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Click here or scroll down to respond to this candidateCandidate's Name
Louisville, KY Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEMy objective is to use the skills that I have obtained to provide great customer service, great leadership, I work well in a team setting, great listener, and an over all great aspect to a working team Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceLine Production WorkerGE Appliances - Louisville, KYNovember 2021 to PresentI work as an line production worker that assembles the ice makers for refrigerators doors Third Key ManagerVisionworks - Louisville, KYOctober 2021 to PresentI work as an insurance specialist,I also handle patient readiness verification of insurance personal info and updated any patient records before scheduled appointmentI also help with pre testing patients getting documentation needed to be seen before the doctor see patient,Also give training instructions with patient who want to wear and purchase contacts as well. Patient Access RepresentativeOpen Arms Care - Louisville, KYAugust 2018 to January 2019Monitor and resolve claims holding on discharged not final billed (DNFB) list. Adhere to billing requirements and standards of compliance. Assure all claims are filed electronically except for some paper claims. Process claims identified from insurance discovery. Assure treatment authorization number is present, if applicable, in appropriate form locator field Obtain missing accident information needed for billing Accounts Receivable SpecialistLandmark Health - Louisville, KYJune 2018 to August 2018 Conducted through research of claims status to identify issues and takes corrective measures to obtain payment and ensure accuracy of future claims. Works closely with payers to determine additional or supportive documentation that may be needed to facilitate prompt payment and provide documentation in a timely manner. Researches insurance information to accurately determine benefits and ascertain primary or secondary status for Medicare and Medicaid. Works in coordination with service locations to obtain information needed for clean claim submission and additional follow up documentation as needed. Conducts analysis of denials and partial payments to determine trends that may need to be addressed either in revenue cycle management, operationally, or with the payer. Resolve denial and payment issues with resubmission of claims and processing of appeals. Communicates effectively and frequently with superior regarding accounts Claims SpecialistResCare Employment services - Louisville, KYMay 2016 to September 2017Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork. Sends all forms to prescriber and appointed facility contacts for completion. Follows up on all claims requiring prior authorization within 4-5 business days. Reviews and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis. Compares system report of unbilled claims requiring prior approval to excel tracking spreadsheet to ensure any claim requiring prior authorization is being followed up on. Assists Billing Department with resolving unbilled claims at the end of each month close CNA - Certified Nursing AssistantU of L - Louisville, KYFebruary 2015 to June 2017I transferred from Jewish Frazierhospital I work as an certifiednursing assistant to provide greatand immediate care to thepatients in a level one traumafacility, and also work as anAdministrative assistant, helpingfile paper work and chartdocumentation about the patientspaper work dealing with billingand coding information or anyinformation with the medical fieldAs a wholeCNA - Certified Nursing AssistantJewish Frazier rehab - Louisville, KYMay 2015 to June 2016I transferred from Jewish Frazier hospital I work as a certified nursing assistant to provide great and immediate care to the patients in a level one trauma facility, and also work as an administrative assistant helping file paper work and chart documentation about the patients paper work dealing with billing and coding information or any information with the medical field as a whole CNA - Certified Nursing AssistantKindred@Jewish - Louisville, KYJune 2012 to August 2013I worked as a certified nursing assistant to provide great patient care and to help the resident with everyday daily activities and to therapy sessions. I also get hand on training in acute patient care and customer service as well.CNA - Certified Nursing AssistantChristopher East Nursing - Louisville, KYOctober 2011 to August 2012I worked as a certified nursing assistant to provide great patient care and to help the resident with everyday daily activities and to therapy sessions. Certified Medical Administrative AssistantWhitney M. Young Job Corps - Simpsonville, KYOctober 2010 to June 2012Certified Medical Administrative AssistantJan-2011- present date Data processing Assist with front office work Insurance claims Switchboards Computer filing, charting, and setting appointments Administration Knowledge of medical terminology and abbreviations Medical transcription MS Word, MS Excel, MS PowerPoint, andCertified Nursing Assistant CertifiedSept-2011- present date Interview patients, Measure vital signs, and record information on patients and charts Prepare treatment rooms Clean and sterilized instruments Inventory and order medical supplies and materials InternshipNorton Ortho Trama - Louisville, KYFebruary 2011 to April 2011I interned there as a medical office assistant where I had to send off faxes, file paper work and documentation, and to also make sure that the right documentation is filed in the right charts, and answering phone calls, and making appointments.Dietary AideMasonic Homes of Kentucky, Inc. - Louisville, KYApril 2002 to October 2010My job was to deliver the food to up stairs residents, and to also serve the residents that eat in the dining room area and to make sure that the residents have their drinks and the correct food orders, as well as make sure that theyll have the correct food orders for the best day as well. InternshipMasonic Homes of Kentucky, Inc. - Simpsonville, KY August 2002 to August 2002I got hands on training into the field that I was going to be working in CNA. I made beds, gave baths and showers, transferring residents and or patient from one place to another ext. EducationBusiness lawWaggener Traditional High School - Louisville, KYFebruary 2007 to June 2009High school or equivalentSkills Insurance Verification Hospital Medical Insurance Call Center Medical Receptionist Medical Office Experience Medical Coding Transcription Medical Records Office Administration Medical billing Medical scheduling Data entry Microsoft Outlook Dietary department experience CPT coding Medical terminology Phone etiquette ICD-10 Patient care ICD-9 ICD coding Documentation review Anatomy knowledge EMR systemsCertifications and LicensesCNA/HHAPresentCertified Nursing Assistant (CNA)CPR Certification |
