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| | Click here or scroll down to respond to this candidateCandidate's Name
Street Address Elizabeth Creek DriveJustin, TX Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLESkillsExtensive incoming and outgoing call customer service experience.Pathology, Anesthesia collections and claims data entry.Knowledge of Microsoft applications: Word, Excel, Outlook, etc.Medicare and Commercial insurance experienceSpeaking effectivelyWriting conciselyListening attentivelyReporting InformationHuman Relations:Developing rapportProviding support for othersRespecting othersRecent Experience2024 MARCH TO JUNEDATA ENTRY ASSOCIATE, UNITED APARTMENT GROUP (temporary employment)Researched and processed incoming Mail. Posted payments in Accounting software for payment processing, Monitored credit balances and debit balances resolving any issues; making adjustments where necessary.2022 JUNE TO MARCH 2024EMPLOYMENT GAP DUE TO SURGICAL INTERVENTION OF CANCER.2021-JUNE TO JUNE 2022TDI BILLING SPECIALIST AND MEDICAL COLLECTIONS, ACCUPRO SERVICESReview all accounts with TEXAS DEPARTMENT OF INSURANCE DENIAL CODE attached. Place on spreadsheet for further action . Verify if out of network appeals are completed. Enter information on TDI Insurance portal. Send correspondence to insurance contacts to make them aware of appeals with TDI. Within the 30 day window established by TDI a response from the insurance carrier should be received. Negotiate additional payment and accept contact documenting each case with corresponding documents. Follow spreadsheet to make sure correct payment received, and adjust and bill any patient responsibility.Take incoming patient calls. Process payments and payment arrangements as necessary. Scheduling Anesthesia schedule for 1 Anesthesiologist. Conferring with the office and facility of all information.2010-NOVEMBER TO JUNE 2021MEDICAL COLLECTIONS SPECIALIST, AVERO DIAGNOSTICSComplete billing tasks daily, ensure minimal write off reimbursement dollars. Monitor and maintain assigned payors. Research, correct and resubmit rejected, denied and returned claims. Prepares appeals for denied claims. Identify and communicate denial and short pay trends. Answer questions timely and accurately; from patients, staff and insurance companies. Maintain professionalism and customer service. |