Frances Goggans

**** **** ***** ** *** Antonio, TX 78245

210-***-****

aczghh@r.postjobfree.com

SUMMARY OF EXPERIENCE

I have been in the Medical field for 20 years with the last 15 years working with Commercial, Medicare and Medicaid Insurances directly.

Proficient in Centricity, Availity, Myability, DDE, Microsoft Word, Microsoft Outlook and Excel Spreadsheets Whisenton State Farm, San Antonio, TX Insurance Producer April 2016 - September 2016

● Gather Prospects and Leads

● Sale Life, Health and Accident Insurance Products

● Sale Auto, Fire, and Bank Products

Medtronic, San Antonio, TX Collector II

December 2011 - September 2015

● Reviewed Hardcopy and Electronic Claims for processing

● Screened patient eligibility for new patients

● Re-verified DME insurance for both primary and secondary payers and obtain retro authorizations if needed

● Follow Up on outstanding claims and obtain any and all outstanding Insurance payments

● Work AR and maintain accts to remain under 90 days

● Reviewed EOBs for Reimbursement

● Processed denials and submitted Disputes, Reconsiderations and Appeals KCI, San Antonio, TX Claims Specialist II

September 2006 - D ecember 2011

● Reviewed medical documentation submitted by physicians and hospitals

● Verified primary and secondary DME benefits. Obtain current, retro and continuous authorizations and referrals

● Processed and released DME orders and contact patients and physicians with cost share if needed Institute For Women’s Health, San Antonio, TX Front Desk/Billing Specialist July 2001 - September 2006

Front desk

● Checked in Patients for four Physicians and one mid-level Nurse Practitioner

● Collected Copays and Deductibles

● Answered phones and scheduled appointments

● Pulled and faxed out Medical records

Billing Specialist

● Verified patient eligibility, obtained benefits, and obtained authorizations from Primary and Secondary insurances

● Obtained Referrals from PCP's

● Scheduled any outpatient tests that were ordered by the Physicians

● Created OB/GYN contracts for patients and reviewed with them their Deductible and Coinsurance responsibility

● Posted Charges and Insurance Payments

EDUCATION

National Institute of Technology, San Antonio, TX Medical Assisting 1998 LICENSES/CERTIFICATIONS

General Lines Life, Health, HMO and Accident License Obtained 12/5/2015 General Lines P&C License Obtained 4/5/2016

FFM 2016 and 2017 Certified in Individual and SHOP

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