**** ***** **. ******** *******, WI ***** PHONE 224-***-****

EMAIL: ac3xmr@r.postjobfree.com

Arpi Hamilton

Objective

To gain employment as a Project Manager to help plan and coordinate projects that allow me to showcase my leadership, organizational and time management skills that I gained while pursuing my Bachelors degree in Operations and Project Management.

Professional Experience

Denials Management Specialist

Cancer Treatment Centers of America (2015-Current) Zion, IL

Responsible for accessing Payment Integrity Compass to manage and complete denied accounts and send for appeals

Offer patient assistance options for coordination of benefits updates

Pursue insurance companies for the purpose of verifying claims are in process, providing any additional information required, expediting payment

Identify and correct any constraints to allow for payment of denied claims

Lead projects for process improvement

Research and analyze current trends in Revenue Cycle Management

Knowledge of Medicare, Affordable Care Act., and Commercial/Group insurance reimbursement guidelines

Monitor and troubleshoot patient claims to ensure proper adjudication

Proficient in A/R, PIC ( Payment Integrity Compass ), online payer portals and billing applications

Insurance Claims Representative

Cancer Treatment Centers of America (2013-2015) Zion, IL

Specialized in third party payer first level insurance follow up

Responsible for accessing XDM Denials Management to manage and complete denied accounts

Work ATB reports for accounts through 120 days from billed date

Recovery Service Specialist

Cancer Treatment Centers of America (2011-2013) Zion, IL

Estate search and filing of probate claims.

Adjustment and reconciliation of Medicare bad debt

Submit accounts for approval to pursue legal action against accounts that merit legal action

Initiate claims against bankruptcy files

ACTIVITIES / COMMUNITY SERVICE

Training Coordinator at Family Resource Center of Zion 2009-2012

Develop and present training in the community to youth groups, church and school classes.

Women’s ministry at Journey Church 2010-Present

Responsible for organizing and leading a life group for women at Journey Church

Skills

Microsoft Office

Microsoft Project

WBS, Gantt charts

Process Improvement

Research

Excellent Communication and Organizational skills

Project Leadership

Planning

Time Management

Six Sigma

Education

Southern New Hampshire University

2014- Mar 2018

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