Monta N. Finch
Bellbrook, Ohio *5305
Miami-Jacobs Career College Dayton, Ohio
AAS Graduated Nov 2009
Dayton Physicians Network LLC 07/2018 – present
Verifies insurance eligibility and benefits via phone and /or internet access. Update insurance policy information in NextGen system and Onco as required.
Microsoft Office and Windows based computer applications, insurances portals
Check insurance payment policy for scheduled procedures and obtain authorization when required. Verify documentation of all necessary pre-authorization information prior to completing.
Assign appropriate ICD10 and CPT codes pre-operatively based on orders from physicians.
Strong verbal communication skills, highly organized and self-motivated
Knowledge of medical billing and managed care
Proven experience handling irate patients and dealing with conflict.
Premier Health Corporate 05/2017 – 04/2018
Proficient with a multi-line phone system, and professionally answer a high volume of incoming and outgoing calls. Transferring calls
High volume of highly sensitive medical, financial and personal information is handled daily, strong knowledge of medical terminology and a thorough understanding of HIPAA law.
Experienced using Epic, Solcom, RightFax, creating inpatient and outpatient orders, electronic medical records, medical billing, patient access, medical imaging, ICD-10/coding.
Able to prioritize and perform multiple tasks in a fast-paced environment is essential. 4 years' experience in an ambulatory health care facility will be a strong advantage.
Care Source 10/2016 - 04/2017
Prior Authorization Specialist DME
Answer calls from physician offices, hospitals, and patients using exemplary customer service
Accurately enter required information (non-clinical and structured clinical data) into computer database.
Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes
Follow established procedures for authorizing request or referring request for further review.
Call hospitals for discharge dates as needed. Refer callers to benefit departments of correct claims
Print and send form letters from iCare system as directed.
Premier Health 05/2016 - 07/2016
Centralized Billing Office
Collects delinquent accounts by establishing payment arrangements with patients; monitoring
Monitor payments, follow with patients when payment lapses occur. Utilizes collection agencies and small claims court to collect money.
Evaluate selecting collection agencies; determining appropriateness of pursuing legal remedies; testifying.
Maintain Medicare bad-debt cost report by tracking billings.
Compiling information that Initiates claims against estates by monitoring deaths and unpaid accounts; informing legal department to act on.
Maintains work operations by following policies and procedures; reporting compliance issues.
Maintain quality standards, hospital policies and procedures, federal, state, and local requirements, and jcaho standards enhancing billing.
Kettering Health Network 09/2014 - 03/2016
ICD coding done for insurance billing
Identify source of payment, up-front cash collections
Used Epic to set up insurance, scheduling surgeries, set up testing and orders
Verify and call insurance companies to make sure patients are covered for services
Data entry/typing, insurance medical office knowledge, medical terminology
Set up billing and in person payment plans for patients
File workers comp claims
Set up drug urinalysis testing
Greet patient and provide customer care in regards to patient needs
Responsible for all registration activities including gathering and processing of patient demographics, insurance and financial information
References Upon Request