High School Insurance
Resume:
Gwendolyn Powell
Jacksonville, FL 32218
Education
Ribault Senior High School
(High School Diploma)
Florida Community College of Jacksonville (Phlebotomy Degree)
Work Experience
HCA The Healthcare Company
11/2006-Present
Research and Correspondence Analyst
* Responsible for the oversee of Composed letters in reply to requests for merchandise, damage claims, credit and other information, delinquent accounts, incorrect billings, or unsatisfactory services.
* Facilitates Weekly trainings and monthly Audit performance meetings based on the collection of mail and sorting of mail accounting to participating facilities. Using ONBASE, MEDITECH and ARTIVIA software systems.
* Sort insurance denials and explanations of benefits as well as Patient correspondence along with forwarding all departments needed for follow up.
* Document each account used by my team according to information received from insurance companies.
* Practice and adhere to the "Code of Conduct" philosophy, Mission, and Value Statements.
* Assist my Team with any questions or issues regarding assigned work.
Memorial Hospital of Jacksonville
11/2005-11/2006
Unit Secretary I
* Describe medical terminology, including disease processes and pharmacology. Differentiate verbal and nonverbal communication, including gender differences cultural awareness and sensitivity per the Physician for family members and friends of the Patients.
* Responsible for the oversee of the Unit registration and maintaining customer focus by using internal and external resources according to Hospital guidelines.
* Practiced effective communication skills by administering inbound and outbound calls to assist Physicians and Family.
* Responsible for keying/transferring all required Physicians orders for Patients.
* Responsible for ordering dietary supplements and Medication for Patients.
* Requested Procedures and Lab work for Patients and obtain lab results for Physicians.
HCA The Healthcare Company
Billing Specialist
06/2000-11/2005
* Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies
* Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
* Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
* Answers questions from patients, clerical staff and insurance companies, Identifies and resolves patient complaints.
Memorial Hospital of Jacksonville
Emergency Room Registrar
07/1998-06/2000
* Responsible for assisting the oversee of Emergency Room registration and maintaining customer focus and using resources according to Hospital guidelines.
* Keying all healthcare and contact information for the billing of related care services rendered. Facilitated weekly refresher training sessions on Medi-tech and other software applications used to assist the registrars with all available resources.
* Responsible for interviewing Patients to obtain all pertain information, Verify Patients insurance coverage, obtain Pre-certifications and authorizations for treatment.
* Calculate and collect Patient unbilled amounts, advise the Nursing Staff of the emergency medical needs of Patients.
Riverside Hospital of Jacksonville
Phlebotomist/Lab Technician
06/1985-08/1996
* Assembled equipment, such as tourniquet, needles, disposable containers for needles,
< * * Devices, gauze, cotton, and alcohol on work tray, according to requirements for specified tests or procedures.
* Verified or records identity of patient or donor and converses with patient or donor to allay fear of procedure.
* Applied tourniquet to arm, locates accessible vein, swabs puncture area with antiseptic, and inserts needle into vein to draw blood into collection tube or bag.
* Conducted laboratory tests that aid in the detection, diagnosis, and treatment of disease.
* Collected samples of blood and urine, label them, and conduct simple tests on them.
References Professional and personal reference available upon request.
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