Customer Service Insurance
Resume:
Lamona (Pat) Richardson
***************@*****.*** 214-***-****
Skills
Collected unpaid claims from Blue Cross and Blue Shield insurance companies.
Corrected claims and refilled for payment
Called insurance companies for claims status updates
Answered fifty to eighty calls per day in an efficient manner
Handled hospital claims,UB.04 with attached information
Computer software used
IDX/PCS Excel
Meditech Microsoft word
Centricity-10 Revenue cycle
Allscripts Realmed Claims
Instamed GE system
Brightree Payment posting system
Professional Experience
US Anesthesia Partners Inc.
Charge Entry Specialist
Entered All Charges from patient anesthesia hospital and clinic
Charges with diagnosis and procedure codes. Created batch tickets that
Are needed to update patient demographics. Keep a daily log of count for
Production and management review.
Inogen Oxygen Inc.
Patient Reimbursement Posting Advocate May 2015 – August 2015
Posted All unapplied payments for Medicare, Medicaid
UHC,BCBS, Commercial and posted patient credit cards
and corrected all EFT,s and transferred balances to correct
Deposits for Manuel and electronic payments.
Researched all unclear accounts and posted all Denials with
Coding reasons keep all deposit records for supervisor approval.
Concentra Urgent Care May 2013 - January 2014
Cash Payment Poster Specialist
Posting Zero payments and Insurance Denials codes
Correcting adjustments per EOB,s
Ready files for Account Receivables to review denials
Make sure all batches are closed daily
Posting Deductibles and zero payments
Med3000 October 2012 - December 2012
Customer Service Representative
Answer patient calls to assist patients with doctor
Statement, process patient credit card payments on
Outstanding balances, submit refunds on over payments
Request adjustments, review coding errors
FTGU Medical Consulting June 2012 – August/2012
Payment Poster/Patient Account Representative
Followed up on denied claims
Assisting patient accounts with their patient statements
Processing Credit card payments and posted payments
Pulling EOB’s for refund processing
Reprocessing claims to In network deductible
Ameripath Lab October 2010 - December 2010
Collection Specialist (contract)
Collected unpaid claims from Blue Cross and Blue Shield insurance companies.
Corrected claims and refilled for payment
Reviewed EOB’s to ensure appropriate refund
Temp Agency February 2007 - November 2009
Billing/Payment Poster Representative
Answered fifty to eighty calls per day in an efficient manner
Handled patient collections, post patient insurance payments
Updated and corrected patient information and file claims
Corresponded with insurance companies and patients
Posted payments
Reviewed denied claims
Sent adjustments per (EOBS)
Baylor Healthcare System August 2003 - August 2006
Customer Service Specialist
Answered fifty to eighty calls per day in an efficient manner
Handled hospital claims,UB.04 with attached information
Updated and corrected patient information and filed claims
Managed correspondence with patient accounts
Called insurance companies for claims status updates
Collected patient payments
Education
Newmans Smith High School, Carrollton, TX
High School Diploma
National Education Center – 1990-1991 Medical Assistant Program
Dallas, Texas
AHIMA – Currently in study for Coding associate program – online 2016
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