Customer Service Quality Assurance
Resume:
Sharon Mckine
***** Stoneoak Drive* Lawrenceville, GA.30043* 770-***-***** E-mail ( Sharon Mckine@Yahoo .com)
A highly motivated, experienced Billing Specialist with skills in Collections, and Accounts Receivable/Payables.
Summary Of Qualification
Over 15 years’ experience in Billing, Customer Service, and Collections.
Able to relate to people at any level of business and management.
Excellent communication skills, both written and oral.
Effective problem-solver, Organized Team player.
Skilled at handling multiple tasks, and projects simultaneously.
Quick to absorb and retain new information and procedures.
Meet and exceed all business objectives.
Employment History
Med Pro-Billing Services
Business office Specialist 07/2012 – Present
Electronic billing ( Physician & Hospital)
Medicare appeals, and Written Redetermination
Audit accounts for proper charges/procedures.
Work correspondence, Verification of Insurance/Pre-certification
Utilize collection module to monitor self-pay accounts.
Record daily productivity of action taken to ensure payment
Practice and adhere to quality assurance
Piedmont Medical Care Corporation (PHI) 05/2003 - 2009
Business Office Representative II
Correct and refile claims as needed to ensure proper payment
Work insurance correspondence to create a true account balance.
Work from assigned task list by financial class.
Identify and report billing errors and non-payment trends to management
Research and resolve all billing problems in a timely manner
Work Special projects, overtime and/changes in job descriptions at management discretion.
Atlanta Cardiology /Merge Piedmont
Appeals Coordinator
.
Prepped and entered Medicare denial onto an excel spreadsheet.
Worked all denials to ensure payment. (Medicare,Cigna,Aetna,and UHC )
Submit written appeals. Insurance follow-up
Meet with the Director and Supervisor on a monthly basis to discuss any trends or problems.
All other duties as they are assigned.
HCA Incorporated 02/2002 - 05/2003
Medicare Analyst
Process claims electronically to insurance carriers.
Work all Medicare edits that appear on the bill alert report into resolve all Medicare 72 hour
reports to identify compliance overlapping accounts.
Work the unbilled alert and comp census report daily.
Record daily productivity on excel spread sheet.
Attend all required billing education classes.
Sibley Heart Center Cardiology 09/1997- 02/2002
A.R Coordinator
Electronic and Manual Billing.
Insurance Follow-up.
Performed and assisted with claim research.
Processed insurance and patient refunds.
High volume claims resolution.
Utilized the budget and collections modules to monitor patient accounts.
Handled patient complaints.
Collection rate averages 98%.
Insurance verification and Pre-certification. All other duties as assigned by the AR Manager.
HCA Northlake Regional Medical Center 01/1984- 05/1996
Admissions Registrar/Inpatient and Outpatient Biller
Admission Registrar duties included but not limited to:
Patient registration.
pre-certifications.
Insurance verification.
Patient education and advisory.
Daily interaction with facility administration, physicians and nursing staff members.
Room assignments.
Perform and assist with facility presentations.
Education
Graduate: East Orange High School, East Orange, New Jersey
Graduate: Phillips College, Augusta, Georgia
Medical Secretarial Certificate
Skills: Microsoft Word, Neic, ICD-9 and CPT Coding,10-key,
Computer System, Nexgen, Advance Web MD, Navicure, Microsoft office suites.
References:
Available Upon Request
Contact this candidate