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Patient accounts representatives

Location:
Murfreesboro, Tennessee, United States
Salary:
19 +
Posted:
June 22, 2019

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Resume:

Valerie Branch

*** ********** *****, ************, ** 37128,

Cell :615-***-****, Email:ac9n4e@r.postjobfree.com

Applications & Software:

Windows Systems

MS Excel, Word & Outlook

SNAP

Athena

Brightree

IDX

Claim Logic

Manage Med

EMR system

ETM System

Citrix McKesson Star.

Medicare Medicaid Cubs

UB-04 UB-92 and HCFA 1500 forms

Passport, Accurint

McKesson Star

EOB Viewer,

Easy Print,

BOAEOB,

PGN Path System

HBOWEN 7.5

Peachtree

EMPLOYMENT HISTORY:

Billing Specialist Durable Medical Equipment (DME) June 2018 - Current

Employer: Verus HealthCare

1569 Mallory Lane, Bldg. 100, Brentwood, TN 37027

Supervisor: Amanda Adams (do not contact)

Specialists are responsible for providing skilled and excellent customer service to all patients, addressing all inbound patient and escalated calls, and assisting to resolve billing inquiries and issues. I have a firm knowledge in billing, collections, charge posting, insurance eligibility and how insurances pay, as well as identifying and understanding credit balances.

Self-Pay Account/ 3rd Party Representative Oct 2009 – December 2017

Employer: Associated Pathologists/ Path Group LLC

5301 Virginia Way Suite 300, Brentwood, TN 37027

Supervisor: Cassie Carney, 615-***-****, you may contact

As a Third-Party Representative, I have several responsibilities. I am responsible for the review and follow-up of outstanding accounts with Medicare and Medicaid. Utilize/review a work file to identify reimbursement problems with insurance companies. Generate statements for overdue balance. Resolve outstanding accounts, following established policy/procedures in resolving accounts issue. Appealing with insurance companies, charge correction etc.. Organize and manage multiple billing accounts including medical accounts, input data entry, reviews analyze problem accounts, reconcile, and close debtor account. Pulling reports; path report and requisition for review for resolution regarding Veterans Administration claims. Negotiate third party claims for payments or settlement in full. Contact insurance company to resolve contract issues regarding agreement of our fee schedule/payment. Handle early out accounts, bad debt accounts, resubmit claims for billing when denied for timely, eligibility, and incorrect insurance. Handle payments on delinquent account /Set payment plans.

Patient Account Representative 6/15/2002 – 08/03/2009 (laid off)

Employer: IASIS Healthcare LLC

117 Seaboard Lane, Franklin, TN 37067

Supervisor: Erika Yates 501-***-****, you may contact

I was responsible for high balance accounts. Accounting duties included posting checks to client’s medical plan and posting electronic payment with credit cards. Evaluate claims that need to be billed to insurance, Follow-up on delinquent insurance payment and Verify eligibility. Prepare delinquent account over 120 days to be process and sent to agency. Negotiate third party settlement for payment in full. Audit accounts pending outside collections: Worked high balance (50,000 – 120,000.00). Process payments (40,000 and up) by check, debit, savings, or credit cards.

Manger, Tennessee Page Division 02/06/1998 – 08/2002

American Cellular Inc. (sold business 2015)

Franklin, TN 37067

Supervisor: Mark Spivey Owner

Responsible for the day-to-day operation of the paging division; Responsibilities included customer service representative for twenty-one hundred plus customers, auditor (14) locations, account receivable, inventory clerk, data entry clerk, and marketing sales representative. I also, worked closely with our (twenty plus) outside Sale Representative by providing any assistant need to meet their clients’ needs. I was responsible for buy and proving inventory to all (14) locations.

EDUCATION:

05/14/2011 Williamson Christian College Franklin, TN

Bachelor of Science, In Management/Ethics GPA: 3.3

9/31/87 Ross Medical Education Center Flint, MI

Nurse Assistant, Graduate September 31, 1987

6/6/1985 Flint School Of Choice Flint, MI

High School Diploma, Graduate June 6, 1985

Certification:

Nurse Assistant /Home Health Care

Other Qualifications

Eighteen years of customer service experience

Twelve years of data entry experience

Three years of accounts receivable

Seven years of researching accounts for additional or missing information

Reliable and adaptable; learn new systems quickly, and takes initiative

Willing and able to handle a wide variety of tasks

Self-starter, honest, dependable, hard-worker, very organized and a communicator.

Eight years billing insurance

Fourteen years’ insurance verification

Seven years Call Center (Patient Account Representative)

Reference upon request



Contact this candidate