Ebony King
acx39r@r.postjobfree.com Cell phone: 314-***-****
A self-motivated and goal oriented person with successful experience in perfecting and developing new skills through highly innovative prospecting methods and closely coordinated team efforts. Recognized for exceptional achievement and the ability to create, trust, and build lasting business relationships
Professional Experience
08/2015-present Conifer St. Ann, MO
Claims Analyst
Working knowledge of all aspects of insurance claim filing, regulatory requirements
billing and denials for acute care providers. Proficient in Availity, Ace, Ms4, Meditech, Soarian, Med assets, Cerner, Epic ExPro, Epremis, SMS Invision, Claim Source, Citrix, and IDX systems. Place outbound calls to insurance companies, guarantors, patients, providers, and facilities. Analyze inventory to determine best next action to quickly resolve the accounts. Electronically determine claim status. Ability to remain flexible as this position works on several different clients at one time. Heavy data entry. Sufficient in appeals f/up and denials.
08/2013 – 01/2015 Deer Valley Home Health St Louis, MO
Account Receivables Representative
Called on Medicare, Medicaid, and Commercial insurances. Verified insurances and called on denied/underpaid claims. Utilized accounting software (CMS, Excel, Word) to perform daily duties.
Generated accounting statements and reports. Researched cash receipts, coding and posting of receipts/unallocated cash. Oversaw trust accounts, accounts receivable write-offs and payment reversals
Developed automated spreadsheets. Provided monthly financial and management reports
02/2013 – 08/2013 Christian Care St. Louis, MO
Certified Nursing Assistant
Assisted patients to eat, dress and bathe
Turned and re-positioned bedridden patients to prevent bedsores
Observed patients' conditions
Measured and recorded food and liquid intake
08/2011 – 01/2013 Convergys Arnold, MO
Account Representative
Researched charges, collected payments, and set up billing
Documented customer interactions and transactions in database
Provided customer service and upsold products/services
Updated demographics and order details
Education
High School Diploma Gateway Institute of Technology St Louis, MO