MEGAN PHILLIPS

Street address, City, ST Zip Code 443-***-**** ac2cgi@r.postjobfree.com

OBJECTIVE

My goal is to find an opportunity with a healthcare organization that will allow me to use my potential and skills for company productivity and reputation.

SKILLS AND ABILITIES

Extensive knowledge of health insurance, payer websites, and payment/billing procedures. Knowledge and experience with HIPAA policy. Experience in a high-volume call center environment.

Strong written, oral, and interpersonal communication skills. Ability to present ideas in a business-friendly and user-friendly language. Ability to effectively prioritize and execute tasks in a high-pressure environment. Strong data entry skills (typing speed of 65 WPM). Highly self-motivated, self-directed and attentive to detail. Team-oriented and collaborative. Very organized. Extensive knowledge of Microsoft Office Suite.

EXPERIENCE

12/16/2015 – Present

Billing Representative, EntaaCare

•Strong customer service skills; answering patient calls, prompt return and follow up to all interactions, prompt response to request for information, both internally and externally.

•Coordinate solutions to all patient billing/insurance inquiries (i.e. setting up payment plans, explaining charges, making spreadsheets to break down charges and payments for patient to better understand).

•Timely input of charges and time of service payment information.

•Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code and date of first symptom.

•Knowledge to append modifiers based on payer specifics, insurance and authorization requirements and referring physician’s unique attributes.

•Understand and interpret the correct coding as it applies to charge entry work.

•Achieve goals set forth by supervisor regarding error-free work, transactions, reports, processes and compliance requirements.

•Reduce time and costs and increase efficiency by introducing new procedures to account monitoring.

•Assist in training new billing representatives.

•Monitor past due accounts and report accounts as needed. Maintain past due accounts report for office manager for audit purposes.

•Prepare office billing reports for audit compliance.

•Order and maintain office supplies for my department.

•Take patient payments over the phone and call patients regarding past due balances.

•Issue bills, receipts and invoices.

05/26/2015 – 12/15/2015

Call Center Representative, EntaaCare

•Manage high volume of inbound and outbound calls in a timely manner.

•Answers telephones promptly and professionally. Follow communication scripts when handling various topics.

•Obtain and enter accurate demographic and insurance information into computer database.

•Schedule appointments and review details for accuracy with patients.

•Verify new/existing patient insurance eligibility status.

•Answer questions and offer additional information as requested to provide patient-focused service.

•Provide transcription services to type and edit physician notes.

•Direct calls to other departments as needed.

01/15/2014 – 05/26/2015

New Patient Coordinator, Procedure Authorization Coordinator, and Botox Coordinator, Kure Pain Management

•Collect demographic and insurance information for new patients, Schedule patients accordingly.

•Verify insurance information, patient balances, and patient accounts for accuracy.

•Handle all incoming and outgoing correspondences to patients, doctor’s offices, and insurance companies. Handle multiple phone lines and transfers.

•Serve as the Point-of-Contact for all billing and insurance related questions.

•Coordinate all authorizations for outpatient and Botox procedures. Prepare documents with CPT and diagnosis codes accurately for authorizations. Follow up with patients to review procedure costs.

02/01/2013 – 01/14/2015

Drive-Thru Team Lead, Chick-Fil-A

•Work in an extremely fast-paced environment, multi-tasking regularly and leading a team of up to 15 employees.

•Provide excellent customer service to ensure Satisfaction Surveys exceeded the 95% target goal.

•Balance all registers, handle cash transactions, and maintain security of restaurant.

11/01/2012 -02/01/2013

Sales Associate/Cashier, Tommy Hilfiger

•Provide excellent customer service through retail sales.

•Greet customers, respond to customer service calls, and process online customer orders.

•Assist store managers with various projects.

EDUCATION

08/01/2009 – 05/01/2013

Diploma, Old Mill Senior High School

LEADERSHIP AND VOLUNTEER ACTIVITIES

Any leadership activities? Make them up but make them believable so you remember them. Dog volunteering, work training for leadership, etc

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