Darlene Robinson

****-* ******* ****

Raleigh, NC 27610

919-***-****

abkbop@r.postjobfree.com

Talented Accounting Professional with more than six years of accounting

experience in the Health Care Industry and five years of Management

experience in various areas of business. Strengths include exceptionally

strong analytical, research, and leadership skills. Detail-oriented,

accurate, precise, able to multi-task effectively, and an ability to adapt

to new environments quickly.

Professional Experience

Wake Health Services (Org Chart Solutions)

Patient Accounting Specialist

. Filed provider and hospital claims (inpatient and outpatient) with

third party payers.

. Assisted the public in resolving billing issues and to understand

billing procedures.

. Collected patient liabilities via phone.

. Processed and transmitted assigned claims within a timely and

efficient manner.

. Analyzed, updated and corrected claims data according to established

procedures.

. Provided financial reports to the finance department for month end

close, analysis or other purposes.

. Handled phone, mail, and personal inquiries from the public regarding

patient accounts.

. Documented patient delinquency and made recommendations for dismissal

where applicable.

. Minimized accounts written off to internal bad debt.

. Ensured completeness and correctness of all claims information for

maximum reimbursement.

Payments MD 2008-2009

Reimbursement Specialist

. Filed physician claims for Medicaid, Medicare, Managed Care, Worker's

Compensation and Commercial insurance payers.

. Processed Explanation of Benefits.

. Completed claims denial follow-up calls to various payers.

. Resubmitted denied claims or those paid incorrectly.

. Posted insurance payments daily and billed patients for outstanding

balances.

. Maintained knowledge of CPT, ICD-9 coding, HCPCS, and medical

terminology.

. Analyzed and reconciled billing reports.

. Performed claim status checks.

. Ensured patient write-off's were done accurately and in a timely

fashion.

. Resolved patient billing issues.

. Communicated effectively with Physicians, insurance companies, and

third party payers.

Carolina Express Care (Executive Staffing)

2007-2008

Billing Coordinator

. Filed physician claims for Medicaid, Medicare, Managed Care, Worker's

Compensation and Commercial insurance payers.

. Balanced patient payments to the general ledger system and made bank

deposits daily.

. Completed patient statements and mailed them as needed.

. Analyzed and reconciled billing reports.

. Performed claim status checks.

. Ensured patient write-off's were done accurately and in a timely

fashion.

. Served as a backup insurance verifier, and patient registrar when

needed.

. Obtained Prior Authorization/Pre-Certification for services requiring

pre-approval.

. Resolved patient billing issues.

. Communicated effectively with Physicians, insurance companies, and

third party payers.

Accounting Services 2005 - 2007

Account Receivable Specialists

. Analyzed and reconciled physician hours and services to complete

claims submission process.

. Completed claims denial follow-up calls to various payers.

. Resubmitted denied claims or those paid incorrectly.

. Posted insurance payments daily and billed patients for outstanding

balances.

. Maintained knowledge of CPT and ICD-9 coding.

. Trained new employees per management requests.

. Implemented and coordinated the process of the Aged Outstanding Claims

Report.

. Completed all Medicaid refunds.

. Transmitted claims electronically and manually.

Wake County Human Services (Quality Staffing) 2004 to 2005

Account Payable Specialist

. Researched denied or rejected claims.

. Billed North Carolina Medicaid claims.

. Provided technical assistance and customer service to contract

providers.

. Participated in internal employee reviews.

The Durham Center 2003 to 2004

Supervisor - Adult Services Front Desk/Appointment

. Managed staff in their responsibilities of the Front Desk/Appointment

Work Area.

. Recruited, interviewed, hired and trained staff.

. Created staffs' work schedules and developed daily work plans for each

employee.

. Maintained Account Receivable Ledgers.

. Monitored and balanced General Ledger for collection of fees.

. Prepared daily bank deposits and provided deposit reports to Unit

Director.

. Received incoming calls from providers and patients.

. Scheduled appointments for patients and created Physician schedules.

Bo Jangles Corporation 2001 to 2003

Manager

. Supervised Employees.

. Interviewed and hired of new employees.

. Prepared weekly crew schedule.

. Delegated responsibility to employees.

. Prepared Inventory Reports; Truck Order Reports; Payroll Reports.

. Maintained financial transactions during shift; processed all bank

deposits.

Computer Skills

Unicare, NC ECS, Misys Tiger, MCE, Blue E, Mas 90, IDX, IMES, Nu Med,

Centricity

Microsoft Windows, Microsoft Office (PowerPoint, excel, word, outlook)

Education

Major - Health Education

North Carolina Central University, Durham, NC

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