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Medical Billing Insurance

Location:
Charleston, WV, 25301
Salary:
40000
Posted:
May 21, 2013

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Resume:

Courtney R. Newkirk

Courtney R. Newkirk

*** *** ******, **********, ** 25136

304-***-****

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

Professional Profile

1. Driven, diligent worker and effective team leader and player with outstanding interpersonal skills

1. Flexible and adaptable with exceptional multi-tasking skills in a fast-paced work environment

2. Skilled at learning new concepts quickly, working under pressure, and communicating ideas clearly.

3. Excellent problem solving skills

4. Strives to obtain an admirable work ethic and works very well independently or in a team setting.

5. Efficient and resourceful worker dedicated to making time-sensitive deadlines without direct supervision.

6. Always willing to go above and beyond to get the task done correctly

7. Knowledge of CPT-4 codes as well as other medical billing codes and billing processes.

8. Extensive computer training in Microsoft Office with incomparable office and secretarial skills.

9. Extremely self-motivated and hard-working professional with who loves to take on a challenge.

Education

B.S. Degree in Exercise Physiology

West Virginia University, Morgantown, WV

Concentration in health professions; graduated with 3.2 cumulative G.P.A

2011

Career History & Accomplishments

2012-2013

Payment Experience Team Specialist, Med Express Urgent Care Billing Office.

1. Helped to create workflows of how to navigate payments between two different billing systems (IDX and athenaHealth).

2. Posted payments and denials in both billing systems.

3. Ran reports to track productivity of the employees.

4. Created a system to help better identify checks that come separate from their corresponding explanation of benefits so they can be matched up and applied to the account

5. Generated new ideas on how to keep the office morale up but keep everyone focused and working diligently at the same time.

6. Helped to resolve payment mistakes made by us, the insurance company, or the patient.

7. Resolved missing payment issues by researching the check to see if it was deposited into the any of the bank accounts and applying the money to the patient account if so.

8. Assumed the role as the go-to person for the patient call center to come to with any patient account issues or complaints due to payment errors of any kind.

9. Strategized ways to keep track of all payments that were sent back and forth between the two billing systems affiliated with billing for MedExpress Urgent Care.

2011-2012

Electronic Funds Transfer Payment Posting Specialist, Med Express Urgent Care Billing Office.

1. Worked specifically with Blue Cross Blue Shield, Molina Medicaid, Coventry, Health America, Medicare, Wells Fargo, Aetna, Cigna, United HealthCare, Humana, Railroad Medicare, PEIA, and Medicaid.

2. Pulled electronic payments from the Fifth-Third Bank website for each center on a daily basis.

3. Subtracted out credit card payments and the debits from the electronic funds.

4. Added up totals without the credit cards and debits for each MedExpress center and reported totals to Executive Board.

5. Researched check amounts on various insurance websites to be hand-posted although on the electronic funds transfer sheet.

6. Pulled insurance checks uploaded from the MedExpress centers and created a log to insure they were posted.

7. Pulled back electronic files in the billing system, IDX, so they can be posted.

8. Researched the original sources of insurance and patient payments.

9. Matched up payments that came through the mail or from various websites to their corresponding electronic funds transfer sheets.

10. Posted insurance checks that have been missed in the previous months.

11. Verify that all insurance checks have been deposited into Fifth-Third Bank so they can be posted to the corresponding patient account.

12. Followed through with correcting any billing issues regarding payments.

13. Delegated specific posting duties involving the electronic funds to other members on the team.

14. Established a close web of communication with all MedExpress center managers and billing supervisors to get problems resolved more efficiently.

15. Use of Microsoft Office and office/secretarial equipment.

16. Credited for organizing different systems to determine what electronic payments have or have not been posted and for what reasons.

17. Answered specific payment information questions from insurance companies and the MedExpress centers received via email or via phone.

Professional Skills, Memberships, and Accomplishments

Professional Skills

1. Extensive use of Microsoft Office

2. OSHA and HIPAA trained

3. Prevalent knowledge of medical billing

4. Outstanding communication and personable skills.

5. Wide-spread background in a variety of science courses.

Memberships

1. Delta Sigma Theta Sorority Incorporated, Corresponding Secretary – Collegiate, Vice-President – Alumni

2. National Society of Leadership and Success, Member

3. National Society of Collegiate Scholars, Member

Accomplishments and Activities

1. Maintained above a 3.0 grade point average throughout collegiate career

2. Volunteer at Ronald McDonald House Charities

3. Recipient of the West Virginia S.M.A.R.T. Grant for outstanding academics

4. Recipient of the West Virginia Higher-Ed Grant

5. Recipient of the West Virginia Health Science and Technology Academy (HSTA) for pursuing a career in health professions.



Contact this candidate