Customer Service Insurance
Resume:
Patricia j. Kpabar
*******@*****.***
OBJECTIVE
Seeking a position in a progressive healthcare company with 7 years of experience in patient access, billing, collections, insurance verification, claim resolution (productivity driven) and customer service.
SUMMARY OF QUALIFICATIONS
MS Word, Excel, PowerPoint, and Internet applications.
Strong organization skills.
Capability to work independently as well as with team.
Experienced in clinical research for medically necessary claims
Able to identify and resolve claim denials for resubmission for payment
WORK EXPERIENCE
May 4, 2016-Present Music City Motomart Inc
Office Manager 515 E. Old Hickory Blvd, Madison Tn
Managed a staff of seven individuals, organized and monitored office operations and procedures such as bookkeeping, payroll, filing systems, requisition of supplies, and other clerical services. Responsible for collecting financial data for monthly used sales tax payments and returns. Applied for and obtained customer tags, and rebuilt auto salvage titles. Ensured office was compliant with state regulations to pass all inspections. Resolved negative customer accounts with payment arrangements or followed through with heading a repossession of a vehicle. Responsible for working with other auto parts distributors to maintain stock of car parts for rebuild vehicles. Responsible for preparing export vehicle documents for shipping through Ocean Marine (RORO).
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July 9, 2013- May 18, 2016 Xtend Healthcare Advanced Revenue Cycle
P.A.R. (Patient Account Representative) 500 West Main Street, Hendersonville, TN
Performed resolution-oriented follow-up to achieve cash recovery and A/R resolution for contracted Healthcare Organizations while managing productivity, as defined by project guidelines.
Hospital Systems
Alaska Native Medical Center : Cerner
Reading Hospital: Epic
Miami Children's Hospital: AS400
Advocate Healthcare System Allegra
Illinois Masonic and Christ Medical Center
Financial Counseling Assistance
Evaluating processes to collect/resolve patient balances in an efficient, patient-centered manner.
1.Insurance Verification Assistance
Knowledge of evaluation,providing recommendations for enhancing workflows to maximize collection efforts and reduce denials. .
Focused only on accounts that require manual intervention to be resolved
Reconciled 100% of claims to most significant payers Medicaid and Medicare
Identified any claims lost by payers or not submitted by your billing system
Identified all outstanding balances by aging or dollar amounts from applicable payers
Automatically organize your workflow to meet best practice standards
Researched the status of accounts as they come due for follow-up
Reduce A/R days and improved cash flow
Reduce or eliminate timely filing
April 2010- Present Licensed Cosmetologist
Makeup Artist/Hair Stylist 11891 B Lebanon Pike Mt. Juliet TN
Stylemasters (October 2016- Present)
Booth rent stylist with stable clientelle
Salon After Affects (2013-Present)
Co-Owner/ Licensed Cosmetologist with expanding clientele.
Wilhelmina Hair Boutique: (2012-2014)
Worked as store office manager responsible for researching market competitors and industry trends by identifying potential new products and services. Leveraged social media websites to promote both online and offline brand awareness. Manages the complete redesign and launch of the company's website.
Hair Akoom Studios: (Intern/ 2009-2012)
Worked under salon owner as apprentice upon graduating from Paul Mitchell.
October 2007-April 2009 HCA Medicare Service Center
Medicare Biller 162 Imperial Blvd, Hendersonville, TN
Verified that information in the computer system was up to date and accurate. Organized billing and invoice data and prepared accounts receivable. Verified and logged in deadlines for responding to daily inquiries. Identified and resolved system and account issues. Completed 26 accounts per hour in Medicare billing systems. Assigned additional diagnosis codes based on specific clinical findings. (laboratory, radiology, and pathology reports) in support of existing dx. Examined dx codes for accuracy, completeness specificity and appropriateness according to services rendered.
UB04 Red and White Claims submission (Electronically and Hardcopy)
1500 Claim Submission
August 2005- October 2007 St. Thomas Health Services
OB/ER Registrar 2000 Church St, Nashville, TN 37236
Customer Service/Care
Obtained preliminary information required for admissions
Verify insurance eligibility using Accretitive Tool and Passport
Assist in getting Medicaid coverage for patients without insurance
Configured Workman’s Comp Claims (ER)
Collected POS and past due payments on patient accounts using IXT
Completed 1011 forms on required patients
Familiar with HIPPA, EMTALA, and other health related laws
March 2005- August 2005 Baptist Hospital
Patient Care Services/ Patient Transport 2000 Church St, Nashville, TN 37236
Provided transportation (via wheelchair, stretcher) for inpatients/outpatients to and from procedures, nursing units and various testing sites
August 2004- March 2005 Kings Daughter Day Home
Teachers Assistant 590 N Dupont Ave, Madison, TN 37115
Assist in planning and implementing the daily itinerary under leas teachers supervision
Assisted teacher in supervision and promoting activities designed to enhance a healthy social, emotional, intellectual and physical development.
EDUCATION
Paul Mitchell School of Cosmetology January 2009- Oct 2010
Associate of Arts: Cosmetology
Student Council Member
Volunteer State Community College August 2004
Major: Health Care Management/ Business Management
Kaplan Financial
Life, Accident, and Health Insurance Course
VOLUNTEER
Baptist Hospital Volunteer Advocates May 2007- October 2007
Girl Scouts of America July 2007- 2009
Troop Leader
Perfecting Faith Ministries Troop 310
References
Maryblossom Nmoh
Owner of Maryblossom Events
Mentor
Dawn Russ
Owner Wilhelmina Hair Extensions
Marion Bryant
Metro School Educator
Jerome Osei Bonsu
Music City Motomart
615=596-1065
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