Follow Up Medical Equipment
Resume:
Gloria Goodwin
Highly adaptable, goal oriented with a strong work ethic.
Lawton, OK 73505
**************@*****.***
EXPERIENCE
Dr. Ajay & Dr. SHireen Bhargava, Lawton,OK — Claims Rep
Sep 2019 - PRESENT
●Daily claims inventory review prior to claim submission to mitigate denials.
●Follow up with insurance carriers to maximize claim reimbursement and expedite payments.
● Created intake and billing workflow standards to minimize duplication of work and enhance time efficiencies to deliver overall patient satisfaction.
● Conducted follow up on any denials or claim rejections the office received to include filing appeals or reconsideration requests for positive reimbursement outcomes.
Comanche Memorial Hospital, Lawton, OK — Denial Specialist
Oct 2016 - Mar 2018
●Managed provider-designated accounts by generating claims daily and making claim corrections or coding revisions as needed.
●Pursue payments from both patient and insurance companies.
● Created and submitted verbal and formal appeals with insurance carriers.
● Compiled monthly account receivable reports to monitor progress.
Healthline Medical Equipment, Wichita Falls,TX — Billing Representative
Sep 2002 - May 2016
●Resolved denials for Medicare, Medicare HMO, Medicaid and Medicaid HMO,commercial insurance and Worker’s Compensation.
●Pursued appeals, reconsiderations and conduct claims follow up.
● Responsible for claims inventory generated by 4 business locations.
Wichita Medical Supply, Wichita Falls, TX —Claims Representative
Nov 1999 - Sept 2002
●Counseled patients as needed in understanding the billing process for their durable medical equipment and their financial responsibility.
●Conducted training of new hire billing representatives.
● Conducted follow up of medical claims to pursue timely claims payment.
●Gave routine feedback to management to enhance the intake and workflow processes to help improve reimbursement metrics.
EDUCATION
New Mexico Jr. College, Hobbs,NM — Computer Science
1992 - 1995
SKILLS
Time Management.
Self-Starter
Multi-Tasker
Organized
Communication
Detail Oriented
10 Key/ Typing Proficiency
Customer Service
SOFTWARE
Brightree
Soft Phone Systems
MS Office Suite (Excel, Word, Power Point)
Meditech
Athena
Team DME
ADDITIONAL LANGUAGES
Spanish
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