: Medical TechnicianUniversity of Alabama in Birmingham Birmingham, AlabamaAssociate of ScienceMajor: Clinical TechnicianStrayer UniversityBachelor of Business Administration Currently PursuingHealth Services Administration |
