Customer Service Data Entry
Resume:
Valerie Pridgen
GA 30038
Dear Hiring Manager,
I am very interested in this position because my experience as a biller, collector, and clinical appeal analyst with several healthcare facilities has prepared me for a productive work flow and the challenges of producing quality work. I am looking forward to using my experience and education to enhance my knowledge and skills in this growing industry.
I would appreciate the opportunity to meet with you to discuss my credentials and familiarity with the many medical reimbursement issues that would best meet the needs of your company.
I look forward to meeting you.
Sincerely yours,
Valerie Pridgen
Enclosure: Resume
Valerie Pridgen
Skills Microsoft Excel, Microsoft Word, Visual Data Entry, Health Logic Billing Systems, SSI Billing, RCOM Tool, Meditech, Host System, DDE System, MIDAS, System, Artiva System
Objective
To secure a professional and challenging position that provides increasing responsibility, personal growth with utilizing my skills and knowledge as a Reimbursement Specialist.
Employment 07/2003-Present HCA/Parallon Business Solutions Norcross, GA Government Billing Specialist, Collector, Clinical Appeal Analyst
• Maintain and update information from RCOM tool and remittance advice. Correspond with Medicaid and Medicare to follow up on status and payments of accounts; inputting results into the collection system. Correspond with physician office for authorization of services for patients. Provide information necessary to obtain payment, i.e. EOB, coordination of benefits, medical records. Appeal claims for reconsideration of payment. 2002-2003 Tenet-Syndicated Office Systems Atlanta, GA Insurance Follow-up
• Follow-up with insurance companies to resolve claims. Bills claims where insurance does not show receipt of claim. Provide information necessary to obtain payment, i.e. primary EOB, coordination of benefits, medical records. Appeal claims for reconsideration of payment. Patient contact as necessary for additional information and/or clarification.
2000-2002 Tenet-North Ridge Medical Center Ft. Lauderdale, FL Medical Billing Specialist and Collector
• Follow-up with insurance on Medicaid accounts primary and Medicare supplemental accounts. Apply appropriate discounts and adjustments. In addition I also submitted rebill request accordingly. My duties included assisting patients with account inquiries as well as preparing Medicare Bad Debt Accounts for write off.
1998-2000 Magellan Specialty Health Ft. Lauderdale, FL Claims Processor
• As a claims processor, my responsibilities were to input data on HCFA 1500 forms and access utilization information from the system to accurately process or deny claims for payment.
1997-1998 Neighborhood Health Partnership Miami, FL Claims Processor
• As a claims processor, my responsibilities were to input data on HCFA 1500 forms and access utilization information from the system to accurately process or deny claims for payment.
Education 2009-2013 DeVry University Decatur, GA
• Associate of Applied Science
1992-Certificate Sheridan Vocational Tech Hollywood, FL
• Medical Terminology
1981-Diploma Dillard High School Ft. Lauderdale, FL Achievements Dean’s List –Spring ‘2011
Dean’s List –Summer ‘2012
Member of AHIMA
Member of the National Society of Leadership & Success References
Stephanie Jones- Collections manager
5707 Peachtree Parkway
Norcross, GA
Jayceta Davis-Billing Analyst
P.O.Box 465844
Lawrenceville, GA 30042
Renita Moore – Account Manager
1901 Phoenix Blvd #200
College Park, GA 30349
Mary Jane Randall-Payroll Specialist
3319 Fernview Drive
Lawrenceville, GA 30044
Contact this candidate