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High School Insurance

Location:
Addis, LA, 70710
Posted:
August 17, 2010

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Resume:

Gwendolyn Vessel Young

P.O. Box **

**** ***** *****

Addis, Louisiana 70710

225-***-**** Cellular

Personal Profile:

Ÿ Diligent Ÿ Dependable

Ÿ Personable Ÿ Motivated

Ÿ Multi-Task Ÿ Team Player

Educational

Background:

Certificate in Information Processor Operator

Ascension Vocational Technical School

Sorrento, Louisiana Graduated April 1988

High School Diploma

East Ascension High School

Gonzales, Louisiana Graduated May 1985

Experience:

Woman’s Hospital Home Health/Patient Accounting,

Baton Rouge, Louisiana Patient Accounts Representative

September, 2008 - August, 2010

Enter/Update insurance information in the Meditech system.

Receive incoming calls from patients regarding questions on

accounts. Work the front desk when patients come in to make payments, request for

itemize bills and review outstanding accounts. Also work Commercial Insurance for

denied claims and partial payment claims from Explanation of Benefits. Process

secondary insurance for completion of billing. Communicate daily with insurance

companies on denied claims. Work daily from Accounts Receivable

List, Reminder List, and Overpayments from insurance companies/patients.

Take payments over the phone from patients to clear out accounts. Work

with other providers regarding the release of billing, demographics, authorizations

information. Software used Meditech, Acorde, Microsoft Office,

Excel and Outlook. Type 60wpm and 10 key.

Urgent Care Billing & Collections of America,

Prairieville, Louisiana Medical Outpatient Coder II

September, 2007 - August, 2008 Relocate

Code for Lake After Hours Clinics, Health Stop Clinics in other

states Medicare, Medicaid and Workman’s Compensation. Use

ICD-9 and CPT Guidelines for data collection and processing.

Key in demographics on patients when necessary and Managed

Care. Software used; Bond, Elligence, Docutap, Encompass, Zirmed,

Word, Excel, and Medisoft. Generate reports for clinics upon

completion of each day and process coding reviews. Maintain

an exception log when incomplete charts from clinics are sent.

Assist team lead in special projects. Clinics are kept up in a timely

manner with high productivity and able to help other Co-workers

complete there clinic.

Southern University Student Health Center,

Baton Rouge, Louisiana Medical Outpatient Coder

April, 2006 - June, 2007 Budget Cuts

Codes diagnosis procedures for data collection and processing.

Collects and processes health information, bill Workman’s

Compensation. Input data into computerized health information

in Medisoft Program. Carries out concurrent health record review

activities. Abstract health records for collecting and processing of

statistical data. Maintains departmental coding policies and

Procedures manual. Performs other duties as assigned.

Dr P.E Dawson Family Practice,

Plaquemine, Louisiana Medical Secretary

June, 2001 - December, 2005 Physician Retired

Process HCFA forms for billing. Post insurance payment on

patient accounts. Backup Medisoft program daily and print

reports. Receive payments and co-pays, also use Excel for

special projects. Transcribe doctor’s dictation using Microsoft

Word. Mail out letters for NSF checks, collection and cancellation.

Prepare paperwork for CDL Physicals. Prepare Records, and bills

for Attorneys and Physicians. Register new patients and enter

physical history in Medisoft. Pull charts for nurse, answer telephone

and greet patients. Order office supplies, set appointments and

other clerical duties.

Department of Environmental Quality,

Baton Rouge, Louisiana Environmental Secretary

August, 1998 - July, 2000 Medical Reasons

Process all outgoing letters such as deficiencies, treatment system,

eligibility determination and process for payment letters.

Implement special projects requested by Supervisor such as reports

needed online for the public. Prepare travel and payroll for the

section. Requisition for supplies and equipment etc. also annual

inventory for property requested by the Department and State property.

Other clerical duties are performed as instructed by Supervisor.

Department of Environmental Quality,

Baton Rouge, Louisiana Typist Clerk 3

December, 1991 - August, 1998

Setup and type a wide variety of correspondence, reports, tables,

records, case histories, hearings, etc. from rough draft.

Operate personal computer utilizing word processing software

such as Wordperfect and Windows 95. Clerical assistance to

professional or administrative personnel. Complies and

assembles inventory. Consolidate, classified and check

important materials for completeness. Process invoices for

Process invoices for Certification Examination and Study Guide

Packet. A record is kept for monies received for testing and also

reimbursement. Invoices are entered on the Focus Database

for accounting purposes. Each month accounting sends a voucher

report to compare with my records. The file room is another

duty assigned, which consist of keeping the files in order and

removing and storing files back. Also setup new files when

necessary and answer phones.

References:

Peter Dawson, MD

Plaquemine, Louisiana

225-***-**** Cellular

Wanda Warner, RN

Baton Rouge, Louisiana

225-***-**** Cellular

Tashera Richards, Hospital Billing Manager

Baton Rouge, Louisiana

225-***-**** Cellular



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