Insurance Medical
Resume:
Evelyn Evans
Financial Coordinator
Fayetteville, NC
Diligent, detail-oriented professional, skilled in multi-tasking as evident
by simultaneously held positions. Excellent administrative and accounting
abilities combine with strong interpersonal and communication skills.
Proficient in MS Word, Excel and PowerPoint. Knowledgeable of
Adobe PageMaker, Adobe Illustrator and Apollo reservation system.
evans
Work Experience
Financial Coordinator
Carolina Oral & Maxillofacial Surgery Center - Fayetteville, NC
September 2009 to July 2012
Prepared monthly reports on collections and A/R activities •
Ensured accurate and timely collections from patients and third party payers •
Documented and categorized errors and discussed findings through team meetings •
Posted and balanced insurance payments •
Initiated and prepared primary and secondary billings to third party payers •
Conducted investigations as needed, such as pre-existing and co-ordination of benefits •
Verified patient insurance benefits and eligibility and checked price estimates for procedures scheduled •
Notified patients of estimated procedure charges and explained deductible • and out-of-pocket expenses as necessary
Work Experience
Medical Insurance Billing Specialist
Carolina Complete Rehab Center of Hope Mills - Fayetteville, NC
May 2006 to December 2008
Remitted medical insurance claims manually and electronically •
Negotiated workers compensation case rate with insurance carrier •
Reviewed patient's insurance eligibility •
Posted insurance/patients payments on account •
Closing and balancing of daily activities •
Closing month-end financial analysis •
Reviewed the accuracy of Medical Insurance EOB payments •
Prepared/submitted providers' documentations for credentialling •
Troubleshoot Mysis software application errors/malfunction •
Managed network user security •
Medical Insurance Billing Specialist
Premier Physical Therapy Rehab - Fayetteville, NC
August 2004 to April 2006
Monitored patients' account activity •
Monitored Medical insurance accounts receivable •
Monitored and corrected all retuned claims on-line or by mail •
Posted Insurance payments on accounts •
Counselled patients on financial options and establish payment plan •
evans
Requested account adjustments with vendors as identified •
Reviewed all insurance billings report ensuring accuracy •
Medicare Representative - Accounts Receivable
ProACTIVE Therapy Inc - Fayetteville, NC
September 2003 to August 2004
Monitored Medicare patients' account activity •
Resolved disputed account balances •
Monitored and corrected all retuned Medicare claims on-line or by mail •
Reported daily productivity •
Counselled patients on financial options and establish payment plan •
Requested account adjustments with vendors as identified •
Reviewed Medicare billings report ensuring accuracy •
Work Experience
Office Manager
Love to Travel Inc - Toronto, ON
February 1999 to January 2001
Managed daily operations and supervised office staff •
Oversaw and assisted with sales, promotions, and advertising operations •
Established and nurtured an extensive client list •
Fostered and maintained strong communications and business relations • with airlines, hotels, and land transportation suppliers
Prepared weekly Sales Report package to IATA •
Administrative Support/Coordinator
Med-Chem Laboratories Inc - Toronto, ON
April 1996 to February 1999
Administrative support/coordinator to the Satellite department with over 50 locations •
Prepared staff schedules and ensured that all clinics were properly staffed •
Dispatched lab technicians in response to doctor's house calls request •
Reviewed and approved employees' travelling expenses before reimbursement •
Participated in 'House Calls' in-service sessions and quality improvement programs •
Identified and resolved delay problems on patient services •
Evaluated doctors and patient complaints and resolved problems through correspondence •
Education
Diploma
Canadian School of Business and Computers - Toronto, ON
2000
Bachelor of Science in Business Administration
University of the East - Manila
1967 to 1971
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