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Click here or scroll down to respond to this candidateCandidate's Name
Street Address C: PHONE NUMBER AVAILABLE EMAIL AVAILABLECareer OverviewTo obtain a position with a well-established company, where I can utilize my knowledge and skills to promote growth for the company as well as myself.Work ExperienceUM Service Representative June 2016 Aug. 2022Secure HealthMacon, GAReceive incoming departmental calls, & when necessary route to appropriate personnel.Manage incoming voicemails.Manage physician referral database correspondence to ensure all clinical information is attached to appropriate authorization.Collect requests for clinical review from all methods of delivery. Organize, track, distribute and file request.Maintain accurate & complete information in medical management databases.Conversion of authorization data derived outside the claims system.Assist UM nurses; supporting pre-certification, case management, disease management functions with services related to care coordination.Billing SpecialistGA Orthotics & Prosthetics, Inc. Sept 2015 to June 2016Macon, GAVerified Insurance Coverage for Billing.Obtained Pre-Certs for DME Equipment.Followed up with insurance companies regarding claim status/payments/denials.Business Office ManagerCertified Patient Acct Rep Sept 2007 to June 2016Bleckley Memorial HospitalCochran, GAManaged all aspects of the Business Office including Bad Debt Write-Offs, handling all issues with patient accounts, bills medical insurance for visits, collect co-pays, obtain pre-certs, oversee AR accounts and timeliness of receiving insurance payments.Enter charges on accounts, make changes in charge master, help resolve IT issues with printers/computers.Operate all office equipment including Bose Whitney Postage machine.Generate multiple reports including Process Improvements.Act as Switch Board Operator.Set up new billing program (Quadax) for electronic billing of medical claims and denial tracking.Bills medical insurance for facility visits utilizing Quadax and reports.Oversee AR accounts and timeliness of receiving insurance payments.Generate multiple reports for follow up purposes.Collect and post payments on accounts.Handles all issues with patient accounts.Claims Adjuster June 2007 to Sept 2007Geico Insurance CompanyMacon, GAAnswered phone calls for accident claims.Determined liability, scheduled appointments with adjusters, issued payments, and issued correspondence.Made outgoing calls to all parties involved in accidents and documented everything in the computer system.Scheduler/Team Leader Oct 1999 to June 2007Fairview Park Hospital Dublin, GAScheduled all diagnostic testing (radiology, labs, surgery, etc.) in Meditech system, Pre-Registered patients for appointments, confirmed appointment times, reviewed all prep instructions for procedures, and obtained demographic and insurance data.Collected required documents for testing (Physician Orders, Prior Authorizations), indexed orders in the computer system, verified medical necessity.Maintained monthly reports and departmental dictionaries.Educational Background12/2013 Middle Georgia State College - Cochran, GAA.S. Business Administration03/2000 Heart of Georgia Technical College - Dublin, GABusiness Office Specialist - Medical Office Specialist05/98 Bleckley County High School - Cochran, GASkillsType 60+ wpmMulti-tasking, Customer Interface, Customer Service, Computed Data ReportsMicrosoft Office: Outlook, Excel, WordCPSI, MEDITECH, QUADAXMulti-line phone system, SwitchboardCPAR CERTIFIEDReferencesJennifer Davis C: PHONE NUMBER AVAILABLEApril Brown C: PHONE NUMBER AVAILABLECharrissa Davis C: PHONE NUMBER AVAILABLE/pre> |
