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Medical Assistant

Location:
Loganville, GA
Posted:
October 28, 2012

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Resume:

LaWanda Nash

Email: *********@********.***

Address: **** ****** ***** **

City: Loganville

State: GA

Zip: 30052

Country: USA

Phone: 404-***-****

Skill Level: Management

Salary Range: 30

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Lawanda Nash-Gavin 2555 Hidden Creek Drive Loganville, GA 30052

Home: 770-***-****

Cell: 404-***-****

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

Experience:

Parallon-HCA Patient Services

May 2005 - Present Discrepancy Analyst Norcross, GA

. Perform analytical configurations to financial accounts.

. Review,and research Explanation of Insurance Benefits

. Knowledgeable of reimbursement and amendment contracts.

. Maintain daily deadline expectations

. Process online cashiering for accounts

. Conduct I-plan changes for accounts under incorrect paid payors

. Maintained quarterly bonus reviews towards

account productivity.

United Hospice

July 2003 - December 2004 collections/insurance clerk Lilburn, GA

. Responsible for phone etiquette and collection phone calls.

. Prepared aged reports for 90-120 day accounts bi-weekly.

. Processed daily Web Portal billing through GHP.

. Reviewed and researched denials received from ACS as well as Explanation of Benefits.

. Transmitted medical information on the HBOC medical system.

. Generated hard copy and electronic billing for UB-92 and HCFA 1500 medical claims for Medicaid and Medicare.

. Maintained and reviewed accounts underpaid 60-90 days.

. Communicated consistently with the

Probate Courts regarding legal issues on accounts.

Women's Medical Group of Upland

August 2000 - May 2003 collections/insurance clerk Upland, CA

. Processed and generated claims for HMO, PPO, Medicare and Medi-cal claims. . Prepared billing claims using ICD-9 and CPT coding for OBGYN procedures and office visits.

. Scheduled surgery procedures, ultra-sounds, and routine office visits.

. Authorized HMO referrals for patient services.

. Prepared aged reports weekly for 90-120 day bad debt accounts.

. Posted billing charges for services rendered and also applied credits and payments to active accounts.

. Reviewed accounts for outside collection agency.

. Managed and authorized account contracts for patients with deductibles and co-insurance responsibilities.

Woman to Woman OBGYN Clinic

June 1998 - May 2000 medical assistant/administrative San Bernardino, CA

. Assisted and greeted patients, taking and recording vital signs & medical

history, preparing patients for examination, administered veni-punctures and handled lab specimens.

. Authorized HMO referrals for procedures and office

visits.

. Verified eligibility verifications for HMO and PPO patients.

. Maintained front office general administrative duties such as filing, maintaining medical records, billing, faxing, copying, scheduling appointments and collection of patient co-payments and co-insurance responsibilities.

Education: Ashford University

June 2008 to Present BA/ Healthcare Business Administration, Clinton IA

Skills:

Windows 7, Microsoft Word, Microsoft Excel, Host, Artivia, Etran, HBOC-Citrix, GHP Web Portal, Microsoft Office 2010, Matrix, Web Discrepancy, Payor Facts, Business Objects, DEI,Type 40wpm.



Contact this candidate