Customer Service Follow Up
Resume:
Kurnedious “Kay” Rogers
Stone Mountain, Ga 30083
**********@*****.***
Summary
Patient Access/Financial Accounting Specialist with expertise in providing quality Client/Patient Care.
Strengths include strong Analytical Abilities, Excellent Verbal Communication, Customer Relations, Problem Solving and Accounting Skills. 24 Years of effective skills and experience in the Healthcare Industry.
Experience
Lakeview Behavioral Health
AR Specialist/Verification Specialist/Billing Analyst/Financial Counselor 01/23-Present
Billing UB04, Correct Edits, Itemized Statements, Verify Insurance, Interpret/Explain Explanation of
Benefits, Posting Charges/Payments/Adjustments, Financial Counseling, AR Collections, Medical
Records, Claim Analyzation, Insurance Knowledge, Hospital and Patient Communications, Excellent Customer Service, Submit Reconsideration/Appeals/Complaints request in order to get the variances resolved, Follow-Up Reviews.
Radial Health Group
AR Specialist 10/21 – 01/23
Billing 1500, Correct Edits, Itemized Statements, Verify Insurance, Interpret/Explain Explanation of
Benefits, Posting Charges/Payments/Adjustments, AR Collections, Medical Records, Claim Analyzation,
Insurance, Hospital and Patient Communications, Excellent Customer Service, Submit
Reconsideration/Appeals/Complaints request in order to get the variances resolved, Follow-Up Reviews.
Perimeter Orthopaedics
AR Specialist 09/20 – 10/21
Billing UB1500, Correct Edits, Itemized Statements, Verify Insurance, Interpret/Explain Explanation of
Benefits, Posting Charges/Payments/Adjustments, AR Collections, Medical Records, Claim Analyzation, Insurance and Patient Communications, Customer Service, Submit Reconsideration/Appeals/Complaints request in order to get the variances resolved, Follow-Up Reviews.
Natural Wellness Clinics Office Manager 06/20 – 09/20
Support Staff, Purchase Start-up Items, Neuro-Infiniti, Avazzia Treatments, Intake Patients, Blling,
Verifying Insurance, Vital Signs, Posting Insurance/Patient Payments, Billing Insurance
Companies/Patients, Insurance Collections, Event Planning, Staff Conferences/Travel, Hospitality.
Piedmont Healthcare 03/20 – 06/20 Underpayments and Denials Analyst Contracted
Analyze Denials/Underpayments, Submit Reconsideration/Appeals/Complaints request in order to get the variances resolved, Liasion between Facility and Insurance Companies, Verify Insurance, Interpret Explanations of Benefits, Verify Authorizations, Post Adjustments/Contractuals/Write-Offs, Correct Billing
Edits, Well versed in Managed Care and Government Contracts/Fee Schedules, Coding reviews,
Insurance Collections, Review Medical Records and Itemized Statements, Follow-up reviews, Analytical, Insurance/Patient Refunds, Multi-Tasking, Excellent Verbal/Written communication, Exceptional customer Service.
Hollis Cobb Associates 12/16-01/20 Billing and Collections Specialist 06/19-01/20 Onsite Emory University Hospital Business Office - Customer Service Lead 12/16-06/19
Inbound Call Center, Problem Solving, Itemized Bill Distribution, Search America Queries, Financial Assistance Reviews, Review EOB Denials/Denial Management, Correct Billing Edits and Que accounts with detailed documentation to be resubmitted with corrections, Pre-Certifications, Patient Call DeEscalations, Self-Pay Collections, Insurance Collections Follow-Up, Billing, Post Adjustments/WriteOffs/Contractuals, Insurance Verifications, Accounts/Payable and Receivables, Process Correspondence,
Facility/Physician Liasion, Patient Refunds, Exceptional Customer Service, Excellent Verbal/Written Skills, Insurance Payment Analysis, Multi-tasking, Fast Paced Environment Distribute Worklist and Train Staff.
Northside Hospital 11/12-11/16 Customer Service Lead
Inbound Call Center, Problem Solving, Itemized Bill distribution, Search America Queries, Process:
Return Mail; Pre-Certifications: Approved and Denied; Denial Management Follow-Up: Request/Submit Medical Records w/Synopsis, Review EOB Denials and correct Billing Edits and Que accounts with detailed documentation to be resubmitted with corrections, Self-Pay Collections; Post Patient Payments via Check/Credit Card, Review Financial Assistance Applications, Post Adjustments per FAA,
Order/Distribute Supplies, Contact Physician Offices to resolve any Record Amendment/Coding Issues,
Acquire/Review Pre-Certifications, Acquire Retro Authorizations, Accounts Payable/Receivables
(Patients/Insurance), Correctly Post Interest/Patient HSA/FSA Payments/Exhausted Benefits
Accumulations/Denial Amounts/Contractuals, Patient De-escalations, Customer Service,
Hospital/Business Office Liaison, Under/Over Payment Reviews, Patient Refunds, Declined Payment
Notifications, Floor Escalations, Return Patient Calls per resolutions within 24 hours, Prep ROI
Statements, Business Office/Personal Business Emails with 24 hour reply, Forward Que/Resolution
Request, Deceased Persons Report, Prep Lab Reports, Prep NCOALink Reports, Consult w/Walk-in Patients, Insurance Verifications, Excellent Verbal/Written Skills, Insurance Payment Analysis, MultiTasking, Fast paced environment, Distribute Worklist and Train Staff.
UnitedHealth Group 08/12-11/12 Collections/Billing Specialist
Contract/Fee Schedule Analyzations, Billing, Insurance Verifications, Collections via Calls to Insurance
Companies, Appeals/Denial Processing, Under/Over Payment Processing, Accounting-
Payable/Receivables, Posting Insurance Payments, Adjustment Posting, Excellent Verbal/Written Skills,
Detail Oriented, Organized, Great Customer Service, Hospital Liaison.
HCA-Parallon 02/01-07/12 Managed Care Logging Lead
Financial Account-Contract/Modeling Specialist, Quality Assurance Analyst, Accounting: Accounts
Payable/Receivable/Adjustments, Billing, Collections, Insurance Verifications, Error Report AnalystNotified Organization of any processing issues(Systematic, Payment processing, Contractual postings, Shut-downs, Information Feeds, etc), Detailed Oriented, Business Office/Hospital Liaison,
Trained/Instructed/Assisted Staff, Organized, Analytical, Mentor, Extensive knowledge of Managed
Care/Medicare/Commercial/Workman’s Compensation/Other Government Insurance Contracts and Fee
Schedules Comparisons to Claims w/Discrepancies, Processed Confidential Information in Secured
Systems, Denial Management: Approvals and Denials; Acquire Authorizations Initial/Retro, Sarbanes Oxley Accounting Postings Principles, Respond to Patients regarding resolutions, Ability to Multi-Task, Excellent Verbal/Written Skills, Problem Solving, One Year as Advisory Group Vice-President.
NCO 07/00-02/01 TPA Contract Specialist
Contract Verifications Analyst, Accounts Payable/Receivable Analyst, Insurance Follow-up, Collections, Problem Solving, Excellent Verbal/Written Skills, Organized, Business Office/Hospital Liasion.
United Healthcare/Uniprise 10/98-07/00 Benefits Specialist
Intercepted Calls from Patients/Insurance Companies and Hospitals, Problem Solving, Claims Processing specifically for Coca-Cola for Hospital/Physician/FSA disbursements, Analytical, Excellent Verbal/Written Skills, Multi-tasking, Very Organized.
Doctors General Practice Clinic 06/96-08/98 Certified Medical/Office Assistant
Patient Registration, Insurance Verification, Documented Patients Health Concerns, Vital Signs,
Collected/Prepped Lab Specimens, Rehabilitative Therapy(Medco-Sonolations), Bookkeeping/General
Ledger, Bank Drops, Centrifusing, Billing, Account Receivables/Payables(Posted Insurance and Patient Payments), X-Rays, Ordered Supplies and Services, Collections, Diagnostic Testing, Venipuncture, Great Communication Skills, Organized, Multi-Tasking.
Education
Gwinnett College Lilburn, Ga 07/19-04/20 Associates
Georgia Perimeter College Clarkston, Ga 12/07
Gwinnett College of Business Lilburn, Ga 04/96
Meadowcreek High School Norcross, Ga 06/94
Technical Skills/Training/Systems
-Artiva/FACS -Excel -Asset -PowerPoint -Kaset Training -Windows
-Lotus Notes -Microsoft Word/Office 2016 -Meditech 4.0-6.0 -Team Discovery -Verint -Business
Objects -Kronos/Paycom -Emdeon-EOB’s -FieldGlass -WebMats -Outlook -ACT Training
-Paces/GPR -Passport -PowerChart -EPIC -NThrive -E-
Cashiering/APEX -STAR/HOST-PA/LOG/HEALTHQUEST -DEI/Document Direct/BOA/HealthLogic -Availity
-Portals -Outreach Training Class “Visiting the Hospitalized”
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