Third Party Entry Specialist

Kelly Flinn

*** ****** ******, ****** *****, SC *9566

*****.*****@*****.*** - 609-***-****

Objective

To secure a responsible position that best utilizes my organizational skills and encourages advancement.

Experience

Financial Counselor

Children’s Hospital of Philadelphia – Philadelphia PA

2015 - Present

Insurance eligibility and verification of benefits.

Responsible for obtaining non participating authorizations for office visits.

Document authorization information precisely and completely in the auth/cert field along with the guarantor note fields in EPIC.

Prioritize daily requests based on date of service, insurance carrier requirements, unexpected date change or urgent request, while processing the request within department standards.

Work closely with Office Coordinators to ensure that all visits are covered.

Provide direct contact with parents and families by educating them on the authorization process and how their benefits are covered and discuss with them any out of pocket expense that may happen due to non covered services.

Charge Entry Specialist – Hem/Onc

Cooper University Hospital – Voorhees NJ/Camden NJ

2011 - 2015

Prepare the Chemo Infusion Fee sheets and the Office Visit Fee sheets and enter all charges into the IDX, Flowcast and Health Quest computer systems.

Review all insurance information and verify benefits and eligibility.

Add referrals and authorizations to the visits when needed.

Enter Diagnosis codes for all patients seen.

Insurance Payment Poster – Office of Patient Accounts

Children’s Surgical Associates – Philadelphia PA

2005-2011

Identify problems at the initial payment posting phase and post payments within two days of receipt in both IDX and EPIC computer systems.

Review and update patient accounts, communicate with patients requests in a timely matter.

Re-submit claims as deemed necessary per policy requirements.

Post third party payments indicating deductible, co-pay, co-insurance amounts over reasonable and customary.

Outpatient Coordinator – Urology

Children’s Surgical Associates – Philadelphia, PA

2003-2005

Schedule patient appointments and radiology studies as ordered.

Update patient registration information

Verify insurance information

Handle all incoming concerns and resolve issues in a timely manner.

Office Assistant – General Surgery

Children’s Surgical Associates – Philadelphia, PA

2002-2003

Prepare and file patient charts.

Distribute daily progress notes to inpatient charts and Health Information Management,

Perform clerical duties as assigned; including routine correspondence and file maintenance.

References

Available upon Request

Contact this candidate