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Customer Service Data Entry

Location:
Arlington, TX
Salary:
Open
Posted:
April 26, 2017

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Resume:

ALICE JACKSON

**** ******** ******, ***** *****

214-***-****

EXPERIENCE

** ****- ******* ******** *********

January 2017 Patient Account Rep.

P

Spread sheets

Accounts Receivable

September 2015 Navigate Cymetrix

May 2016 Patient Account Rep.

Collected on past due Medicaid Managed care accounts,

Reading EOB’s and reviewed insurance claims and denials

Called insurance companies regarding denials, and re-bill claims not on file and sending request to clients for denials that are due to coding issues

Submitted appeals and have claims that denied in error sent back for reprocessing

January 2015 to Baylor Scott and White

May 2015 Collectors/Follow up-Contract

Performed follow-up collections with insurance companies through internet and phone

Billed secondary insurances for payments never received

Electronic billing on EPIC

Performed follow-up collections with insurances companies

January 2015 to Healthcare Solution Staffing

May 2015 Accounts Receivable Representative-Contract

Worked heavily from spreadsheets to zero out A/R balances

Performed follow-up collections with insurances companies

April 2013 to First Choice Emergency Room

April 2014 Billing/Collections Representative

Billed customer for 30, 60, 90, 120 day letter

Took payments over the phone and set up a payment plan for customers to pay monthly.

Performed Commercial Follow-Up- handled denials/appeals

Explain customer accounts-complete

Customer service

Jan 2012 to Methodist Charlton

Feb 2013 Billing/Collections Specialist

Set up payment arrangements and collected payments

Helped patient with their accounts

Performed adjustments-overpayments/underpayments

Correct discrepancies with accounts

Performed Self-Pay collections

December 2006 Ameripath

To June 2011 Billing Specialist

Electronic billing on Medi Systems and performed collections

Follow up on claims

Performed adjustments-overpayments/underpayments

Collected on primary and secondary Medicare, Medicaid, Commercial, third party, and self pay.

March 2006 to Volt Management Corp

September 2006 Commercial Collector-Contract

Collection-Commercial Accounts

Self-pay, Government, and Commercial insurances

United Healthcare, Aetna, Blue Cross Blue Shield, etc

June 2005 to Quest

October 2005 Billing Specialist-Contract

Keyed Data from Requisitions

100% Data Entry

October 2005 to CTI Collection-Contract

March 2006 Commercial Collector

Completed collections on old accounts

Light medical Collections

Performed full cycle Commercial Collections

December 1999 to Texas Oncology

October 2004 Account Receivable Specialist II & Patient Account Specialist II

Duties included denying claims for three A/R doctors: Dr. Jones, Dr. Orr, & Dr. Wilcox.

Responsible for completing refund accounts and adjustments. Audited credit balances on reports.

Submitted refunds to Insurance Companies and Patients.

Completed adjustments on accounts. Responsible for completing some payment posting.

EDUCATION Mountain View College, Dallas, TX

Basic Theology-Southern Bible Institute

Associate Degree in Applied Arts and Science

Business Management

COMPUTER SKILLS Microsoft Office: Word, Excel etc., WordPerfect, Windows Applications

Data Entry & Filing, Psimed Word Processing, Fisacure (two databases),

Daybreak, Dialer, Parkland Plus, etc., Medi System



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