EDUCATION
Speciss College, Zimbabwe
Computer &Information Sciences
Speciss College, Zimbabwe
Computer Programming
Speciss College, Zimbabwe
Database Management
Girls High School, Zimbabwe
High School Diploma 12/2003
SKILLS
ad5vem@r.postjobfree.com
Lewisville TX 75067
CONTACT ME
PROFESSIONAL
SUMMARY
BEVERLY
JAMES
WORK HISTORY
Patient Liaison Officer - ADROIT HEALTH GROUP
September 2022 till December 2023
Experience with Word, Excel,
Powerpoint, Adobe applications
and other data entry software
Excellent typing speed
Strong attention to detail and
accuracy
Able to maintain confidentiality
and handle sensitive information
Effective time management and
multitasking abilities
Highly detail-oriented and organized individual who can utilize skills and expertise in data management to contribute to the success of the organization. Data Entry clerk bringing top-notch skills in written communication, active listening and analytical problem-solving skills. Detail-oriented approach to assessing, tracking and managing complex surveys and exposure data. Adept at maintaining and organizing daily interactions with affected persons, providing education and information regarding m mandated policies and recommended measures. Expert navigation of complex contact-tracing software, systems and policy to safely streamline healing process. Establishes a rapport with the patient and family to learn what is the most important to them in their hospital experience and their preferences.
Prepared reports and spreadsheets using MS Excel
Provided support to the team in organizing meetings and events Managed incoming and outgoing correspondence
Communicates findings to the appropriate healthcare team members. Responds to and investigates complaints and concerns and communicates identified issues to appropriate staff.
Works with individuals or departments to limit or resolve delays in service and communicates delays to patients and families.
Acts as an intermediary to Hospital Administration on behalf of patients and their families. Interprets philosophy, policies, procedures, and services to patients and their families as well as visitors.
Educates health care professionals and employees on the varied ways to humanize a patient’s experience based on feedback from individual patients and their families. Uses findings from analysis of trends in complaints to mentor individuals and departments to develop appropriate service action plans.
Triages issues to billing or risk management to ensure better service to our customers. Achieves department/organization outcomes
Interacts with patients/families/customers and utilizes feedback to improve and reinforce satisfaction.
Data Entry Clerk - Christus Health
February 2018 - August 2022
Enter and update large volumes of data into company database Verify accuracy of entered data and make necessary corrections Collaborate with team members to ensure efficient data management Maintain confidentiality of sensitive information
Perform monthly audits on all Commercial and Government Billing and also Commercial and Collections account .
Identify trends in audit and quality assurance process and recommend solutions and or process updates.
Provide one on one feedback sessions on audit findings to PFS associates. Create and provide training on all PFS job functions. Provide system and job role training to new associates. Create and provide monthly compliance topics and education material through Healthstream system to PFS associates.
Provide education on new systems being introduced in PFS Create and administer testing documents for all classes completed by associates Create and maintain all job aides utilized by PFS associates and for departmental playbooks Minimum of three years' work experience in healthcare business office environment with demonstrated skills and experience in Cash Posting, Payment Validation, Assembly, Billing and Collections functions
Provide educational training either in classroom and or one on one setting. Commercial Biller - Christus Health
November 2017 to February 2018
Responsible for reviewing and preparing claims for electronic and hardcopy billing submission Identifying and correcting billing errors and resubmitting claims to insurance carriers Compile rejected claim reports for review and rebill. Fulfil rebill request in the Connance Billing work queue efficiently Review and work billing correspondence.
Working appeals and claim adjudication.
Coordination and evaluation of billing and collection activities. Run edit reports that identify non-billable items, critical errors and claims held for authorization. Review EOBs for Secondary Insurance billing and appeals Primary home care Coordinator -CALVARY HEALTH CARE April 2011 to November 2017
Validated and verified payments.
Billing; Medicaid TMHP, Molina and Superior attendant services according to diagnosis code authorized and self-pay patients. Admit patients in Primary Home Care Service.
Ensure that the implementation of the PHC programs conform to internationally accepted standards and Federal guidelines. Assisted with location of potential attendants, including phone contacts, community recruitment, and placement of ads. Completed necessary correspondence with DADS and made sure correspondence was compliant. Validated and verified all employee enrollment paperwork. Case communication with case managers from the insurance companies Maintained confidentiality regarding client/provider information. Recruitment/Onboarding & Training.
Payroll/Timekeeping & Attendance
Order and inventory management to PHC attendants.
Leave of Absence Program Management
Santrax scheduling system, updates and dashboard maintenance CLIENT REPRESENTATIVE – FIMA AGENCIES PVT [LTD] HARARE, March 2007 to February 2011
Conferred with clients to review the terms contracts and determine appropriate billing rates. Tracking orders and notified clients of timely delivery to avoid late payments. Notified clients of delinquent accounts by mail, telephone, or personal visits in order to solicit payment.
Negotiated credit extensions when necessary.
Notified credit departments, ordered merchandise repossession or service disconnection, and turned over account records to attorneys when failed to respond to collection attempts. Performed various administrative functions for assigned accounts, such as recording address changes and purging the records of deceased clients. Persuaded client to pay amounts due on credit accounts, damage claims, non-payable checks or to return merchandise.
Received payments and posted amounts paid to client’s accounts. Recorded information about financial status of clients and status of collection efforts. Traced delinquent clients to new addresses by inquiring at post offices, telephone companies, credit bureaus, or through the questioning of neighbors. Advised clients of necessary actions and strategies for debt repayment. Sorted and filed correspondence, and performed miscellaneous clerical duties such as answering correspondence and writing reports.