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Accounts Receivable Specialist

Location:
Katy, TX
Posted:
December 16, 2023

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Resume:

Takia Yarbrough

***** ******** ******* ***# ****.

Katy, TX 77493

Telephone

763-***-****

Email:

ad10un@r.postjobfree.com

OBJECTIVE:

To benefit a business that can use a highly motivated Certified Nurse Aide. I am detail oriented with superior flexibility along with a strong dedication to teamwork, excellent work ethic and customer satisfaction.

EDUCATION:

Clinton Community College 2009 Clinton, Iowa

Nurse Aide Certification 2009 Clinton, Iowa

WORK HISTORY:

06/20- current Fleet Nurse Houston, Texas

01/18-06/23 Optum Insight Eden Prairie, Minnesota

11/15-01/18 Midway corporate Maplewood, Minnesota

02/16- 04/19 St. John's Hospital Maplewood, Minnesota 05/14-01/16 Alverno Nursing Facility Clinton, Iowa 12/12-04/14 BrightStar Care Maplewood, Minnesota

8/12-11/13 Good Samaritan Society Maplewood, Minnesota 12/09 –07/12 Mercy Medical Center Clinton, Iowa

March 2021-June 2023

Senior Recovery Resolution Specialist

Optum Insight, MN (Telecommute)

Conducting investigations into allegations of fraud, waste or abuse committed by clients against our company. Reviewing and researching evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations. Preparing and coordinating field assignments to obtain relevant evidence and information. November 2018-March 2021

Account Receivable Specialist

Optum Insight, MN (Telecommute)

• As an Accounts Receivable Specialist you will be responsible for developing and maintain working knowledge of current Home Medical Equipment products and services offered by the company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement. The Accounts Receivable Specialist is responsible for the timely follow up and collection efforts on outstanding receivable accounts that are billed to insurance companies, managed care entities, government programs, and other liable third parties. Assist patients with billing questions as well as other duties assigned by the AR Supervisor and AR Manager. The Accounts Receivable Specialist is a customer service oriented role, and will require the ability to ability to learn and understand billing protocol and reimbursement issues, and to maintain accurate and detailed charts/notes in the company system.

Additional Duties Include:

- Taking incoming calls from patients

- Taking payments over the phone

- Researching patient questions and accounts

January 2018 -November 2018

Appeals Representative

Optum Insight, MN (Telecommute)

• Reviewing and processing Medicaid Appeals and grievance complaints. Appeals Representative, communicate some of the most critical information to the appropriate people regarding appeals and grievance issues, implications and decisions. Research skills to work to explore how claims were processed and, eventually, denied. Determine the outcome of each appeal and communicate the results to members and/or providers. Combine appeals expertise, passion for ethics and high degree of follow-through to help our team deliver speedy and fair appeals. November 2015 – January 2018

Patient Financial Service

• Collects payment from patients, apply payments and adjustments to patient accounts in the computer system, medical records, add and bill insurance providers. December 2009 -April 2019

Certified Nurse Aide

IA, MN, TX

• Provide patients with help walking, exercising, eating and moving in and out of bed. Turn and reposition bedridden patients. Bathe, groom, and shave patients. Transport patients to and from locations. Clean rooms and change linens.

December 2008 August 2010

Childcare provider

YWCA, IA

• Care for children to ensure their safety. Read to children, teach them simple painting, drawing, handicrafts and songs. Organize and participate in games. Keep records on children about activities, meals served, or medications administered. Sanitize toys and play equipment. July 2005-July 2007

Cashier

Wal-Mart and Lowe’s, IA

• Received payment by cash, check, credit cards, vouchers, or automatic debit cards. Issued receipts, refunds, credits, or change due to customers. Counted money in cash drawers at the beginning of each shift to ensure that the amounts are correct and that there is adequate change. Greeted customers in a friendly manner. Answered customer’s questions and provided information. Maintained a clean and orderly checkout area.



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