Vikki Veronica Carson-

Gray Objective

404-***-**** A position with room for growth within the company.

acckc1@r.postjobfree.com

Employment History

Patient Account Representative, Revenue Cycle Client Services

July 2013 Conifer, Frisco, Texas

Patient account rep for Emergency Services in the ER department work as a

Patient account Counselor to ensure that we have all the patient insurance

information loaded into the system. Billing and collections for all financial classes.

Proper utilization of federal and state credit collection regulations and guidelines.

Posting payment process EOB and RA’s to ensure payments are posted

correctly.

20 plus years experience in working directly with Medicare institutional UB04

and professional 1500 claims.

Extensive knowledge in working claims in Medicare DDE system, to include

keying claims, verifying eligibility, working RTP claims, keying claim corrections and

voids and checking claim status.

Knowledge of coding such as Revenue Codes, HCPCS codes, modifiers and

CPT codes, along with coding required specifically for Medicare claims as Condition

Codes, Value Codes.

Work using ATB and Spreadsheets, ensure that all invoices are accurate and

correctly follow up with client when necessary to collect.

Ensure that all high dollar accounts have been work to completion.

Medicare & Medicaid Billing Specialist

June 2012 to July 2013 UHS PRUITT, Norcross, Georgia

Medicare claims loading and voiding from DDE system checking claims status

getting hospice information.

Medicaid claims processing loading and checking eligibility.

Mckesson system and correcting claims from rejections reports loading patient

information. Using Centricity also NexGen systems Onbase, working all insurance

from PPO, HMO, POS. Avality, Epic Medical Manager, State Pack knowledge,

Provider Enrollment L&T.

Patient Access Representative Per Diem /A/R Specialist Provider Enrollment

July 1986 to May 2012 US BILLING CORPORATION, Nashville, Tennessee

Team Lead for the ER Department ensures that all patient information is loaded.

Get authorization for the surgery procedures and collect up front out of pocket.

Provider Enrollment for Cahaba Government and process L&T.

Processing claim for ER doctors also, Urology, Oncology, GYN, Outpatient

surgery, Inpatient, Hospice claims, Primary care doctors, Podiatry, process claims

to a zero balance.

Exstensive knowledge of billing /collections software, used Intergy, Centricty,

Practice Analytics, NextGen, AROA, Impac, Microsoft, Excel, EMR, AS400.

Posting payments and apply patient balances, also work self pay working

payment arrangements with patient’s.

Traveling Revenue Cycle Team lead for 15years, work with client develop

opportunities to cross sell services to current clients.

Regularly analyze project performance and work with Partners and Director to

proactively identify negative trends and take corrective action.

Show client trends and assist in helping them correct this and ensure that this

can’t happen again.

Education

JUNE 1988 ROSS MEDICAL, RIVERDALE, GEORGIA

Medical Billing

Top Collections for several years. Teaching and Information Systems Top

Processor and Top Provider Enrollment.

References

References are available on request.

Contact this candidate