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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWORK EXPERIENCEKaiser Permanente Medical GroupMarch 2018 to PresentPatient Financial Services Representative (Contract Position)Medical Financial Services Coordinator (Contract Position)Provides coordination of benefit services to membersVerifies patient insurance and eligibilityAssists patients who have pre-existing appointments with appointment details and out-of-pocket costsFacilitates payment processingAssists insured/uninsured patients with financial assistance resources and sets up payment plansAssists in charge and care disputes including billing and payment discrepanciesSupports client administration through the sales process to generate customer partnershipsAssist with benefit plan implementation by developing implementation strategy per customer needsWork to provide customized solutions to meet requested exceptions while minimizing internal risksHospital Corporation of AmericaJuly 2017 to March 2018Medical CollectorFollow up on hospital claimsSubmit appropriate documents for adjustmentsProvide medical documents to insurance companies as needed such as medical notes or accident informationReach out to patients as necessaryGNOS MedicalAugust 2016 to December 2016Insurance Follow-Up/Billing SpecialistPerformed follow-up on accounts receivable for medical laboratory claims, account correction and AdjustmentsDeKalb Medical CenterDecember 2014 to August 2016Billing RepresentativeHandled Accounts Receivable, self-pay, collections, payment posting & insurance verification and patient and facility education within the central billing office.Successfully managed pending claims daily, provided support for patient providers, group administrators, brokers and agents in the processing of medical and ancillary claims.Obtained, reviewed, and completed practitioner credentialing and re-credentialing with health plans, hospitals and patient care facilities.Apollo MD (Combined Physician Service Solutions)February 2014 to November 2014Insurance SpecialistPerformed accounts for Hospitalists.Data set regions: Georgia and Tennessee Insurance follow-up; including account correction and adjustment, resolving patients account inquiries and monitoring billing errors claim line item adjustments.Piedmont Healthcare CorporationJune 2005 to January 2014Revenue Cycle RepresentativePerformed all accounts receivable for Multi-Specialty Physicians, which consist of Pediatrics, General Surgery, General Medicine, Internal Medicine, Family Practice and Orthopedics.Performed multiple tasks which cover all the main functions of the Central Business Office which include insurance follow up, self-pay follow-up, payment posting, account correction and adjustment, resolving patients account inquiries, and monitoring billing errors claim line item adjustments.APPLICABLE SKILLSNextGen, ECW, Epic, Medical Manger, Navicare, Navinet, Ingenix Encoder Pro, Emdeon, MS Word, MS Excel, IDX, Centricity, and VerinetEDUCATIONEvanston Township High School, High School DiplomaPhillips Junior College, Courses for Business Management |
