Data Entry Service Clerical Billing and Collections

Kathleen J. Vaughn

*** **** ***** ****** ******, MO 64012

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

PROFESSIONAL EXPERIENCE

HCA MidWest Pain Management (PRN) A ugust 2016 - November 2016 Insurance Verifier / Admissions

● Contact Insurance Companies for patient benefits with procedure codes

● Using the out of pocket, deductibles, coinsurance and copays to determine how much of the allowable the patient will be responsible on the date of service

● Call the patient to let them know how much to bring to their date of service and answer questions they may have regarding what they owe and why

● Currently in training for admissions: checking patients in, collecting money due for date of service, going over paperwork that needs to be signed and adding the days profits to be posted

Allergy and Asthma Care, P. A. March 2015 - February 2016 Billing/Collections

● Ran reports with patient balances and decided if patient receives letter or phone calls

● Kept track of 1st, 2nd and 3rd letters and got collection approvals from the Doctor’s

● Made and answered phone calls to help patients make or set up payment arrangements

● Ran credit card payments and sent receipts

● Scanned explanation of benefits and sent copies attached to Primary claim forms

● Sent collection approvals with needed paperwork to collection agency

● Kept track of payments and Bankruptcies from collection agency Mid-America Physician Services/Women’s Care Division January 2004 - October 2014 Patient Account Representative

● Worked closely with patients on their accounts including collecting patient information, making payment arrangements, and explaining insurance benefits

● Prepared reports and generated letters to aid in payment collection for 1200 accounts per month

● Coordinated self-pays, medicaid, and insured patients with adoption agencies

● Processed accounts receivable and prepared bank deposits

● Processed patient accounts for and collaborate with collection agencies

● Received bankruptcies and contacted Attorneys when needed

● Met with the Doctors, once a month, to discuss Collection Approvals Sabates Eye Centers June 2001– May 2003

Billing and Collections

● Posted referral information, entering PVP Authorizations and called Primary Care Physicians

● Pulled Primary EOB’s to send with secondary claims; sent Dr’s notes to Insurance Co’s.

● Sent monthly statements and handled all incoming calls related to payments P ro Staff A ugust 1997 - May 2001

Temporary Support Employee

● Hoechst Marion Roussel, Inc - Switchboard duties for 2000 employees; light clerical duties

● Omnicare Pharmaceutical - Data entry; submitting prescriptions online to Pharmacies

● St Joseph Health Center - Basic data entry and filing for Human Resources department

● O’Reilly’s Corporate Office - Basic Receptionist duties ADDITIONAL SKILLS

Proficient in NextGen database, Outlook

Basic knowledge of Microsoft Word

Exceptional People skills

Very detail oriented

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