Education

Hillside High School

Durham, NC June *995

Qualifications

Certifications: CPR and First Aid

Office Skills: Telephone & Front Desk Reception, Customer Service, Dialysis, Chiropractic Assistant, Patient Care, Database & Records Management, Executive & Medical Record Documentation, Medical Billing, Insurance Verifications, and Data Entry (50WPM).

Computer Skills: AS400, Medic/Medical Office, Siebel, IMS, Omni, ARISg, CDE, IRT, NC Tracks, Alpha Portal, Microsoft Office and Windows.

Work Experience

EmCare Durham, NC August 2016 to present

Enrollment Specialist

Prepare applications for all new providers for up to 10-12 divisional contracts.

Send pre-populated applications to the providers for completion.

Requires acute detail-orientation for responsibility of accuracy of forms and information pre-populated on the enrollment applications.

Track and follow up with providers for timely return of all required documents and applications.

Submit applications to payors.

Track and follow up with payors to obtain provider numbers.

Build relationship with divisional payors to facilitate enrollment.

Proactive on resolution with payors.

Work with Billing Company for current applications and system updates.

Maintain and work reports of non-compliant providers and held A/R.

Strong computer skills in Microsoft Word, Excel and databases. (Intermediate level)

Daily work with Excel spreadsheets in managing providers, contracts and payors.

Capable of working independently.

Build knowledge base for payor requirements and forms.

Develop strong working knowledge of payor policies for multiple states.

Ability to work with high volume enrollments. (example: 10 contracts with 40 providers per contract)

Responsible for significant large dollar amounts in Held AR.

Establish strong relationships with team members.

Resourceful working under pressure in a fast-paced team environment.

Capable of meeting time-sensitive deadlines and multi-tasking. (timely filing of applications)

Accountable for corrections or rejections of claims due to enrollment errors.

Adhere to all company policies and procedures.

PPD (Green Key Resources) Morrisville, NC February 2016 to May 2016

Safety Admin II

Completes initial data entry of adverse events in the safety tracking system and/or safety database.

Logs information into the tracking systems. Uploads documents received within the designated document repository.

Applies acquired job skills and company policies and procedures to complete assigned tasks.

Assisted with determining, creating, and conducting required safety and health training for all employees.

Create EHS training and informational presentations.

Conduct job hazard analysis and risk assessments.

Sunrise Clinical Associates Durham, NC May 2013 to November 2015

EHS Support Admin/Medical Records Clerk

Create new medical records and retrieve existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; delivering records.

Conduct monthly and annual safety audits, as well quarterly company-wide safety talks with focus on specific workplace safety & health issues or concerns.

Answers telephone and route calls and messages.

Assisted with determining, creating, and conducting required safety and health training for all employees.

Schedule doctor appointments, assessment and coordinating intakes.

Complete and maintain OSHA 300 logs, other required federal, state, and local environmental, safety, and health record-keeping documents.

Create and maintain EHS standard operating procedures.

Back to Health Chiropractic Durham, NC May 2011- December 2011

Chiropractic Assistant

Answers telephone and route calls/messages and other duties assigned by management personnel.

Assist with prescribed therapy treatment and doctor/patient liaison.

Create/file patient charts, schedule appointments, and manage patient flow.

Insurance verification, insurance coding and billing, collections, cash handling and post payments.

Medical Supply Superstore Durham, NC February 2009 -February 2010

Retail Sales Clerk

Stock shelves, order merchandise, inventory of products, handle/ routed incoming calls and keep record of sales.

Assist customer with product information/ rentals and set up displays/arrange merchandise on counters/tables to promote sales.

Insurance verification, remove/record amount of cash in register at end of shift and stamp, mark or tag price on merchandise.

Carolina Behavioral Care Durham, NC May 2008 - December 2008

Patient Care Coordinator

Check patients in/out; interact with involved departments to negotiate/expedite scheduling, post payments and coding and billing.

Answer/route incoming calls, create, file and pulled patient charts for scheduled appointments and updated database with new and updated information.

Insurance verification, correspond with pharmacies regarding patient prescriptions & basic administrative duties.

Customer Service Specialist October 2006 - October 2007

Blue Cross Blue Shield Durham, NC

Research claims, explanation of benefits and billing.

Handle & route incoming calls.

Insurance verification & basic administrative duties.

Ability to manage multiple projects, assimilate and analyze large quantities of medical data.

Provide exceptional customer service and interact with a varied customer base.

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