A R Follow Up
Resume:
PROFESSIONAL PROFILE
Althea G. Ashford
Winnsboro, SC 29180
Cell 803-***-****
Home 803-***-****
E-Mail: *************@*****.***
HIGHLIGHTS OF QUALIFICATIONS
Qualified by over twenty year’s professional experience in:
ICD-9/CPT Coding Insurance Billing Patient Billing
Collection Tracking A/R Follow-Up Claims Submissions & Inquires
NCCT Certification Management Administrative
Computer Skills Microsoft Excel, Word, Power Point CAREER ACHIEVEMENTS
Worked and completed assignments with little or no supervision and under pressure. Prioritized work assignments, met deadlines, and am a selfstarter, team player, taskoriented individual motivated to be productive and a major contributor. Displayed exceptional abilities in problem solving, judgment and decisionmaking. Organized and possess a high degree of proficiency in written and oral forms of communication. Strong professional background in implementation of administration of work from start to finish.
Knowledgeable and worked proficiently in the in the operations of the following software programs: Mysis, Mysis Tiger, EHS Success, Horizon Practice Plus, Compusystem, Opti-Med, Medi-soft, Companion Paid4/plus, Medic, Sycare, CareConnect, Epic, Revenue Recovery, OAS Gold/Siemens, JDA Parathon, Bright Tree, and Athena Medical, Manager and Companion PM.
Performed billing and collections for hospital and physician practices. Recorded and entered charges each day (as well as all new or updated patient information). Filed claims on a daily basis (including those filed through McKesson). Sent out patient statements. Balanced and closed accounts daily. Closed and balanced data set daily. Performed daily A/R follow-up. Posted payments, denial codes and deductibles.
Followed up on claim denials and inquiries with patients and insurance companies. Answered and resolved all patient face-to-face and phone calls regarding accounts and collection concerns. Organized payment schedules for patients. Followed collection techniques to keep A/R within specified collection range. Re-billed unpaid claims and pull secondary filing information to support processing. Applied adjustments, credits and write-offs to reflect a true balance in cases of excessive credits. Updated coding files and all fee schedules. Produced weekly and monthly reports.
Performed Office Manager duties to improve effectiveness for the company. Supervised nine employees. Created invoices to clients for payments due to the business. Reviewed and edited the work submitted for taxes and checked for accuracy for accountant fees by making sure that the fee schedule was up-to-date. Monitored the billing for client taxes, fines and levies for submission to the IRS and the State. Submitted payroll for all employees. Worked with information systems to categorize insurance contractual adjustments. Page 2 of 2
Worked in a variety of roles and locations as a Medical Secretary and/or Administrative Assistant. Provided secretarial and administrative support to medical personnel in hospitals, physicians' offices and other healthcare facilities. Knowledgeable in medical terminology and other medical applications. Checked patients in and out. Answered multiple phone line system communicating with medical staff, families and vendors. Scheduled patients for the proper appointment. Compiled medical records and charts. Maintained supplies and a neat and clean appearance for the office. Possess strong skills in Microsoft Word and Excel. Processed and filed client files. Maintain HIPPA laws of client privacy.
Operated and set up injection-molding machines to cast products from thermoplastic materials: Installed dies on machine, according to work order specifications, using clamps, bolts, and hand tools. Set machine controls, regulating molding temperature, volume of plastic, molding pressure and time, according to knowledge of plastics and molding procedures. Dumped premixed plastic powders or pellets into hopper, and starts machine. Pulled lever to close dies and inject plastic into dies to cast part. Removed finished product from dies, using hand tools. Trimmed excess material from part, using knife. Mixed thermoplastic materials and coloring pigments in mixing machine, according to formula.
CAREER HISTORY
Denials Management Representative Saint Francis/Bons Secour, Greenville, SC 08/2012 to Present Office Manager Javis Tax Service, Columba, SC 04/2012 to 01/2013 Physician Billing and A/R Specialist Palmetto Health Physician Billing, Columbia, SC 06/2002 to 01/2012 Independent A/R Consultant Dimensions Billing, Columbia, SC 09/2000 to 12/2002 Medical Service Operations Consultant/ Resources One Health Management 09/2000 to 04/2001 Billing/Insurance Specialist Services, Columbia, SC Medical Consultant Burkett, Burkett, & Burkett Accountants 04/2002 to 09/2000 West Columbia, SC
Billing/Patient Specialist Rex Dillingham, MD, Columbia, SC 05/1999 to 03/2000 Medical Secretary/Admin. Asst. Columbia Healthcare Services, Columbia, SC 01/1977 to 05/1999 Administrative Assistant Fairfield United Actions, Winnsboro, SC 1996 to 1997 Industrial Associate Standard Products, Winnsboro, SC 1991 to 1996 Education/Certifications
Winnsboro High School
Diploma Received (1985)
Fortis College, Columbia, SC
Medical Office Administration Certificate (2011)
Midlands Technical College, Columbia, SC
Medical Business Certification (1999)
References provided upon request
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