Insurance Office

Renetta Houston-Hollingsworth

*** ********** *** . *********, ** 30016 . 770 899

**** . *********@*****.***

Career Objective

To obtain a position that will provided career advancement as well as job

security based on determination and willingness to learn new and innovative

tasks to deliver a quality performance.

Knowledge and Skills

HIPAA Compliance Microsoft Office Medical Manager Creating Policies &

Procedures

OSHA Compliance Centricity Medisoft Staff development &

Training

JCAHO Compliance AdvancedMD Practice HCPCS, CPT & ICD-9 Notary Public

Horizon Patient Manger & EMR coding Team building &

Folder (HPF) NextGen EMR NextGen EHR Conflict resolution

Avisena Accumen EMR Emdeon

Navinet Availity

Professional Experience

Southwest Atlanta Nephrology, PC Atlanta, GA

Billings Specialists March 2014 - Present

. Performs daily close of billing system & ensure daily activity

is reconciled

. Performs follow up on insurance & patient outstanding accounts

receivable

. Post hospital & office charges received from physicians in a

timely manner

. Corrects errors on claim denial reports

. Provides support to front office staff regarding billing

inquiries

. Verify insurance, maintain referrals & additional office visits

for Medicaid for all locations

. Reviews accounts for possible referral to collection agency or

for bad debt write-off. Makes

recommendations to Physician(s) and Practice Manager

Atlanta Medical Center Neurosurgical & Spine Specialists, LLC Atlanta, GA

Atlanta Medical Center Interventional Neurology Associates, LLC

February 2012 - February 2014

Front Office Coordinator

. Post, Balance & Reconcile daily copays

. Post hospital & office E/M codes

. Correct coding & billings errors before/after claim submission

. Review unapplied balances for patient &/or insurance refunds

. Create & maintain No Show Logs, Hospital Consult Logs & Monthly

Chart Audit Logs

. Create & maintain office forms

. Create new ways to improve office protocols & patient flow

. Assist in reaching Meaningful Use Criteria

. Act as liaison between the Physicians, Practice Administrator,

Front & Back office staff

. Schedule appointments for hospital follow-ups, office visits &

radiology testing

. Verify insurance

Renetta Houston-Hollingsworth

185 Greenfield Way . Covington, GA 30016 . 770 899

8601 . *********@*****.***

Professional Experience (Continued)

Suburban Hematology Oncology Associates, Inc. Lawrenceville, GA

Billing Associate June 2005 - February 2012

. A/R balancing and closing each day and month

. Assist with analyzing and auditing charge posting and

payment/adjustments for accuracy

. Assist with developing, implementing and monitoring new policies

and procedures to promote revenue increase and patient treatment

. Code & post charges and payments for office procedures, hospital

visits and in-house bone marrow procedures

. File electronic and paper claims for primary, secondary and

tertiary payments

. Post ERA and manual payments from Medicare, Medicaid and

commercial insurance

. Reconciled the receipt of insurance payments received via EFT or

live checks

. Appeal denied or underpaid claims

. Process refund request from all payers and overpayment refunds

to patients

. Request referrals, additional office visits and prior

authorizations from Medicaid and commercial insurance

. Assist with updating system fee schedules, referring physician

files and chemotherapy drug NDC numbers and descriptions

East Metro Internal Medicine Conyers, GA

Medical Billing Associate/Referral Coordinator February 2004 - June

2005

. Code & post office, ultrasound, hospital and nursing home

charges

. File electronic and paper claims for primary, secondary and

tertiary payments from Medicare, Medicaid and commercial

insurance

. Post of Medicare, Medicaid, commercial insurance and patient

payments

. Follow up on unpaid or underpaid claims with all payers

. Complete monthly financial close

. Verify patient insurance benefits

. Work insurance and patient aging reports

. Set up payment plans for patients

. Complete patient & physicians referral requests

Renetta Houston-Hollingsworth

185 Greenfield Way . Covington, GA 30016 . 770 899

8601 . *********@*****.***

Education and Training

Colorado Technical University; Colorado Springs, CO

Bachelor of Science in Healthcare Management, 2015

Georgia Medical Institute; Atlanta, GA

Medical Insurance Billing & Coding Diploma, April 2003

Dunwoody High School; Dunwoody, GA

College Preparatory Diploma, June 1998

Honors and Awards

Several certificates received from Colorado Technical University

. Basics of Accounting and Finance, May 2007

. Business in the Global Environment, May 2007

. Project Planning, November 2007

. Business Fundamentals, November 2008

. Human Resources Development, August 2012

Honor's List at Georgia Medical Institute December 2002 and May 2003

References Available upon Request

Salary Negotiable

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