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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Buckeye Pointe DrivePhone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEProfessional Goal:To leverage my extensive experience in healthcare administration and customer service to advance into a leadership role within a reputable healthcare organization. My goal is to contribute to the improvement of patient care delivery, operational efficiency, and overall organizational success through effective leadership, strategic planning, and continuous professional development. I aim to enhance my leadership skills, expand my knowledge of healthcare management principles, and make a positive impact on both patients and colleagues alike.Professional Experience:MSBilling Company Billing 12/2023 to presentEnter Claims in to Open pm data base for processingFollow up with Insurance companies for claims over 30 days for statusFiled reconsideration and appeals for denied claimsFamily Practice Associates Front Desk Receptionist (5/2020 04/2024)Check in patients for their appointments upon arrival and collect patient copays.Schedule and confirm patient appointments.Process patient payments and make office bank deposits.Verify insurance coverage and eligibility for patients.Enter new patient information into the system and schedule appointments.Process all medical records requests.Obtain insurance referrals through Navinet, Availity, and Pear portals.Upload documents and correspondence in patient charts through the EHR system.Aetna Health Care Customer Service Representative/Claims Benefit Specialist (2008 - 2020)Assist members with questions regarding their benefits for certain procedures.Review with members how their claims were processed and their responsibility for the claim.Review and process claims for payment from healthcare providers.Assist providers with verifying members' benefits and reviewing provider claims.Review claims for processing and releasing of the claim for payment.Review activities from members or providers to make corrections to the original claim that was processed.Verify claims from a report to ensure they are processed correctly before check run.Mid County Lanes (Part-time) Manager (2012 - Present)Responsible for all bowling leagues.Process weekly scores and upload them to the League Secretary.Verify cash drawers prior to closing for the day.Enter all new hires in Delaware job database.Prepare money for deposit.Resolve customer complaints.Education: John Dickenson High School, Wilmington DEReferences Available upon request. |
