Medical Human Resource
Resume:
Misty D. Gardea
Shawnee, OK *****
***********@*****.***
Misty D.Gardea 785-***-****
Patient Account Representive ***********@*****.***
Education –
Owyhee High School, Owyhee NV 89823 – 1990
Pinnacle Career Institute, Lawrence, KS, Associates in Medical Coding & Billing June 2009-April 2010
Work Experience –
Patient Account Representative –
August 2010 - January 2017
Region 41 Billing Center
1025 N 3rd St Ste 125
Lawrence, KS 66044
Supervisor – Kara Hatfield Phillips, phone 785-***-****
LINCARE – REGION 41 BILLING CENTER
Lawrence, Kansas
Verified patient Medicaid eligibility in AS400 system from 30 different centers throughout Kansas, Missouri, Oklahoma, Nebraska, South Dakota, Iowa, Colorado, and Montana.
One of the few selected for an acquisition project lasting two months while working 10 to 12 hour days to complete project within the allocated time frame.
File and properly store nursing home and hospice accounts of patients who have expired.
Review and process secondary hardship applications for patients financially unable to pay any amount of any durable medical equipment needed to sustain a comfortable life.
Adjust dollar amounts to bring accounts current allowing patient to financially manage account.
Submit claims electronically and manually for centers in the Montana, Colorado, Missouri, Oklahoma, South Dakota, and Iowa.
Collection of Medicaid accounts from $75,000.00 to $100,000.00 a month, as well as answering phones with any patient issues or concerns.
Provides guidance and back up for new account data entry when needed.
Serves as an advocate for patients in finding alternate resources to help them financially.
Verifies eligibility for private medical insurance, Medicare and Medicaid.
Advises patients of non-payment or denial of claims.
Third party billing responsible for maintenance and billing control of unbilled claims
Able to identify discrepancies in medical documentation
Prepares and able to submit electronic to third party payers and intermediaries
Able to evaluate claims and patient accounts for alternate resources
Medical Billing Clerk
April 2010 – August 2010
First Med
2323 Ridge Court
Lawrence, KS 66046
Human Resource - Sue Salee, phone 785-***-****
FIRST MED
Lawrence, Kansas
Handled confidential patient information by filing and coding patient charts from doctor’s notes.
Gained experience with Medical Manager Software while updating demographic and personal information.
Updated workman’s compensation files for office. I properly disposed of confidential documents of patients who are no longer with facility
Advises patients of non-payment or denial of claims via letter.
Verified eligibility for private medical insurance, State assistance, Social Security, Medical and Medicaid.
Serves as an advocate for patients in finding alternate resources to help them financially.
Sent out collection letters for delinquent payments
Replenishment Driver
June 2001 – June2009
Kmart Distribution Center
2400 Kresge RD
Lawrence, KS 66049
Dirk Muncy 785-***-****
KMART DISTRIBUTION CENTER
Lawrence, Kansas
Maintained quality standards while consistently meeting production quota by fork truck, stand up tug, stock pickers, viper, turret truck and pallet jack.
Received various awards for safety compliance.
As an associate I accurately entered stocking information into the data base.
Properly inventoried merchandise by hand and Warehouse management System.
Gained experience in receiving, put away and shipping departments along with tasking associated with different assignments.
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