Kurnedious “Kay” Rogers

**** ********* **

Stone Mountain, Ga 30083

404-***-****

ad1e5t@r.postjobfree.com

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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