Objective

To obtain a position within a professional / medical healthcare environment that will enable me to utilize my problem solving abilities and strong interpersonal skills.

Experience

LaClinia Del Nino /International Pediatrics

Lead Medical Billing Rep 10/2014 – Present

Responsible for timely submission of claims to insurance companies

Handled all AR denial management, follow up and appeals

Followed up on unpaid claims for commercial & self-pay accounts

Reviewed EOB documentation for accurate payment & denial posting

Posted all transactions on patient accounts

Handled all daily & monthly closing to ensure accuracy and balancing

Prioritized accounts to maximize AR resolution

Apple Inc. 07/2013 – 10/2014

Technical Advisor

Assist customer with diagnosing and resolving issues with Apple devices

Mentored New Hires during nesting period

Provide quality customer service to ensure overall satisfaction

Professional troubleshooting as well as proven technical ability in solving problems with both hardware & software

Experience working in a client support role

Excellent verbal and written communication skills

Ability to effectively prioritize workloads

Minimum typing speed of 35 wp

Grady Memorial Hospital 12/2009 – 07/2013

Patient Finance Billing Rep

Responsible for coordinating the activities of Patient Financial Services to ensure efficient and proper collection & distribution of financial patient information through the revenue cycle to foster timely and accurate production of bills and the collection or receivables.

Manage ongoing operational and governance to support key operations outsourcing vendors.

Negotiates with attorneys and claimants to settle hospital bills. Collect payments and assist with payment plans for patients.

Georgetown Pediatrics 09/2008 -12/2009

Billing/Office Manager

Responsible for collecting, posting and managing account payments.

Responsible for submitting claims and following up with insurance companies.

Reports directly to doctors in practice

Prepares and submits clean claims to various insurance companies either electronically or by paper.

Answers questions from patients, clerical staff and insurance companies.

Identifies and resolves patient billing complaints.

Prepares, reviews and sends patient statements

Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.

Reviews accounts for possible assignment and prepares information for the collection agency.

Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

Processes payments from insurance companies and prepares a daily deposit.

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

UHS-Pruitt Corp. 07/2006 – 9/2008

Medicare/Medicaid Follow Up Billing Specialist

Responsible for the management of Medicare accounts through patient written & verbal directions, aged trial balance reports, and Medicare rejection reports for the accurate & timely filing of claims for maximum reimbursement.

Provided support to other account receivable departments as needed.

Accurately entered information provided to correct Medicare & Medicaid claims in regards to ICD 9 & CPT codes in a timely manner.

Audit accounts showing Medicare denials to resolve balances.

Managed AR collections process for Georgia Healthcare centers.

Worked with facilities to track Medicaid/Medicare pending applications.

Education

Southern New Hampshire University 06/2013- Present

Currently Enrolled for degree in Healthcare Management

Central High School 06/1994

Academic Diploma

Skills

ICD-9 ICD 10 CPT Medical Coding & Occupational Coding, EMR Word, Excel, Power Point Knowledge Of PMS Systems, Lytec Systems & Intellilab, Intro To Insurance- Ins 21 & 22- Electronic EDI Billing-HCFA/CMS 1500 Claim Filing & UB92 Claim Form. Centricity, and Medisoft, Misys, Office Practicum, All Scripts, Mysis, Tiger, EPIC, Citrix, 3M

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