Covington, Georgia *****

770-***-****

ad1irm@r.postjobfree.com

EDUCATION AND

TRAINING

DIPLOMA

Computer Programming

Georgia Piedmont Technical

College, Clarkston, GA

June 2008

Diploma in Medical Billing And

Coding

Georgia Medical Institute-Dekalb,

Atlanta, GA

May 2005

SUMMARY

Dedicated Accounts Receivable Specialist 18 years of professional experience in credit, collections and cash application. Expert in accurately posting payments via bank statements, lock box and credit cards to keep accounts current. Excited to bring talent, leadership and in-depth knowledge of accounts receivable to growing organization. SKILLS

EXPERIENCE

FRONT OFFICE INSURANCE VERIFICATION SPECIALIST

(NORTHSIDE )ADVANCED NEUROSURGERY ASSOCIATES

Lawrenceville, GA August 2022 - Current

JUSTICE JOHNSON

• Appointment Setting

• Time Management

• Data Entry

• Administrative Skills

• Insurance Verification

• Billing and Coding

• Patient Charting

• File Management

• Inventory Support

• Problem-Solving Skills

• Medical Terminology

• Claim management

• Answered incoming calls, responded to voicemails and transferred calls as needed.

• Performed data entry of patient information into computer systems.

• Ensured compliance with HIPAA regulations regarding patient privacy rights.

• Processed payments from customers using cash, credit cards or checks.

• Researched customer complaints or billing issues as necessary.

• Collected copays and account balance payments and updated account records.

• Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.

• Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.

• Maintained accurate documentation on all pre-authorization requests, denials and appeals.

• Manage patient medical claims

• Identified billing errors and implemented corrective action plans accordingly.

• Ensured all documentation is properly filed according to departmental standards.

JJ

ACCOUNT RECEIVABLE FRONT OFFICE SPECIALIST

VASCULAR MEDICINE & SURGERY SPECIALIST Atlanta, GA May 2005

- August 2022

• Conducted training sessions for new staff members on proper procedures for handling patient accounts.

• Submitted fees and claims to insurance companies manually or digitally.

• Reached out to patients once insurance was billed in order to obtain payments due.

• Check in and out patient.

• Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.

• Check in and out patient

• Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.

• Maintained accurate documentation on all pre-authorization requests, denials and appeals.

• Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.

• Processed manual claims when necessary due to incorrect or incomplete information from providers or patients.

• Updated patient and insurance data and input changes into company computer system.

• Adhered to HIPAA requirements to safeguard patient confidentiality.

• Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.

• Transmitted medical records and other correspondence by mail, e-mail, or fax.

• Scheduled and confirmed patient appointments and consultations.

• Greeted patients, determined purpose of visit and directed to appropriate staff.

• Routed laboratory or diagnostic results to appropriate staff.

• Compiled daily activity logs outlining transactions completed throughout the day.

• Ensured proper handling of confidential information at all times in accordance with company policies.

• Tracked inventory levels of office supplies while managing orders placed with vendors.

• Monitored incoming emails, faxes and mail ensuring timely response or forwarding to appropriate personnel.

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