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Manager Medical

Location:
Texas
Posted:
April 19, 2017

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Resume:

Objectives

I have over ** years of experience in the Medical and Clerical field. Excellent oral and written communication and

organizational skills. Reliable person and with the ability to learn quickly, punctual and adapt readily to changes. Able to work multiple priorities and meet tight deadlines with quality. Ability to read and Analyze EOB's. Works independently, and well with others.

Education

Ashford University – Bachelor of Arts, Finance

Minor, Early Childhood Development

September 2015 - Present

Kaplan College- Medical Front Office Specialist

March 2006 - April 2007

Experience

Fresenius Kidney Care- Plano, TX

May 2016 – Present

*Download various bank images to assigned file

*Post routine electronic and manual cash receipts, adjustments and denials; ensuring reconciliation of all posted data

*Balance electronic and manual cash receipts through the generation and analysis of necessary reports; resolving outstanding variances, errors and issues

*Refer to assigned work list in identification and resolution for routine transactions within the assigned functions

*Perform all responsibilities in compliance with company policies and procedures

*Assist with various projects as assigned by direct supervisor

Walgreens, Option Care- Irving, TX

October 2013 – May 2016

*Research, identifies and allocates all payments and ensures all cash is posted and distributed accurately within required time frames

*Post all payments and denials as they are received from lock box into the system

*Balances daily cash receipts against lockbox totals and submits to Reimbursement Manager for approval

*Completes Cash Rec on a daily basis and makes all entries into KIS

*Runs all AR reports necessary for month end reporting including reviewing the Cash Reconciliation and KIS entries

*Runs reports as needed or requested for the Reimbursement Manager

*Recognizes and reports bad debt, billing or collection issues upon immediate discovery

*Recognizes and reports any payer/insurance and or patient issues that could impact AR

Christus Health- Irving, TX

December 2012 – October 2013

*Accounts Receivable

*Upload batches from lockbox and from electronic funds transfer

*Post and balance cash receipts, and make proper adjustment to AR

*Manually post patient payments, credit cards, and electronic payments

*Performs research to resolve missing or misapplied payments

*Print, Sort and Distribute Lockbox EOB’s

*Work/Maintain Unapplied spreadsheet

*Process and Mail Live Checks

*Research patient refunds from Collect Logix/Meditech with 24 hour turn-around

*Assist with new training

Schumacher Group- Dallas, TX

January 2011 – September 2013

*Patient’s look-up, San and Index Medical Authorization/Refund Request/Response Letters

*Issuing/Entering Unapplied Invoices for Payments Department

*Posting Rejection Codes B100 and Binpro for BCBS

*Research ETM items and Patient accounts

*Log/Send and Coordinate with Offshore team daily to ensure indexing is processed timely and efficiently

*Prepare deposit to be scanned into Teleform/Centricity system

References

Upon Request



Contact this candidate