Gloria A. Taylor

***** ***** ***** * Madison, Alabama 35757

256-***-**** (home) * 580-***-**** (cell)

Email: abip6x@r.postjobfree.com

JOB OBJECTIVE

Skilled customer service and office support professional with extended

experience in all office functions. Possess exceptional customer service

and problem solution skills that are applicable to many industries and

fields. Demonstrates ability to work under pressure and consistently

strives to learn and produce quality work.

EDUCATION AND TRAINING

CPT/ICD-9 coding class, Basic coding class to better understand working

denials

Certified Professional Coder, passed examination June 2010

Word Processor Specialists, Completed 600 hours, Courses included

Introduction to computers, data entry, business math, business English,

business communications, typing, and word-processing speed and accuracy.

EXPERIENCE

2008 - Present Insurance Research Clerk, Medical Management Receivables &

Consulting Services, Inc, Florence Alabama: Identified and process

accounts ready for collection process. Investigated Accounts Receivable

ledger problems and solved by communicating with insurance companies or

clinics. Answered billing inquiries from insurances and physician clinics

in a timely manner Reviewed and processed credit balances to determine if

credit adjustment or refund needed to be accomplished. Accurately posted

insurance payments to patient accounts; Reviewed explanation of benefits to

determine accuracy and adjusted accounts when accordingly. Answered patient

billing inquiries about charges, payments, co-pays, and deductibles in a

courteous and professional manner; Maintained effective working

relationships with management, co-workers, physicians and physician's

office staff to ensure effective daily operations. Handled change

appropriately, accepting direction regarding office policies and procedures

and adjusted as changes occurred.

2006 - 2008 Insurance Research Clerk, The Center For Cancer Care,

Huntsville, Alabama: Review and process credit balances; Answer patient

billing inquiries, Investigate Accounts Receivable ledger problems, Post

insurance payments; Open insurance and patient payments received; produce

reports as needed for Accounts Receivable numbers; Prepared month end

reports and consolidated physician individual reports; Posted adjustments

to patient accounts as needed; Worked denials for explanation of benefits

from insurances; Completed refunds for insurance overpayments. Filed

Insurance Claims; called various Insurance Companies when claims were not

complete.

2005 - 2006 Insurance Research Clerk, Alabama Pain Center, Huntsville,

Alabama: Review explanation of benefits to verify that the insurances paid

according to fee schedules; work denials in a timely manner assigned making

necessary phone calls to insurance companies to resolve the denial; to keep

alert on what type of denials received looking for patterns that could

cause problems; consistently checked days in accounts receivable for

insurance companies to know what days in accounts receivable need to be

worked to lower monies; compile weekly reports for a particular drug used;

consolidate monthly reports for insurance denials and unapplied payments;

participate in meetings for job area to keep current with any changes;

generate claims to insurance whether the insurance is primary, sequential,

or tertiary; special projects as needed.

2005 - 2006 Billing Clerk/Receptionists, Affiliated Van Lines of Lawton,

Lawton, Oklahoma: Answered phones up to 15 lines; processed billing for

Non-Temp Storage for Fort Sill, Oklahoma; overseen monthly reports for Non-

Temp Storage; assisted processing paperwork for Government billing

contract; compiled outgoing letters; monitored computer problems when

arose; weighed trucks on scales, incoming and outgoing; assisted in

transferring data from one computer program to another for file retrieving.

2002 - 2003 Program Coordinator/Intake and Billing, Goodwill Industries of

Southwest Oklahoma, Lawton, Oklahoma. Intake: Interviewed individuals

seeking vocational services to determine eligibility. Completed all

documentation required by Human Resources Department for new clients.

Maintained a list of individuals seeking services and assists them with

completion of the Developmental Disabilities Services Division application.

Billing and Payroll: Completed required paperwork for client services

billing, employee billing, and state billing programs. Reviewed time

sheets for accuracy of time worked; compiled payroll for employees and

clients for payroll clerk; compiled daily census reports for business

office. Program Coordinator: Attended and scheduled individual program

plans for assigned clients; Completed client monthly reports; assessments;

evaluations; vocational profiles for clients; annual individual plans for

clients; Daily monitored and tracked client's needs and Individual goals

and objectives; Insured security and confidentiality of client information

records.

1997 - 2002 Account Representative I/Account Receivable

Specialists/Account Representative I Supervisor, Comanche County Memorial

Hospital, Lawton, Oklahoma. Accounts Receivable Specialists: Identified

and process accounts ready for collection process; Investigated Accounts

Receivable ledger problems and solved by communicating with insurance

companies or clinics; Answered billing inquiries from clinics, insurances

in a timely manner. Performed error corrections to accounts as needed to

ensure related areas worked jointly. Reviewed and processed credit

balances to determine if credit adjustment or refund needed to be

accomplished; Identified transactions that required liens and accurately

completed the paperwork. Monitored charity accounts to ensure charges were

under designated limit. Identified and processed all accounts eligible for

payroll deduction. Performed and processed special reports as necessary to

reduce days in accounts receivable. Assisted in preparation of month-end

reports; balance charges, deposits, adjustments as requested; Assisted in

training of new employees in their job related fields; Provided assistance

to co-workers in the area of deposits, secondary database and sequential

billing; Performed general filing duties, carefully refilling pulled

batches/days; Participated in weekly staff meetings by communicating

difficulties in job areas and possible solutions for reported problems.

Account Representative I: Accurately posted payments to individual patient

accounts. Reviewed explanation of benefits to determine and adjust account

accordingly; Answered patient billing inquiries, including questions about

charges, payments, allowable co-pays and deductibles in a courteous and

professional manner; Answered office telephones to insure proper office

coverage; Participated in staff meetings by communicating difficulties in

job area and possible solutions for reported problems; Attended training

and educational classes to keep abreast of current policies and procedures

in the industry; Maintained effective working relationships with

management, co-workers, physicians and physician's office staff to ensure

effective daily operations. Handled change appropriately, accepting

direction regarding office policies and procedures and adjusted as changes

occurred. Account Representative Supervisor: Supervised and trained up to

18 employees for the Account Representative I position.

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