Courtney Beard

* ******** **

Bolingbrook, IL ***40

abj3a1@r.postjobfree.com

Objective:

To secure a career with a well established organization with a stable

environment that will lead to a lasting relationship that promotes growth

and allows me to continue to strive for excellence; where I can continue to

utilize my proven leadership, administrative, problem-solving,

organizational, computer and analytical skills.

Education:

1998-2006

Robert Morris University

Associates degree: Computer Business Systems

Bachelor's degree: Business Administration & Health Care Management

Experience:

Du Page Medical Group 05/08 to

02/10

Patient Financial Representative:

Answered inbound calls and face-to-face services; from patients regarding

their balances, resolved claim issues with providers and coding disputes.

Set up payment arrangements and financial hardship according to guidelines.

Handled (monthly) collection reports over 91 days. Updated demographic

information & coordinated benefits using Epic Hyperspace, initiated

outbound calls to patients regarding coding disputes or overcharging,

handled insurance follow up with providers and escalated calls when needed.

Experienced with all insurances including Medicare & Medicaid.

Benefits Management Group, Inc. 06/07 to

01/08

Claims Processor & backup for Customer Service:

Processed and Paid medical claims on behalf of retired and active union

workers for a TPA; for seven local unions in Illinois & Iowa, who have

consumer-directed health plans. Reviewed medical records to make a final

decision on claims, Explained waivers, policies, answered questions,

updated demographics using the Vision software, worked mail correspondence,

filed E.O.B's, reviewed refunds, adjustments, coordinated benefits with

multiple plans and claim denials. Experienced with all insurances including

Medicare & Medicaid.

**Succeeded in processing & paying over 10,000 claims**

Central State Billing

11/03 to 06/07

Senior Account Services Representative:

Communicated with patients by responding to inbound & Initiating outbound

calls; face to face service to resolve escalated matters, Reviewed credit

balance accounts & Documented notes into billing system (Medisoft),

Requested documentation from doctor's offices and hospital's to support

charges while resubmitting claims with proper attachments, Reviewed medical

records to make a final decision on claims and explained waivers &

benefits. Handled adjustments, insurance denials, return mail

correspondence (two-day turn around) and heavy medical collections working

A/R reports over 150 days. Experienced with all insurances.

**Succeeded in collecting over $150K for two major accounts**

Gallagher Benefits Administrator

03/02 to 10/03

Claims Processor:

Processed all medical (HCFA & UB04), dental, vision and prescriptions

claims; Handled refunds, adjustments, claim denials and adjudication.

Experienced with Medicare, Medicaid, Commercial insurances, ICD-9, CPT&

HCPCS codes, Cob's, Qic-Rims system used and handled other duties as

assigned.

Dr. Russell & Associates 08/91

to 03/02

Patient Coordinator:

Handled phones, scheduled appointments and coded charts, processed claim

forms, collected payments, heavy contact with patients, handled all dental

billing, verified eligibility on all insurances & maintained the front

office for four Dentists.

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