Customer Service Data Entry
Resume:
Nateka J. Echeverry
Charlotte, NC 28212
***********@*****.***
OBJECTIVE
Obtain a position in administrations to demonstrate my customer service and problem solving skills, as well as, be a valued member of a team, to better the experience of customers and consumers.
SKILLS
Innovative self-starter with vast customer service and front desk experience. Knowledge in medical terminology including ICD-10, ICD-9, CPT-4 and HCPCS codes. Proficient in all Microsoft Office software, Epic, Lynx, Centricity, Internet Explorer, Hot Keys, Palm Pass, On Base, Canopy, and Q-Flow. Dependable, responsible, meticulous with ability to set and meet goals.
EDUCATION
Candidate for an Associates of Applied Science, degree in Health Information Technology
DeVry University, Online
Anticipated Graduation: November 2020
GPA: 3.72 Awarded Dean’s List Award for six consecutive semesters
WORK EXPERIENCE
November 2016- Current
Carolinas HealthCare System (New Hanover Project)
Customer Service/ Billing
Charlotte, NC
Help build a new department within CHS billing office
Answer all incoming billing inquiries from patients, insurance companies and on site facilities
Review and explain statements and billing process
Correct and maintain patient demographics and registration information
Generate letters and reports for insurance follow up
Contact insurance payers to verify and update coverage
Follow up on account maintenance and denied payment response from insurance
Process payment and negotiate payment plans
Recall accounts from collections for payoff
Submit services for coding research
Maintain Medicaid and Behavioral Health work-queues
Follow up on denials from insurance and research ways to get the claim paid
Ensure A/R days do not exceed 120 days
Service and correct retro-adjudication work queue by verifying and updating insurance coverages for each date of service
Mentor and aid new hires with Medicaid guidelines and system navigation
December 2015- November 2016
Carolinas HealthCare System
Patient Account Representative
Concord, NC
Handled billing and follow-up on all inpatient and outpatient claims with Medicaid.
Followed up on outstanding A/R verbally and online to Medicaid.
Identified and analyzes payer trends as well as potential payment issues and reports findings to leadership.
Demonstrated proficiency in advanced charge corrections.
Assisted with training and on boarding of new Medicaid follow-up staff
Assisted with new hire Epic training
Survey Ambassador
Met and maintained a per hour collection target.
Agenda coordinator for Medicaid meetings
January 2014- December 2015
Carolinas Healthcare System
Specialty Outpatient Registrar
Concord, NC
Work as a member of a four-person team to check in and check out patients for a high-volume children specialty clinic
Maintain accuracy while toggling between six pediatric specialty groups and twelve providers
Create a positive experience for children and family by demonstrating excellent customer service
Accurately input and update personal and financial data for 20 to 40 patients daily
Collect copayments and research invoices to clear outstanding balances
Decrease claim denials by 30 percent by verifying insurance and obtaining verification
Assemble all paper documents from providers and nursing staff and scan into patients’ EMR
Travel to three different partner offices to lend support during short staff
Crossed trained to function as live answer representative, procedure scheduler, and clerical support
Mentor and train personal including new hires and PRN coverage staff
December 2012-January 2014
Carolinas Healthcare System
Urgent Care Outpatient Registrar/ PRN
Charlotte, NC
Interviewed incoming patients in an intense fast pace walk-in facility
Actively mentored patients to determine if they are experiencing an emergency
Enforced the nurse triage protocol for active emergencies and life threatening cases
Booked walk in appointments and advice patients of wait times
Worked as a member of patient retention by demonstrating excellent customer service
Handled all front desk duties including live answer and office clerical duties
Worked as a mentor for interns and new staff members
Created billing cases for worker’s compensation and drug screens for local companies
Cut offices by 45 percent but obtain approval and prior authorization for office visits
Reduced returned claims by accurately entering billing charges
Corrected claim edits to reduce reimbursement time for services
Collected copays and handle bank deposits
Maintained communication with patients by advising them of unexpected delays
December 2011- February 2012
Spherion/Citi Group
Document Processor
Fort Mill, SC
Input clients’ financial information accurately and timely
Audited mortgage document before sent to underwriting
Met with deadlines of closing and bankruptcy dates
Analyzed data and label completed documentation
Reviewed status of loan modification
Communicated with loss mitigation agents what information is needed
Examined inactive accounts and send correspondence of what is missing
REFERENCES UPON REQUEST
Contact this candidate