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Insurance Microsoft Office

Location:
Philadelphia, PA
Posted:
September 23, 2017

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Resume:

Nancy Averill

**** *.**** ****** ************, PA 19145

ac2fu7@r.postjobfree.com

215-***-****

PROFESSIONAL EXPERIENCE

Rothman Institute 02/2016-Present

Financial Counselor

Research financial responsibility of covered and non-covered services

Verify benefits and coverage for procedures utilizing Navinet, Promise and other payor sites

Point of contact for patients to assist with billing inquiries and ensure timeliness of payments

Collects deductibles and co-insurance for upcoming surgical procedures

Prepare and maintain payment plan contracts to ensure proper payments are collected

Analyze collections reports to identify and collect payments

University of Pennsylvania Hospital 05/2014 –12/2015

Financial Counselor

Create and update patient records by verifying sensitive patient information and program documentation

Ensure accuracy of registration into registration system, including but not limited to visit notes, referral/authorization numbers, eligibility review, and proper payor plan entries for research

Verify coverage through specialized databases, including Navinet/Promise

Coordinate & communicate insurance discrepancies with appropriate personnel (e.g. schedulers, Pre-cert dept., out-of-area dept., Self-Pay group, etc.)

Educate and inform family of outstanding financial obligations if appropriate.

Lead and facilitate collection efforts of electronic payments for outstanding balance

Work directly with patients to check-in and check-out while collecting co-payments

Drexel University College of Medicine 01/2012 – 05/2014

Accounts Receivable Representative

Monitor and follow up on outstanding medical insurance claims for Medicaid, Medicare and IBC

Identify and pursue appropriate appeals for outstanding balances when necessary

Point of contact for patient inquiries regarding outstanding balances and processing claims online utilizing Promise, Navinet and other Insurance Verification Systems

Utilized analytical abilities to proactively research and reprocess unpaid claims on payor sites

Facilitate and organize patient scheduling via internal database Allscripts/IDX

Lawrence Teacher Publishing 11/2006 – 12/2011

Executive Assistant

Provide administrative support to the President of the institution

Coordinate logistics of all faculty meetings and travel arrangements

Create correspondences to customers, including handling invoices, accounts payable and billing inquires

Responsible for communication with customers to address questions and concerns

Maintain inventory of office supplies and equipment

TECHNICAL SKILLS AND CRUDENTIALS

Allscripts/IDX, Epic, Navinet, Promise, Microsoft Office, Quick-Books, Back Up Software, Access (Database)



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