Medical Insurance
Resume:
Tracy Kelly
Portsmouth, Virginia 23703
Cell: 757-***-****
*************@*****.***
Objective
To obtain a position working in the administrative field that will allow me to utilize my extensive
training and experience.
Education
Tidewater Community College –Associates in Applied Science: Medical/Business Administration; December 2009
Tidewater Community College – Diploma: Medical Secretary; December 2009
Physicians Enhancement Institute – Diploma: Medical Billing & Coding: December 2003
Member of the American Association for Professional Coders 2015
Key Skills
Office Skills: *Medical Records *Spreadsheets/Reports * Accounts Payable
*Records Management *Front Desk Registration * Accounts Receivable
*Database Management *Medical Billing * Payment Posting
*Insurance Verification *Medical Transcription
Computer Skills: *MS Word *MS Outlook *MS Excel *MS Access
*MS PowerPoint *MS Publisher
Experience
Med-Systems Associates/Bayview Physicians – Central Billing Office Chesapeake, Va
Patient Account Representative Supervisor - April 2014 – present
Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas. May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information. Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials. Completes processing of all emergency room encounter documents received on a daily basis. Assists in resolving department problems with Prism billing system. Maintains records of charges, payments, third party charges, etc. Organizing and directing employee daily duties, one- on-one training with patient account representatives, handle all phone calls from patients that are irate and wish to seek help from a supervisorl. Considerable knowledge of credit and collection policies and procedures, processing claims for third party sponsorship of patient accounts. Ability to organize assign and review work of subordinates. Ability to establish and maintain effective working relationships with associates, subordinates and the general public.
Tidewater Physician’s Multispecialty Group - Central Billing Office Newport News, Va
Patient Account Analyst September 2011 – April 2014
Responsible for posting all cash receipts and appropriate adjustments to patient accounts. Provide prompt and efficient operations of the billing process. Provide prompt and efficient operations of the billing process. Act as a liaison for the office and between subsidiaries, affiliate, finance, insurance, patient and other issues surrounding billing process. Monitored billing processes, accounts receivables, collections, data entry to assure accurate timely and compliant coding and submissions.
Sentara Home Care – Suffolk, Virginia
Administrative Secretary April 2008- October 2010
Responsible for distributing incoming referrals, faxing, fill supply order requests, maintain scheduling, answer incoming calls, daily patient assessments for upcoming surgeries, order medical and office supplies, accounts payables, data entry of physical therapy contact entries, handle incoming/outgoing mail, filing, scan, maintain patient records and billing. Process medical record requests from attorneys, insurance companies, audits, patients and subpoena’s. Process payments using credit cards, checks and money orders.
Children’s Hospital of the King’s Daughters
Insurance Verification January 2007 – April 2008
Receive incoming referrals and responsible for contacting insurance companies to verify patients' coverage and to obtain information concerning extent of benefits. Patient registration collects co-payments, answer incoming calls, and confirm appointments. Assist Physician Billing Representative with finance, insurance, patient and other issues surrounding the billing process.
DePaul Medical Center
Chart Analyst August 2005 – January 2007
View patient charts to insure physician signatures are provided on all needed admission, operative, and discharge reports. Handle all record requests from patients, insurance companies, other medical facilities, attorneys, audits, and subpoenas. Process payments using credit cards, checks and money orders. Answer incoming calls. Pull charts, and filing. Keep track of charts that are assigned to other departments in the hospital by using, Chart Locator and EMR Electronic Medical Record.
VA Oncology Associates
Billing Representative/Payment Poster August 2003 – August 2005
Responsible for posting all cash receipts and appropriate adjustments to patient accounts. Provide prompt and efficient operations of the billing process. Provide prompt and efficient operations of the billing process. Act as a liaison for the office and between subsidiaries, affiliate, finance, insurance, patient and other issues surrounding billing process. Monitored billing processes, accounts receivables, collections, data entry to assure accurate timely and compliant coding and submissions.
Sentara Healthcare
Front Desk Registration/Benefit Anaylst July 2000 – August 2003
Responsible for knowledge and shared responsibilities of front office, appointment scheduler on multiple telephone line system, checking in patients for appointments and checking out patients at the end of appointments, collect payments, balance cash receipts daily and assistant to financial counselor, verify health insurance, greeting and assisting efficiently and professionally patients and other customers that present to the practice with business other than appointments, assure timely delivery of patient services, functions in a multi-disciplinary environment which requires the application of excellent customer service skills, referral coordinator and charge entry. Entails the analyzing of claims submitted by physicians and facilities for payment through group health insurance plans.
REFERENCES GIVEN UPON REQUEST
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