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Administrative Assistant, medical collections follow up

Location:
Nashville, Tennessee, United States
Posted:
October 29, 2018

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Resume:

SANDRALEE ANDERSON/WICK

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

Westmoreland, TN 37186

Cell:615-***-**** ac7jg2@r.postjobfree.com

Summary

Dedicated and focused worker who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Flexible, punctual, articulate and hardworking with the drive to succeed.

Highlights

●Microsoft Office proficiency

●Excel spreadsheets

●Meticulous attention to detail

●Strong problem solver

●Professional and mature

●Time management

●Self-directed

●Dedicated team player

●Strong interpersonal skills

●Customer support

●AP/AR

Citadel Outsource Group – Hendersonville, TN

03/2018 – 09/2018

Patient Account Representative

Follow up on UB-04 and 1500 claims.

Investigate billing problems and assist with the collections.

Contacted insurance companies regarding claims and updated patient account record to indicate actions taken on claim via collection manager and Amkai.

Filed appeals / reconsiderations two insurance companies for claims processed incorrectly.

Identified billing issues from claim denials.

Enter adjustments accurately and forward to adjuster.

Research claim denials and forward to biller if claim needed to be resubmitted or had a coding issue.

Review patient accounts for posting accuracy based on information provided on the corresponding EOB.

Pull medical remit as needed for billing purposes via Zirmed.

ComForCare Home Care - Nashville, TN & Hendersonville, TN

10/2016 - 08/2017

Billing Manager/Payroll Coordinator/Office Coordinator

●Look over flowsheets as they are turned in and make sure the dates and times are correct and the client signature is present.

●Compare flowsheets to HM5 to check for discrepancies, make the necessary changes to reflect the correct time and event code.

●Check all the visits in Healthstar and Sandata for the current pay period and manually confirm any that haven’t automatically went into export status, export any that are ok to bill on.

●When the billing report comes in I compare them to every visit on the flowsheets to make sure nothing is missing and make any necessary changes.

●Help with scheduling and take on call a few times during the week and have rotating weekends with the rest of the office staff.

Silver Angels of Tennessee – Westmoreland, TN

11/2015 –10/2016

Area Scheduling Coordinator

●Under direct supervision of the owner and with input from the Director where appropriate, select, schedule, and coordinate caregivers based on assessment and care plan information for new and existing clients. Maintains appropriate gross profit margin for each case

●Maintain all scheduling of caregivers and respond to situations where scheduling conflicts, emergencies and/or “call-outs” arise. Company schedule must be complete for the next business day/weekend before leaving for the day

●Track and record in apt book of all instances of assignment refusals, call-outs, late arrivals, early departures, etc. and share information with the HR department on a regular basis as determined by the

CM

●Accept on-call duty averaging two weeks per month and as directed by the Office Manager or Caregiver Manager

●Communicate with the HR department on a regular basis to assist in keeping caregiver files up to date, including tracking expirations of any licensing, insurance, etc. Collects new documents as needed.

●Audits timecards on a regular basis to ensure hours match scheduled hours

Allstar Personnel/MPack Solutions – Gallatin, TN

11/2014 – 09/2015

Line Lead/Supervisor

●Work as part of a team having responsibility for assembling an entire product or component of a product. Line Supervisors can perform all tasks conducted by the GM in the assembly process and rotate through all or most of them rather than being assigned to a specific task on a permanent basis. Participated in making management decisions affecting the work.

●Trained new employees for specific job duties. Received, store and issue materials, equipment and other items from warehouse.

●Kept records and compiled stock reports for shipment.

P&E Distributors – Goodlettsville, TN

04/2012 – 08/2014

Biller/Packer/Picker/Assisted floor manager

●Unloaded, picked, staged and loaded products for shipping.

●Operated UPS Worldship, USPS, Global Trans and FedEx shipping system efficiently and accurately.

●Established transportation cost standards and economical shipping practices.

AMX Environmental Solutions, LP – Gallatin, TN

04/2005 – 05/2011

Administrative Assistant

●Planned travel arrangements for executives and staff members.

●Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.

●Ordered materials and equipment needed on each jobsite.

●Kept in contact with the GM’s on each jobsite to make sure we were completing each phase of the project in a timely manner and handling any complaints they might have about our staff.

●Designed electronic file systems and maintained electronic and paper files.

●Dispersed incoming mail to correct recipients throughout the office.

●Made copies, sent faxes and handled all incoming and outgoing correspondence.

●Organized files, developed spreadsheets, faxed reports and scanned documents.

●Received and distributed faxes and mail in a timely manner.

●Managed expense reports and processed time sheets.

●Managed state asbestos abatement licenses for the company and the staff.

●Compiled time and material invoices for work that was completed by our company but was not included in the original contract.

Education

High School Diploma 1999 : General Studies ~ Clark Fork Jr/Sr High School, Clark Fork, ID



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