Insurance Medical
Resume:
DESTINY C. WHITE
Marietta, GA **060
Cell: 912-***-**** or 336-***-**** or 478-***-**** (Leave
Message)
Email: *******.***@*****.***
OBJECTIVE: To obtain a challenging position a Biller or Collection
Specialist or Front Office Manger, where my skills and knowledge will be an
asset to your company growth and development, which will also allow me the
opportunity for training and advancement.
SUMMARY OF QUALIFICATIONS:
* Demonstrate Ability to Prioritize, Organize, Exercise Independent
Judgment and Maintain Confidentiality. Detail-Oriented.
* Excellent Verbal and Written Communication Skills.
* Proficient in Typing 48 plus words per minute, Microsoft Word 2010
Excel, Outlook, PowerPoint, AS400, Facebook, Microsoft Office 2010,
Excel, Numeric Data Entry/Standard 9900 keystroke and Word Perfect
2010, Dispatch System, Intercom, Switchboard 18 Line, Electronic
Filing System and more.
* Fantastic at Problem Solving and Making Positive and Productive
Decisions Independently.
* Positive Team Player-Supervised and Managed 5-15 Employees.
* Strong Knowledge of All Healthcare Insurance Plans and State
Regulations 27years Experience with Insurance-Billing-collections
(Accounts Receivables and Reimbursements)
* Accurately Processing of Electronic or Manual Medical Claims, UB's and
also State Workers Comp Claims, Routed over 200,000 a Month, Prompt
to Correct Denial Reports and Follow Up on Explanation of Benefits,
Correspondence, Appeals, Pre-Authorizations and Pre-Certifications.
* Professionalism and Superb Customer Service Skills. Excellent
Medical Software knowledge, Medical Manager, Promed, Passport,
Misys/Tiger, MediSoft, MediTech Premise, MedGenix, Emdeon, Star,
Gateway, Centrix, Epic, Midas Scan Reader, Allscripts,
MicroMD,TTS,EClinicals and much more.
* Outstanding ability to Analyze Records of Present and Past Sales
Trends and Costs, in Sales or Medical Field.
* Extraordinary ability to Estimate and Realize Revenue and
Administrative Commitments and Obligations incurred.
* Keen Eye in keeping Workplaces, Safer, Healthier and more Positive and
Productive.
* Enjoy Challenges such as: Speaking Engagements, Cold Calling which
would allow me to Increase Business Relationships.
* Communicate with Supervisors, Management which Allow me to accurately
interpret accounts, trends rather medical or sales records.
* Proudly Representing Company with Knowledge and Understanding of (new
or old) Products and Services Offered and Company Policies and
Procedures for Customer/Client/Patient Excellent Service Satisfaction.
WORK EXPERIENCE
Care Management and Utilization Review
Cone Healthcare Systems, Greensboro, NC
Care Management Assistant
Work Closely with Case Managers, Social Workers, UR Department, Denial-
Coordinator, Admissions Department and Medical Records, Submit numerous
clinicals and discharge summaries out to insurance companies using Epic and
Midas Software, communicate with insurance companies through providerlink,
telephone, faxes and confidential voice mail, page or call ascom assigned
phones to speak directly to case managers, ur managers or social workers if
there is a urgency for more clinical information per insurance companies,
nursing homes, insurance adjusters, government/state facilities etc,also
send out clinicals for all medical services listed: nicu, labor and
delivery, behavior health, maternity, observation if required or requested,
all in-patient, er services and more as required or requested. Review
clinical before submission; accurately check verification of insurance
eligibility and pre-cert and authorization information. Review all account
notes entered as well as my notes entered per accounts worked. Send out 50-
100 or more clinicals daily although this may vary depending on completion
from doctor and case managers etc. Also I enter EHR approvals per calls
from Doctors. Adding given information to correct patient accounts, later
print EHR Letter of Approval and take to floor and place in assigned
patient chart if patient discharge then EHR Letter is forward to medical
records for scanning or filing. Send out daily over 100 PCP Letters per
patient account, generating these letters and assigned pcp through Midas
and Providerlink all electronically through computer workstation
assignments, Retrieve messages from providerlink reply back to insurance
reps and attach requested information if needed, work default list in
providerlink, send out to case managers insurance request for initial
clinicals, concurrent clinicals or retro clinicals whichever is needed to
complete medical stay approval. Print daily census reports; complete the
board for call outs and which case mangers is handling cases etc. meet and
greet vendors and home health agencies case managers. Extraordinary TEAM
PLAYER helping my co-workers with their assignments as I have completed my
own daily assignments. Enjoy Staying Busy.
Emergency Room and Admission Registration Clerk
05-201*-*-**** (Relocating to NC) (Mom Terminal Sick)
East Georgia Regional Medical Center, Statesboro, GA
Hospital Customer Services,
Register patient for emergency services base on their diagnosis and needs
for medical treatment, Add patient in computer, Copy picture id, insurance
card, after pt is triage complete all emergency room paper work, patient
verify all information is accurate, pt sign off on all paperwork, Verify
patient insurance and copayments as required by insurance plans, Register
patient for medical test, and same day surgery procedures, collect
copayment, print all paperwork patient verify all information is accurate
and update any changes made, DAR note all accounts worked, print armband
and at times Important Medicare Message Form and or Receipt of Privacy
Notice, Call for transport or volunteers to escort patient to scheduled
department per medical needs, File all business paperwork, Complete all Pre-
Assessment Registration paperwork per patient check in, collect copayments,
Complete ER Admits and Direct Admits per orders. Register Cardiac Lab, Out
Patient Lab Work, Sleep Study, X-ray and more. (Relocated to Care for Mom-
Carolina Pines SC)
Independent Insurance Broker, Atlanta, GA
10-201*-*-**** (Home-Base Business)
Ameriplan Discount Insurance
Sales
Provided discount healthcare insurance package plans, in accordance with
client's needs, worked totally independently per home- base business,
traveled to locations to distribute medical and dental discount
information, provided presentations of Ameriplan products and services, set
up products and services for display at health fairs and business events.
Patient Account Coordinator II, Tallahassee, Florida
12-2009 -9-2010 (Contract Job)
Tallahassee Memorial Healthcare, Inc.
Hospital Customer Services,
Collector for hospital patient
accounts, work closely with Legal department and Charity department,
Medicaid and Medicare unit commercial Insurance unit, Receive constant
incoming calls, answered account questions review of claims and explanation
of benefits or correspondence in scan file, discuss payments made by
insurance and from patient. call auto insurance companies and workers-comp
insurance companies for further information needed to file patient claims,
reviewed claims before they are release for electronic submission, schedule
with patient or guarantor payment plans or program McKesson, Emdeon, Return
all voice mail calls. Discuss accounts with departments for further
process. Document all accounts worked. Resubmit claims if needed or
Replacement claim.
Medical Office Secretary, Miramar Beach, Florida
10-2008 - 2-2009
(PRN)
Sacred Heart Health System, Inc.
Healthcare Services,
Meet and greet patient's physicians, staff and vendors.
Answer incoming calls, take message for nurse or doctors, pull chart as
request, prepare new patient charts, label and add necessary documents,
thoroughly review all given information, pull establish patients charts
verify information and update any changes, accurately complete all data
entry information in the computer files and patient chart, make copy of
insurance card and id and other necessary information, discuss patient
rights, HIPPA and advance directory information, Check-in and check-out
patients, collect co-payments and schedule self-pay arrangements, document
payments, print or write receipt, verify insurance eligibility by calling
insurance companies or using computer software emdeon or web portal, file
charts, mail out new patient paperwork for upcoming appointments, call
patients to confirm next day appointment, print care slips or charge slips
for the day and next day super bills.
Patient Access Representative, Atlanta, Georgia
4-2004 - 10-2008
North side Hospital Inc.
Hospital Customer Services,
Greet patients, explain registration process, scan insurance card and
picture id, thoroughly explain all registration paperwork to patient and
responsible party, type in all demographic information given by patient,
answer questions about routine admission procedures and pertinent hospital
policies, Verify insurance eligibility on computer, discuss patient payment
methods if self-pay deposits is required, deductible, co-payment, co-
insurance percentage and additional payment receipts from patients or their
family members. Run personal check and credit card payments, Experian and
Equifax credit reports, type information in computer per software
verification system, print, verify an attach all required labels, forms and
blue card, legal document, signed advance directory or legal documents,
Hippa form, have patient verify all forms and verify printed armband
information, Scan all signed information under proper file, register
patients for many procedures, outpatient, admission radiology, cardiac,
bone marrow /chemo treatment, emergency, cosmetic surgery, rehabilitation,
lab work, eye surgery, perinatal, mammogram, labor and delivery and more,
use tracking cards which show the patient name, date of birth,account
number, procedure, doctor name performing procedure, hospital department
and ICD9 code, at times I had to look up in computer proper code for
procedure, call escort service to transport patient to proper surgery floor
or direct admission room, communicate with room control, house coordinator
when registering direct admit per doctor call or per doctors order, run
reports per supervisor and verify patient registered under correct status
and department etc. establish a complete pre-admission record in the
computer print all information for the day or next day, prepare initial
paperwork and folder in advance of patient visit. Registration time
recorded; calculate total daily work at the end of day. Cross train in room-
control as needed.
Independent Contractor-Sales Rep, Atlanta, Georgia
6-1996 - 9-2004
Beresford & Hilliard International, LLC
Sales
Schedule meetings with corporate account holders, product and services
presentations, demonstration, Sold merchant credit card machine, work
closely with regional manager and district manager, schedule luncheons,
traveled a distance at times, completed accurate reports, records and
travel itinerary, made it in top 5 sales representatives report for 6month,
call and follow up with account holders for necessary supplies and
equipment satisfaction. Educate and engage customer and clients through
product demonstrations understanding customer/clients data, entertainment
and communication needs, helping them to discover how our
products/equipment meet their needs, working a variety of hours weekends,
evenings and some holidays also worked mostly independently.
EDUCATION:
Bachelor Degree, Business Administration (Not enough credits)
NC A&T State University, 1994, Greensboro, NC
Allied Health Certificate, Medical Office Technology (10 Month)
Davidson Community College, 1986 Thomasville, NC
Certificate, Data Entry, (6 Month)
Brookstone School of Business, 1983, High Point, NC
High School Diploma, 1982, High Point Central High School
VOLUNTEER/ACTIVITY: Sigma Gamma Rho-Sorority, Baptist, Living Donor
Volunteer Breast Cancer Awareness, Red Cross Volunteer, Volunteer for
American Heart Association, Volunteer Domestic Violence Awareness,
Congregational Healthcare Promoter
Please Note: I have SEVERAL PAST YEARS EXPERIENCE IN:
Front and Back Office, Specialist Unit Secretary, Medical Office
Receptionist, Biller and Collector, Accounts Receivable, Reimbursement,
Scheduling, Claims Examiner, Public Relations-Non-Profit, Business Office
Manager, Sales (DME, and Retail), Insurance Agent, Financial Counselor,
Registrar, Patient Access, Business Secretary, Care Management Assistant,
Medical Records Clerk, Unit Secretary, Charge Posting,(Super bills) and
much more training and hands on skills.
Contact this candidate