Revenue Cycle Specialist
Resume:
Marlena Gardner
Houston, TX 77006
*******.*******@*****.***
PROFESSIONAL SUMMARY:
I am a skilled and experienced Revenue Cycle Specialist, with extensive knowledge of medical coding &
billing practices. I have experience billing, freestanding emergency room, ER physician and facility
billing, coding and collections. Workers compensation and third party claims, billing through collections
processes. I have Extensive experience in dealing with commercial insurance products as well as all
government programs. Refunds and reimbursements processes. I am both confident and poised in
interactions with individuals at all levels, and extremely versatile when it comes to handling any
challenges that come my way. I am most comfortable working in a fast paced environment. I have strong
and efficient organizational skills; I am trustworthy, ethical, dedicated, and professional. And the most
important thing you must know about me is that I will work for you to get your money.
EXPERIENCE HIGHLIGHTS:
Revenue Cycle Specialist/Collections/Support Specialist
Manage the clients A/R. Take ownership of the accounts I handle. Follow up on all primary and
secondary unpaid claims. Ensure timely billing in accordance with established internal and third
party payer requirements. Run and work the aging and delinquent reports. Update claims with
correct insurance information and re-file claims. Appeal claims with documentation. Work with the
coding department to ensure proper billing. Properly document accounts with action taken on the
claim. Answer all client and management emails within the expected time frame. Report to
management any issues or concerns that may impact cash flow. Help in the education of the clients
to make sure they are billing properly. Have open communication via email or phone call with the
clients. Perform all other tasks consistent with the goals and objectives of this position. Provide
training to new employee’s and assist with in introduction to the company.
Patient Account Specialist
Investigate aged accounts, verify insurance, improve collection returns, and perform all
appropriate follow-up. Contact insurance plans to resolve unpaid claims. Appeal claims as
necessary. Daily data entry, of patient’s HIPPA controlled information. Payment posting, and other
related activities. Investigate refund requests. Review EOB’s and electronic claims reports for
resolution/follow-up. Reconcile outstanding and aged patient accounts. Manage patient check-
in/out, and scanning. Schedule and confirm patient’s diagnostic appointments, surgeries and
medical consultations. Charge Entry.
Administrative Support
Assist District Manager and maintain day to day operations of District office. Process invoices for
payment, code and batched invoices, attended to accounts payable’s and accounts receivables.
Correct data entry of employee’s information weekly. Perform random cash/sales audit’s for 25
retail service stores. Assist in all open preparations for new stores along with all final closing
procedures for closing stores. Responsible for all physical inventory and was primary contact for
interaction with all vendors.
Manager/Supervisor
Directly in charge of staff recruitment, interviewing, hiring, training, and scheduling. Supervised 3
employee’s in day to day operations. Oversee all operations including but not limited to shift
organization, cash and stock management, and customer service. Responsible for generating and
maintaining daily revenue reports, ordering stock, Make the daily deposits, Inventory control.
Order all supplies and was the primary point of contact for all vendors. Organize and executed
specialized fund raisers and other promotions.
Jobsite Secretary
Work with the Senior Project Manager to provide any and all clerical support. Work from jobsite
trailer on construction project and provide the following team services: maintains job site files;
answers phone, handles calls or takes messages; matches invoices/delivery ticket, assists with
payrolls, including certified payroll; processes pay applications; coordinates meetings, inputs daily
job logs; scans submittals; and maintains project contract logs by keeping track of contractual
obligations such as contracts, insurance. Run all errands and other duties given by Senior Project
Manager. Assist with end of month billing.
EMPLOYMENT HISTORY:
Revenue Cycle Specialist/Billing & Collections Specialist, Support Specialist, Endeavor
Medical Systems, Houston, TX, Aug 2009 to Nov, 2014
Patient Account Specialist, Kidney Associates, Houston, TX, Sept 2008 to May 2009
Night Manager, M & J’s Drive Inn, Houston, TX, Jan 1998 to Jan 2008
District Managers Assistant, Trans Pacific Stores, Houston, TX, 1985 to 1986
Jobsite Receptionist/Secretary, McDevitt & Street, Houston, TX, 1984 to 1985
SKILLS:
Microsoft Office (all versions), PowerPoint, Excel, EMR, Intergy, Medisoft, Mysis, Payerpath,
Realmed, Dentrix, Facility and Physician, Emergency Room Billing, Patient Payment Resolution,
Scheduling, Scanning, Secondary Claims, Medical Records Management, Insurance Collections,
Referrals & Authorization, Charge Entry, Insurance Verification, Aged Accounts, Payment Posting,
Refund Requests, Medical Terminology, Denial Follow-up, Appeals, Data Entry, Medicare,
Medicaid, Workers Comp, Third Party, EOB Follow-up.
EDUCATION:
Texas School of Business, Medical Billing & Coding, Certificate, Houston, TX
Houston Dental Assistant School, Dental Assistant, Certificate, Houston, TX
American Career Academy, Word Processing, Certificate, Houston, TX
Tech High School, Indianapolis, IN
SPECIALITY SEIMNARS:
I attended a specialty seminar on “Nephrology Specialized billing”. Keep current on Medicaid,
Medicare, Tricare, and numerous other webinars on changing laws.
Contact this candidate