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Customer Service Administrative Assistant

Location:
Philadelphia, PA
Posted:
January 28, 2018

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Resume:

Neva L. Montford

* ******* *****

Willingboro, NJ 08046

(c) 609-***-****

(c) 609-***-****(alternate)

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

To Whom It May Concern;

This letter is in regards to an opportunity of employment with your organization. I have over twenty years’ experience in administrative, supervisory, paralegal, customer service and revenue cycle management.

Currently, I work for Financial Health Services, LLC, as a Revenue Cycle Manager for Medicaid and private pay. However previously had the opportunity to work for Robert Half/Accountemps agency also with RadNet, Inc. – Advanced/American Radiology Divisions. With many advancements such as; Administrative Assistant to Interim Director of Revenue Cycle Management, Analyst, Internal Auditor, Credentialing and Payment Applications Team Leader, Team Leader of the Management Support Team, Interim Reimbursement Operations Manager and liaison for the many locations the company has across the country, allowing learning of the diversified aspects of the revenue cycle business.

I am familiar many aspects of analysis/reporting, claims billing, accounts payable/receivable AR follow-up, third-party billing (EDI & ERA), contract negotiations, extensive knowledge of insurance carrier guidelines, process measures, variance reporting, denial management, credentialing, coding, supervisory, training, customer service, collections, SOX, knowledge of personal injury protection, and worker’s compensation, Medicare/Medicaid products and directives as well as project management.

I also possess knowledge of many software applications including but not limited to Medical Management software e.g. RIS, Medics I & II, and MDIV, PM Scripts, Synergy, Athena and Rbase due to working for these companies. I have experience with system conversions working with McKesson to GE products and such were a constant, upgrading from paper to paperless environment in AR follow up and electronic payment posting allowing for growth as well as proficiency in PowerPoint, Outlook and advanced Excel certifications and SQL, data retrieval/storage systems and IT processes.

I enjoy bringing accomplishment to whatever I endeavor and work well under pressure, a quick learner, take responsibility and delegation seriously, work very well with others and strongly believe in teamwork. Thank you for taking the time to review my résumé and hope to hear from you soon. If you find my expertise to be your need, please contact me at a suitable time.

With regards,

Neva L. Montford

Neva L. Montford

Willingboro, NJ

609-***-****

Experience:

09/2016 – Present Financial Health Services, LLC. Blue Bell, PA

Revenue Cycle Manager

Responsible for the daily team workflow for Medicaid and private pay revenue cycle consisting of Billing, AR follow-up, cash application, reporting, authorizations, portal maintenance, productivity, and currently able to correct Medicaid billing issue of incorrect units billed saving the company to date for approximately $175k.

05/2015- 09/2016 Robert Half/Accountemps Mt Laurel, NJ

Interim Management Support – Revenue Cycle Management

Assignments based upon the job within the field of revenue cycle management, which at last assignment was operating as a Billing Analyst for all Self-pay and Insurance. With concentration on government based refunds in the figure of $550k and was able to save the company $200k in return of refunds to insurances that were past the “request of refund” due date per New Jersey DOBI “18-month rule”. At the point of their satisfaction for that task, I performed duties in the customer service department, which entailed all customer calls regarding statement/billing inquiries/follow up, correspondence, collection of payments/posting, adjustments.

06/2009-**06/2013 RADNET, Inc – Advanced Division Baltimore, MD

Team Leader/Analyst/Interim RO Manager

Responsible for the daily team workflow for the recently restructured division of hospital AR at RadNet, Inc – Advanced Division also including daily, weekly and monthly reporting and analysis for upper management and physician review Supervising a team of fourteen we were responsible for charge capture, reimbursement tracking, internal auditing and aid to the management. AR follow-up responsibilities consist of written and verbal correspondence of patient, insurance and attorney, work distribution, workflow tracking and liaison to several sites country wide and special projects such as RAC/MIC audits, credit balance and interim revenue cycle manager. **Explanation upon request.

6/2008- 06/2009

Payment Entry Team Leader

Responsible for the daily operations of the lockbox payment posting team of ten, payment reconciliation with the bank, training, goal setting, conduction of team meetings while keeping the team abreast of departmental changes in procedure/protocol, attendance, productivity tracking and performance reviews of staff. Also responsible for ERA processing of remittance files, electronic data storage system. Creating weekly and monthly reports for upper management review.

12/2006-6/2008

AR Specialist/Analyst/Administrative Assistant

Reporting to the Revenue Cycle Director and supporting upper managerial staff. Daily operations consisted of training, meeting preparations, scheduling, system update input, contracting and credentialing. I was also the liaison to 20+ locations by advising of insurance changes/general operations, creations of job-aids and special reports and/or project work such as denial/payment variance analysis and auditing in conjunction to fee schedules and contracts, “end of month” reporting, customer service as well as assisting with other departments.

05/2006-12/2006 Kmart Department Stores Elkton, MD

Administrative Assistant/Supervisor

Responsible for daily cash office applications, reporting, front-end supervisor and cashier.

12/1999-06/2005 South Jersey Radiology Assoc. Voorhees, NJ

Medical Billing Supervisor

Responsibilities included supervising a team of ten for the patient accounts inquiry department and customer service call center. Responsibilities included EDI electronic and paper third-party billing of claims, CPT/ICD-9 coding, accounts payable and receivable, AR follow-up consisting of written and verbal correspondence of patient, insurance and attorney, work distribution, contract negotiations, training, commercial/Medicare/Medicaid policies and procedures, payment posting, charge entry, compliance, credit balances, collections, et cetera.

05/1995-2/1998 Ann B. Segal, Esq. / Robert I. Segal, Esq. Medford, NJ

Receptionist/Legal Secretary/Paralegal

Receiver of all incoming calls, court, arbitration and deposition scheduling, client correspondence, drafting and filing of court documents e.g. PIP suits, file follow through, gathering of discovery, assisted in finalization of settlements, bookkeeping, et cetera.

Education:

2016 - Bryan University Online Studies

Bachelors’ Degree Healthcare Administration Tuscan, AZ

2010-2012 Kaplan University Online Studies

Associates’ Degree Healthcare Office Administration Tallahassee, FL

1995-1996 Burl. Co. Institute of Technology Westampton, NJ

Certification Paralegal/Legal Secretary

1992-1993 Mercer Co. Comm. College West Windsor, NJ

Communications

1987-1989 Willingboro High School Willingboro, NJ

Academic GED Homeschool Program



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