Resume

Sign in

Customer Service Data Entry

Location:
Bedford, Ohio, United States
Posted:
February 17, 2019

Contact this candidate

Resume:

Kim H. Battle

*** ****** **

Bedford, OH *****

ac8ilq@r.postjobfree.com

216-***-****

OBJECTIVE:

I would like to obtain a position where my education, skills and experience can be effectively utilized.

EDUCATION:

Columbia Southern University – Master Degree in Finance, Graduate in 2020.

Columbia Southern University – Bachelor Degree in Finance, Graduated 2017.

Dyke College – Associate Degree in Science for Word Processing, Graduated 1986.

EMPLOYMENT:

January 2019 - January 2019, Aerotek Employment Agency/Exactcare Pharmacy, Finance Department, Patient Outreach Specialist. Customer service contacting patients regarding Exactcare pharmacy programs. Responsible for 200 outbound calls a day and scheduling appointments for assessments.

March 2018 – November 2018, Achievement Center for Children for Autism, Finance Department, Accounting/Billing Clerk. Customer service contacting funders for ACC programs, collections, manually create invoices for billing in Quick Books, create DOC sheets, scan processed applications and created/outstanding invoices to the appropriate departments, Billing DODD/OHDD, correcting DODD errors, post payments, mailing invoices, verify attendance sheets, update payment tracker spreadsheet, follow up on outstanding A/R, update AR spreadsheet, filing, faxing, and copy/collating.

September 2017 – January 2018, Randstad, Temporary Assignment, Accounts Receivable Department, Accounts Receivable Specialist. Customer service contacting insurance companies on outstanding account balances and pending claims, adjust debit balances, working A/R report to follow-up on out of state insurance denials, such as, MCR/MCD, workers compensation, auto, and commercial claims; electronic billing on the submission of claims, research and submit medical records to various insurance companies for appeals, insurance verification, transfer funds to various patient accounts and insurance accounts, data entry, faxing, copy/collating.

January 2015 – March 2017, Hospice of the Western Reserve, Finance Department, Patient Accounts Coordinator. Customer service contacting insurance companies on outstanding account balances and pending claims, adjust credit and debit balances, follow-up on all insurance denials working A/R report, electronic billing for Medicare/Medicaid, Commercial, and Third Party for primary claims, corrected claims and secondary claims; research and follow-up on all unpaid claims, research and submit medical records to various insurance companies for appeals, post payments, remove accounts from bill hold and resubmit claims electronically, month end financial close every month, insurance verification, transfer funds to various patient and insurance accounts, data entry, faxing, and copy/collating.

July 2013 – January 2015, Medical Mutual of Ohio, Finance Department, Senior Billing Specialist. Customer service identifying and resolving inquiries customers have regarding healthcare coverage, process customer invoices, research patient accounts for accuracy with their billing, customer service contacting government agencies regarding healthcare regulations, process insurance payments, setup government/commercial insurance payer’s for customers based on government regulations, adjust credit and debit balances; identifies and place pending customer accounts on bill hold for payment outreach to review, place and/or remove accounts from bill hold and issue billing invoices once reviewed, data entry, faxing, copy/collating and filing.

March 2013 – July 2013, Temporary Assignment, JJ Delong Employment Agency, Billing Department, Billing Specialist. Customer service contacting insurance companies on outstanding account balances and pending claims, adjust debit balances, working A/R report to follow-up on out of state insurance denials, such as, MCR/MCD and Commercial; electronic billing on the submission of claims, research and submit medical records to various insurance companies for appeals, insurance verification, transfer funds to various patient accounts and insurance accounts, data entry, faxing, copy/collating.

February 2006 – February 2013, University Hospitals of Cleveland (Case Medical) Finance Department, Senior Collections Specialist/Patient Accounting Specialist II. Type letters and memos using Microsoft Word/Windows, customer service contacting insurance companies and patients on outstanding account balances and pending claims, adjust credit and debit balances, follow-up on all insurance denials working through an online A/R report, electronic billing for primary claims, corrected claims and secondary claims, research and process refund request from various insurance companies, research and submit medical records to various insurance companies for appeals, insurance verification, transfer funds to various patient accounts and insurance accounts, data entry, faxing, copy/collating. Audit co-workers productivity, assist co-workers with problem solving issues and train all new hires. Setup the system transmission for new practices.

July 2003 – January 2006, Clinical Specialties Home Health Care Services, Billing Department, Reimbursement Specialist. Type letters and memos using Microsoft Word/Windows, customer service contacting insurance companies on outstanding account balances and pended claims, request and review nursing notes from various home health aid agencies to submit with an appeal to insurance companies for various denial of claims, research and follow-up on all insurance denials using A/R report, credit and debit adjustments, transfer funds to various patient and insurance companies’ account, insurance verification, data entry, faxing, copy/collating, and filing.

January 2000 – July 2003, Receivables Outsource, Finance Department, Third Party Reimbursement Specialist. Customer service contacting insurance companies on outstanding account balances and pending claims, research and follow-up on all insurance denials, adjust credit and debit balances; third party billing for medical claims, corrected claims, rebilling on unbilled late charges and commercial claims, research and follow up on pre-certs for various claims, research and submit medical records to various insurance companies for appeals, insurance verification, transfer funds to various patient and insurance accounts, data entry, faxing, copy/collating.

ADDITIONAL INFORMATION:

Medical Terminology 101 - 103, Accounting 201 & 202; Software: Quick Books, MS Office Suite, Salesforce, DODD/OHDD system, Thriva, Advanced Web, Navinet, Zirmed, Availity, Microsoft Word, Microsoft Excel, Microsoft Outlook, Internet Explorer, Soarian, IDX, GBAS, Concept, Onbase, CORS and Genelco, Suncoast, Medicare/MVP Live and Medicaid/Mits.

REFERENCES:

Furnished upon request.



Contact this candidate