QUALISHA BURNS
**** ******* **. **** *****, TX **111
PROFESSIONAL EXPERIENCE
BAYLOR FAMILY MEDICINE, Fort Worth, TX Jun 2017 – Nov 2017
Referral Coordinator (Contract)
Referral coordinator for 3 doctors and 7 Nurse Practitioners for family practice
Pulled referrals from work queue in EPIC EMR and print out referral reports
Faxing necessary paperwork to other clinics for outgoing referrals
Answering incoming patient phone calls regarding specialists for medical care
Communicating with insurance companies to ensure authorization for specialty medical services
FROM THE GROUND UP, Coppell, TX Mar 2017 – May 2017
Medical Payment Poster/Billing Specialist (Contract)
Post payments to patient and insurance company accounts
Handling adjustments and recoups on medical claims and accounts
Utilizing Lockbox to post payments
Catching up on aged medical accounts for payment posting
Mailing claims to secondary insurance to be billed for payment
Working denials on EOBs from insurance companies
Printing reports from Kareo to assess which claims have been paid and denied
AMERICAN OUTCOMES MANAGEMENT, Fort Worth, Texas Jul 2010- Jan 2017
Medical Payment Poster
Post payments to patient and insurance company accounts
Investigating any claim adjustments and denials
Patient billing and updating medical records
Post payments over $4.5 million a month
Working A/R collections off a spreadsheet
Process incoming patient referrals into CNG Safe
Answering incoming phone calls and fax
Post payments from Lock Boxes Wells Fargo, Chase, Insurance Company’s (Availity, UHC, Argus Health Care, Empire, GHI, Pay Span)
Financial counseling with patient once insurance has been verified
SOUTHWEST ENDOSCOPY, Fort Worth, Texas Nov 2007 – Apr 2009
Front Office Medical Assistant
Patient check in/out
Answering incoming patient phone calls
Updating patient medical records and patient demographics
Setting up payment arrangements
Collections on medical bills
EDUCATION
REMINGTON COLLEGE, Fort Worth, Texas
National Registered Certified Medical Assistant
HS Diploma