Annette Wesco

**** ********* *****

Jackson, MS *9211

accasl@r.postjobfree.com

601-***-****

Objective To obtain a challenging position with the opportunity for promotion, and to

demonstrate the ability to be a desirable team leader

Summary

Experience in Microsoft Word and Excel Spreadsheet

Experience with Medicare/Medicaid Guidelines

Experience with major private insurance guidelines

Experience in insurance claims and appeals

Education Associate Degree in Health Information Management/Concentration in Medical Coding

Antonelli College, Hattiesburg, MS

June 2008

Experience Compliance Analyst

University of Mississippi Medical Center Jackson, MS

June 2010 – Present

Job responsibilities:

Perform internal audits to ensure regulatory compliance in assigned areas

Review documentation to ensure that they follow coding guidelines suggested by

CMS

Review documentation to ensure that HIPPA guidelines are followed

Educate physicians and departmental staff on regulatory compliance guidelines,

privacy regulations and billing guidelines

Center Manager

Minor Care Clinic/SEMRHI Hattiesburg, MS

February 2009 –June 2010

Job responsibilities:

Manage all policies and procedures within the clinical and clerical areas

Responsible for replying to all patient complaints

Contacted patients regarding account balances

Provided daily and monthly reports for Administrative Review

Work collections on patient self pay and insurance accounts

Hold monthly staff meetings to ensure that all clinical policies are adhered to

Responsible for ordering all office supplies and equipment

Work closely with providers and administration to ensure patient satisfaction

Balancing monthly collections and encounter numbers

Monitored bad debt accounts for collections

Reviewed patient financial information for discounted services program

Ensuring that daily deposit is recorded properly

Investigating unpaid insurance claims

Investigating incorrect insurance information to ensure proper filing

Patient Account Representative/Neurosurgery

Hattiesburg Clinic P.A. Hattiesburg, MS

July 2008 – February 2009

Job responsibilities:

Verify patient insurance benefits

Collect co pays and coinsurance at the time of service

Obtain authorization for medical procedures

Discuss account balances and charges with patients

Verify workers compensation information

Work closely with doctors to improve their collections

Neurosurgery Reimbursement Specialist

Hattiesburg Clinic P.A. Hattiesburg, MS

February 2007 – July 2008

Job responsibilities:

Organize and maintain Excel spreadsheets on accounts

Maximize reimbursement by following up on unpaid claims

Investigate and analyze medical claim denials

Insuring proper reimbursement of all services

Submit appeals and re-determinations within deadlines

Communicate with patients regarding insurance denials

Work closely with physicians and department manager

Back up all other areas in the financial department as needed

Responsible for checking code-related issues

Verify and review worker’s compensation benefits and reimbursements

Work with public government entities covering third party benefits

Patient Accounts Representative/Orthopedics

Hattiesburg clinic P.A. Hattiesburg, MS

January 2005 – February 2007

Job responsibilities:

Verify patient insurance benefits

Collect co pays and coinsurance at the time of service

Obtain authorization for medical procedures

Dental Receptionist/Accounts Receivable/Insurance Billing Clerk

Amite County Medical Services, Liberty, MS

January 2002 – January 2005

Job responsibilities:

Collecting fees and payments from patients

Billing monthly statements

Balancing and depositing daily payments

Submitting Medicaid and private insurance claims

Maintain referral information

Schedule appointments

Skills/Activities

Data entry

Operating Office Equipment

Filing/retrieving records

Knowledge of worker compensation guidelines

Proficient in Excel spreadsheet reports

Telephone skills

Budgeting money/resources

Ten key Punch calculator

General coding knowledge

General insurance policy & guidelines

Familiar with appeals and redetermination processes

Insurance verification

Authorizing medical procedures

Contact this candidate