Keyonda Meekins

Newark, NJ *****

Professional Summary

Highly skilled Documentation data entry expert with over 9 years of experience in regulated industries such as Pharma, Healthcare, Credentialing, Medical Billing, and Collection and Reimbursement.

Has a strong background in billing, claims, credentials, and AR invoice management

Expertise extends to outbound phone calls and effectively working with a variety of Accounts Receivable reports. Throughout the career

Demonstrated the proficiency in generating and analyzing crucial AR reports including aging reports, cash flow projections, and collection performance assessments.

Possesses a keen eye for identifying trends, risks, and opportunities within accounts receivable, allowing provide valuable insights and recommendations to management, resulting in improved cash flow and reduced bad debt.

Actively contributed to process enhancement efforts by assisting the controller in creating and implementing new financial systems, procedures, and policies.

Have significantly strengthened controls and streamlined the Accounts Receivable processes.

Skills

Pharma

Salesforce

Clerical Support

Mailing

Scanning

Faxing

Documentation

PDF

SSA

DDA

DFCS

Cross-Functional Communication

NPI

Microsoft Suite

Time Management

Organization

Frameworks

Detail Oriented CAQH

EMR

AR invoice, claims, credentials and billing

Education/Certificates

Associate degree in insurance Coding & Billing Administrator from Dover Business College – Clifton, NJ.

Certified Personal Coder Eligible from Medical Coding for Professionals School – Linden, NJ.

Professional Experience

Novartis Jan 2023- May 2023

Reimbursement/ Data Entry Specialist

Responsible for billing, data entry and securing payments

This includes reviewing and/or securing prior authorizations and required documentation, order confirmation,

Outbound phone calls, working on a variety of Accounts Receivable reports.

Assisting providers through the billing, reimbursement, and appeals process.

Collects and reviews all patient insurance benefit information.

Completes and submits all necessary insurance forms in a timely manner as required by all third-party payors for prior authorizations. Tracks and follow-up on prior authorization requests.

Reports all Adverse Events (AE) disclosed.

Receiving and recording customer payments through various channels (e.g., checks, electronic transfers).

Matching payments to corresponding invoices or customer accounts.

Resolving discrepancies or issues related to payments.

Administering office supply receipts and other office supplies

Reconciling accounts payable and receivable balance (if any) daily.\

Filing and retrieving household utility invoices

Gain well (NJMMIS) Sep 2021- Jan 2023

Credentialing Analyst/Data Entry/AR Specialist

Reenrolled and credentialed for Medicaid.

Researched, and organized information from emails, faxes, and mail into appropriate MS Excel Spreadsheets.

Looked up the license and DEA numbers.

Sent out re-enrollment applications.

Input updated information into the Medicaid system and occasionally spoke with the Provider on the phone.

Pulled relevant data from the state system and documented any updates needed in the account.

Scanned documents into Adobe Acrobat to be placed in appropriate MS Excel Spreadsheet.

Generating and analyzing AR reports, such as aging reports, cash flow projections, and collection performance.

Identifying trends, risks, and opportunities related to accounts receivable.

Providing insights and recommendations to management for improving cash flow and reducing bad debt.

Maintaining accurate and organized records of customer invoices, payments, and correspondence.

Updating customer account information, such as contact details, billing addresses, and credit terms.

Ensuring compliance with accounting and audit standards for record-keeping purposes.

Reconciled customer accounts and resolved discrepancies and outstanding balances.

Investigated and resolved discrepancies between invoices, payments, and customer records.

Monitored and followed up on overdue payments and outstanding invoices.

Assisted controller in creating and implementing new financial systems, procedures, and policies to strengthen controls and streamline A/R processes.

Provided directions to clients via phone to our office location, including the office address and available commute options via train or bus. In addition, provided guidance on parking and entry location upon arrival.

Job gap due to Covid. Mar 2020 to Sep 2021

Internal Affairs, NJ Jan 2020 – March 2020

Credentialing Analyst/ Data Entry

Provided administrative support.

Took scanned, handwritten sheets sent via email using Adobe Acrobat and copied them to an appropriate Excel spreadsheet, and sent the spreadsheet out to key recipients daily.

Worked with PDF files and scanned documents with heavy data entry via Adobe Acrobat.

Effectively organized work and coordinated with other team members to avoid duplicate work.

Prepared folder for the board of commissioning and license to approve.

Maintaining the billing system

Generating invoices and account statements

Performing account reconciliations

Maintaining accounts receivable files and records

Producing monthly financial and management reports

Investigating and resolving any irregularities or inquiries

Assisting in general financial management and analysis

Trinity Group (Pivot Point Consulting) Oct 2019 – Jan 2020

NPI/Credentialing Analysts

Reviewed pairs/lines provided on websites provided.

Verified NPI numbers for providers/clinicians in appropriate MS Excel Spreadsheet.

Verified the provider license in the Acela system.

Quality control identified credentialing issues that require additional investigation or evaluation.

Input all the correct credentialing information documentation processes provided by the client to indicate the next steps for actions in Epic.

Email packages back to admin for processing

Used Excel Spreadsheets to adjust information as needed for clients to send out to key recipients daily.

Used Adobe Acrobat as needed to scan and upload documents into relevant MS Excel spreadsheets.

Assisted controller in creating and implementing new financial systems, procedures, and policies to strengthen controls and streamline A/R processes.

Preparing final invoice to be signed by the customer

Tracking the status of invoices if any payables are late, unpaid, disputed, etc.

Collecting past due invoices, if any

Collecting bad debts for outstanding balances

Processing non-customer cashier checks and money orders paid by customers

Partners Pharmacy, Springfield NJ May 2019 – Sep 2019

Billing/ Data Entry/ Claims Representative/ AR Specialist

Tracked and entered daily census for assigned facilities.

Handled re-bill rejections resulting from status changes for assigned facilities in Frameworks.

On a weekly/bi-weekly basis, reviewed the pre-billing report for their assigned facilities.

On a monthly basis, contacted Unisys, CMS, and facilities to follow up on pending Medicaid statuses.

Kept complete files for each Med B patient on MS Excel Spreadsheets.

Maintained MS Excel Spreadsheet to monitor medications taken by patients and how long they have been on specific medication before the date of death.

Tracked all rejections by doctors and pharmacies relating to Medical expenses via MS Excel Spreadsheets and attempted to reconcile them via phone.

Updated the system with a face sheet or EMR information from residents in their assigned facilities.

Followed Up on rejection with doctors and facilities for necessary billing information.

Reconciled claims for secondary billing.

Researched the different reconciliations for each state in Framework.

Retrieved patients’ insurance and billing information and their medications list from Docu track systems.

Replied to all emails and phone calls Responsible for following State collection guidelines.

Customer payment analysis, tracking & updating daily cash deposits & report, Processing Credit Applications & Credit Limits.

Monitor customer account details for non-payments delayed payments & other irregularities.

Review AR aging to ensure compliance.

Maintain accounts receivable customer files & records

Becton Dickinson-Franklin Lakes NJ July 2018 - Oct 2018

Administrative Support Associate/ Data Entry – Recall Distribution Department

Took scanned, handwritten sheets converted through Adobe Acrobat sent via email and copying them to an Excel spreadsheet and sending the spreadsheet out to key recipients daily. Utilized MS Excel Daily.

Familiar with working with PDF files and scanned documents

Ability to efficiently organize work and coordinate with other team members to avoid duplicate work.

Used Adobe to scan expired medication and transferred to the appropriate MS Excel Spreadsheet.

Documented in MS Excel Spreadsheet where the medication came from, who sent it out, and what was done to medication to send out to key recipients at the end of the day.

Prime Health Care, Denville NJ Dec 2017- May 2018

Claims /Billing Account Resolution Analyst

Provided general administrative and clerical support including mailing, scanning via Adobe Acrobat, faxing and copying to management.

Maintained electronic and hard copy filing system via MS Excel Spreadsheets.

Opened, sorted, and distributed incoming correspondence.

Performed data entry and scan documents via MS Excel and Adobe Acrobat.

Data maintained in Excel Spreadsheets includes, but is not limited to: Billing Medical Claims, Reconciliation, Payment for Managed Care Accounts, Medicare, DDE Denials, etc.

Monitored overdue accounts via MS Excel Spreadsheets.

Received payments and posted amounts paid to customer accounts in appropriate MS Excel Spreadsheets.

Communicated clearly and efficiently by phone and email with patients, and insurance companies via MS Suite and by phone.

Responsible for following State collection guidelines.

Created Excel Spreadsheets to organize patient follow-ups and any denials/issues with coverage.

Care Point Health, Jersey City, NJ May 2017 – Aug 2017

Admin Credentialing / Data Entry(Contract)

Credentialed Sending Verification Documents via MS Suite.

Verifying Items and Completing Tasks

Identifies the CAQH Type and code of the record.

Automatically check CACTUS - this option is when the license type selected is "State License”, DEA Certificate", or is a Group provider.

Credentialing Records may be viewed in the Credentialing/Verification systems.

Input data into an appropriate MS Excel Spreadsheet and upload any relevant scanned documents from Adobe Acrobat.

United Health Group, Iselin NJ Jan 2017 – May 2017

Admin Coordinator/ Data Entry (HEDIS)

Kept track of data received/maintained files via MS Excel.

Scheduled appointments/ faxing records.

Answered phones and entered corrected data in the computer.

Contacted provider offices to request medical charts HEDIS QARR reporting processes.

Documented all requests in appropriate systems and worked with management to overcome any barriers to retrieving medical charts.

Reviewed error reports and entered corrections into the computer.

Compiling, sorting, interpreting, and verifying data to be entered.

Utilized Healthcare background/ Medical terminology knowledge.

Put our Nurses and doctors and make sure the diabetes count is correct.

Horizon BlueCross Newark, NJ Jan 2016- Apr 2016

Administrative Assistant - Credentialing Department (Contract)

Screened inquiries for referral to appropriate areas within the division or company.

Provided the manager and/or other staff members with complete and timely background information on all telephone calls and correspondence.

Created and maintained files and records (including electronic files).

Supported the department by assisting with administrative and special projects as assigned by the manager.

Prepared and typed routine and correspondence and memos via MS Word and Outlook.

Tracked and maintained attendance records for regular submission via MS Excel Spreadsheets.

Created, developed, and maintained databases related to departmental activities and special projects via MS Suite.

Provided clerical support to departmental areas as needed.

Worked all return mail do the research provider to get the correct information.

Prepared the approved credentialing contract’s to be mailed out to the providers.

Reviewed and researched different projects and reports.

Edmond Chamberlain, Hoboken Hospital, NJ Feb 2013 – Dec 2015

Document Specialist /Audit Associate

Printed and scanned scorecards using Adobe Acrobat for all approved accounts.

Kept the chart room organized at two different facilities and patient information confidential.

Received incoming calls from agencies, clients, and hospital staff to identify information and take appropriate actions needed. Prepared application packets. Checked Medicaid Eligibility Status.

Scanned Medical Recorders into the hospital system via Adobe Acrobat. Requested bills and medical records.

Submitted claims to vendors for final billing for Medicaid, Commercial Insurance, and Charity care program.

Maintained and updated relevant MS Excel Spreadsheets to reflect current data for all accounts.

Worked all return mail do the research provider to get the correct information.

Prepared the approved credentialing contract’s to be mailed out to the providers.

Reviewed and research different projects and reports.

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