Insurance Medical
Resume:
PHYLLIS C.MARCH
LITHONIA, GEORGIA 30058
**********@***.***
Objective:
To secure a permanent position that will fully utilize my skills and
further my development
And professional expertise in the Medical Industry.
Experience:
Emory Healthcare - Decatur, GA November
2004 - present
Recovery Specialist Par III
Collect and manage AR from major insurance company which includes Medicaid,
Medicare and private insurance and worker compensation.
Collect and billed out monthly revenues average 1 million dollars.
Assist in patient reigrestation with accurate information which included
correct insurance information and correct demo graph.
Shepherd Center Apothecary - Atlanta, GA September 2001 -
October 2004
Verified patient insurance billing information for 3rd party which included
Medicare, Medicaid, private insurances and worker compensation.
Applied collected monies to patient accounts from 3rd parties.
Billed Medicaid and Medicate hard copy and electronically
Oversaw month end reporting and provided data to A/R Manager and CEO
Assisted Pharmacist in refilling orders and compounding
Collected patients insurance information and funds for prescription orders
Healthcare Partners - Torrance, CA December 1999 -
August 2001
Executing medical claims processing ensuring payment or denial as well as
referral to the appropriate payer
Verified preliminary date entry form for accurate information
Verified authorization of services on claims.
Determined the allowance on payable claims and completed EOM's with the
amount of payments and explanation od denials.
Assisted in special projects and other duties as assigned.
AIDS Healthcare Foundation - Hollywood, A May 1996 - December
1999
Responsible for organizing, analyzing medical procedures for proper
reimbursement and compiling various reports.
Facilitator electronic billing to Medicare and Medical
Posted payer payment and contractual
Performed daily closings
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