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.