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Regional Insurance Coordintor

Location:
Canton, OH
Posted:
August 10, 2015

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Resume:

Michelle D. Davis

E: *****************@*****.*** P: 330-***-**** 1927 39th ST NE, Canton, OH 44705

REGIONAL INSURANCE COORDINATOR

Ambitious team player, with implementation with a significant history of improving financial and quality outcomes. Passionate in developing strong customer relations by upholding integrity, respect and accountability. Adaptable team player with effective time management, attention to detail and communication skills.

CORE COMPETENCIES INCLUDE:

CUSTOMER ORIENTATION PROJECT MANAGEMENT TRAINING & DEVELOPMENT FINANCIAL SERVICES INTERPERSONAL AWARENESS RESULTS ORIENTED AUDITING

PROFESSIONAL EXPERIENCE

FRESENIUS MEDICAL CARE NORTH AMERICA Uniontown, OH – August 28, 2015

Major provider of kidney dialysis services and renal care products. Top producer of dialysis equipment, dialyzers and related disposable products and a major supplier of renal pharmaceuticals.

Regional Insurance Coordinator 2008 - Present

Reviewing and approving financial hardship applications for patients. American Kidney Fund applications / grants reviewing and releasing for approval. Promoting teamwork, creative thinking and personal development while adhering to company policies and procedures. Compile and conduct insurance presentations for Social Workers, Financial Coordinators and billing group staffs. Participate in ongoing program development and companywide initiatives to increase efficiencies from a lean perspective.

Assisted in developing training materials for a national initiative on non-contracted payers for Financial Coordinators.

Assisted with the development of a newly created Financial Coordinator position within organization to focus on the Chronic Kidney Disease population upstream revenue initiative.

Reviewed all Financial Hardship applications for patients in 17 states. Completing application, communicating with Operations and billing group to ensure proper approval, inputting into billing system.

American Kidney Fund applications and grants entering, reviewing, releasing for approval.

Microsoft Word / Microsoft Powerpoint / Microsoft Excel – Pivot tables - VLookup

SharePoint

Medicare Secondary Payor training

Worked closely with Upper Management within the company

Documentation review

Senior Patient Account Representative – 2004 – 2008

Supervise staff in the billing group of cash posters and self-pay representatives, by promoting teamwork, creative thinking and personal development while adhering to company policies and procedures. Perform audits for continuing excellence in customer service, and detail. Manage a caseload of Self pay patients.

Contact with dialysis patients to ensure they understood the bill in which they would receive, and answer any questions they would have.

Initiate payment plans with patients

Posted Cash to necessary accounts – from insurance companies as well as patients.

Conducted training to new hires.

Assisted in billing group actions in which additional assistance was required.

Balance write off conducted on patients accounts.

Submitted Bad Debt documentation to Medicare yearly.

Downloaded agings for staff to complete, reviewed for details after completion.

Microsoft Excel – Word - Office

Patient Account Representative – 1998 – 2004

Joined as a patient account representative to conduct insurance / patient / acute billing, cash posting, insurance verification, obtain authorizations, collections on customer accounts.

Collections on patient accounts from insurance companies and patients.

Billing of all patient services related to their treatment.

Verification of insurance, obtained authorizations when necessary.

Worked closely with Doctors’ offices to ensure patients coverage was

SKILLS

Proficient in MS Office Suite Outlook Lotus Notes Access PeopleSoft SAP In-house Soarian Financials and Clinicals Powerpoint Digital imaging Photoshop Pivot Tables VLookup Spreadsheets Financial documentation review 10 Key Excel, Powerpoint

HONORS AND ACHIEVEMENTS

Received promotion to a Regional Insurance Coordinator, after showing willingness to work, attention to detail at Fresenius Medical Care North America.

Acknowledged by Operations Management for knowledge, and asked to present at meetings.



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