Customer Service Sales Representative

Kelly Maddox Usry

*** * **** **

Gibson, GA *****

Phone 706-***-****

Cell 706-***-****

*********@*********.***

QUALIFICATIONS:

• Work well without supervision

• Ability to prioritize and remain focused on the essence of an issue

• Excellent with customer support services

• Skilled at learning new concepts quickly while working well under pressure

• Excellent communication and organization skills

• Extremely proficient in Microsoft Office especially Word and Excel

EXPERIENCE:

01/10- 07/10 Washington County Regional Medical Center Sandersville, GA

Medical Billing Clerk

• Responsible for filing claims to all insurance carriers for swing bed claims

• Attend meetings regarding hospital collections

• Work with local DFACS and Medicaid office regarding payment of claims

• Assist in extended care facility billing

• Send client statements monthly and work with clients on payment of their claims

• Send all employee statements monthly

• Attend meetings regarding extended care facility collections

• Work with necessary hospital staff members in order to get claims filed and paid

• Create daily deposit for billing office when needed

• Accept/ post patient walk-in payments

• Answer telephone and route messages accordingly

12/08- 12/09 Family Care Group of Thomson, Inc

Thomson, GA

Checkout/ Front Desk Receptionist

• Responsible for checking out patients

• Answer multi- line telephone system

• Schedule appointments

• Medicaid/ Blue Choice Referrals

• Collect outstanding balances from self pay patients

• Laboratory Audits

• Assist nurses in obtaining precertifications when necessary

• Verification of insurance benefits via internet and telephone

• Verification of workers comp benefits information

3/05- 9/08 Medac, Inc

Augusta,

GA

A/R Supervisor/ Managed Care Assistant/ Patient Account Representative/ Underpaid- Reimbursement Specialist

• Managed/ oversaw daily activities of accounts receivable team

• Maintained various modules in order to keep a/r clean

• Supervised collections of several anesthesia groups

• Worked with carriers to insure correct contractual payments were being made

• Created spreadsheets to maintain managed care rates for various anesthesia groups

• Developed contacts at each carrier for the states where my anesthesia groups were located (including

Georgia) and communicated effectively to ensure proper reimbursement

• Created and taught payment calculations classes for entire company

• Negotiated managed care contracts including flat fee procedure codes

• Supervised payment posting to ensure proper contractual discounts were being posted

• Worked Medicare and Medicaid under/overpaid claims

• Worked Managed Care under/overpaid claims

• Secondary claims submittals

• Minimal coding responsibilities

8/04-12/04 Farmers Furniture

Thomson, GA

Sales Representative

•Furniture Sales

•Insure proper delivery of furniture to customers

•Follow up with customers after the sale

•Marketing/ advertisement of sales events

•Customer Service inquiries

•

7/02-8/04 Drs. Jopling and Brunson Family Dentistry Thomson, GA

Front Desk Receptionist

•Scheduled appointments

•Confirmed appointments

•Answered multi-line telephone, routed calls, and took accurate messages

•Performed faxing, photocopying and filing duties

•Check in/ out patients

• Various other duties as requested

• Referrals to specialists

• Verified insurance benefits upon patient check in

4/01-7/02 McDuffie Regional Medical Center

Thomson, GA

Patient Accounts Representative

•Filed claims to insurance carriers for hospital services

•Responsible for collections/ follow up of all claims with carriers

•Collections of patient balances

•Worked with patients to set up payment arrangements

•Created promissory agreements for patients receiving inpatient or surgical care through hospital

•Obtained precert information when necessary

•Secondary claim submittals

•Corrected claim submittals

12/99-4/01 Doctors Hospital of Augusta

Augusta, GA

Mail Cashier/ Payment Poster

•Posted all payments received through mail

•Posted payments from walk- ins

•Responsible for unposted/ not ours payment log

•Responsible for returned check log

•Verified contractual discounts taken from carriers

•Created deposit for facility sometimes more than $1,000,000.00

•Responsible for patient valuables

EDUCATION:

3/99-8/99 Augusta Technical College

Attended Augusta Technical College for Associates Degree in Early Childhood Education- did not complete

11/97-2/98 Augusta State University

Attended Augusta State University for Bachelors Degree in Early Childhood Education – did not complete

8/93-6-97 Thomson High School

Attended Thomson High School and graduated with College Prep/ Vocational/ Tech Prep degree

REFERENCES:

Kara Morey- 706-***-**** ***********@*******.***

Kathi Logue 706-***-**** *.*****@*******.***

Marty Thomas 803-***-**** **********@*****.***

** Professional reference letters available upon request along with various other documents proving an outstanding

employment record. **

Contact this candidate