Data Entry Customer Service
Resume:
DEBRA KAY STEELE
**** *. **** ******, ******, CO
**********@***.***
Remote Medical Administrative Specialist, Remote Call Center Representative, Remote Data Entry Specialist, Remote Insurance Verification Specialist, Remote Intake Coordinator Representative
*References and recommendations provided at end of resume*
Accomplished healthcare professional for 39 years, detail oriented and quality focused professional trained in medical administrative support as well as many other healthcare specialty departments. Successful experience in solving complicated assignments and administrative/clerical documentation of all types. Several years of experience preparing billing and invoice documents. Extensive 15 years of experience in medical transcription. Solid foundation in medical software applications, database management, and data entry. Dedicated to maintaining strict patient confidentiality.
TYPING SPEED: 70 WPM
BILLING, COLLECTONS, ACCOUNTS RECEIVEABLE SOFTWARES
Microsoft Office 10
Experience with EMR’s below:
Epic
Citrix
EPDS-Enterprise Provider Database Solution
NThrive
Availity
PRIMA (dictating system)
EWordClient
Athenanet
Billright Billing System
Meditech
Lawson (accounting software)
Revenue Cycle System
EMR SKILLS:
Customer Service Specialist
Insurance Billing Procedures
Healthcare Laws and Regulations (HIPPA)
Data Entry
Creating appropriate claim documents
Enterprise Express Editor
Preparing medical billing documents
HCPCS Coding
HIPAA Guidelines
Assigning appropriate medical codes
Advanced knowledge of medical terminology
Preparing claims documents
EDUCATION
Westwood College, Westminster, CO (college closed due to fraud)
Graduated 03/2015
Associates degree of Applied Science Medical Billing and Medical Coding
EMPLOYMENT HISTORY
UC Health CU Sports Medicine-Colorado Center 10/20 - 10/22
2000 S. Colorado Blvd.
The Colorado Center, Tower One, Suite #4500
Denver, CO 80222
Patient Access Representative
Performs receptionist, registration, and clerical duties associated with registering patient for outpatient services. Meets with patient and/or patient's caregiver to exchange necessary information and documentation. Provides explanation of visit, instructions, and addresses concerns and questions. Communicates with referring provider's office, clinical department(s), and/or other appropriate personnel to exchange necessary information and determine schedule. Verifies insurance benefits and obtains pre-certification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up. Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy. Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Anthem Blue Cross and Blue Shield 7/20 - 10/20
700 Broadway
Denver, CO 80273
Administrative Specialist Clerk II Contract Department
Provider Network Management Director, MariJo Parkin 732-***-****
Responsible for providing a variety of clerical and administrative duties. Primary
duties may include phone calls, organizing and maintaining files, records, lists
and mail. Type letters, forms and other various documents. Check documents
for accuracy and completeness and cross reference contracts.
RMB, Inc. Rubin & Raine 7/19 - 7/20
821 S. Parker Road, Suite 705
Aurora, CO 80014
Collection Specialist
Amanda Wallace, Director Recruiting, 800-***-**** Ext. 7167
Healthcare Insurance Specialist (EOB) responsible for A/R resolution from
insurance companies, Gov’t and commercial. Identified payor trends proactively
in relation to zero payment, payment variance, billing and denials.
Essential Duties and Responsibilities: Knowledge of third-party requirement and
polices including Medicaid and Medicare, familiar with medical terminology, must
be able to meet dept./individual goals, navigate multiple software applications.
(ePremis, Allscripts), etc. on a daily basis. Monitor and ensure compliance with all regulatory requirements, organizational standards and policies and procedures related to area of responsibility. Identify potential risk areas within areas of responsibility and support problem resolution process. Maintain records of compliance activity and report compliance activity to the Compliance Office. New billing software’s: NThrive, Revenue Cycle, Availity.
Family illness required out of state travel, this is due to my temporary assignments.
Health One-Englewood Family Physicians 3/19 - 6/19
701 E. Hampton Ave. #701
Englewood, CO
Front Desk Specialist II
Responsible for all front desk activities, such as answering phones, scheduling patients, calling in medications to pharmacies, receiving files from physicians,
fusing EClientForm and processing claims and checking the codes entered by the physicians, talking to insurance companies, resolving denials, and running the
front desk. HCA bought the practice and made changes in staff, therefore all
staff was replaced.
Billright Medical Billing
Owner – Lori Gifford – 303-***-**** 8/18 - 2/19 Collection Specialist
Following up on all insurance claims, calling insurance companies, patients,
etc. Making sure the coding was correct within the claim and double checking.
all so that the claim would be paid. Data base work entering and following up
on patient accounts. Reason for leaving the company is they lost their largest.
client and laid people off.
Reason for Gap- Looking for a job.
U.S. Anesthesia Partners LLC 5/17 - 6/18
Temp Agency: Robert Half
A/R Specialist
8000 E. Maplewood #200, Greenwood Village, CO 80111
Verification of insurance, contact insurance companies inquiring regarding,
correct denial and drop in bucket if code correct.
Reason for Gap- Visiting mother due to family illness.
Maxim Healthcare Services, Inc. – Part Time 9/16 - 12/16
Temp Agency: Maxim Healthcare
Medical Administration
Medical administrative for the wellness clinic and traveling around the Denver
Metro area administering flu vaccines. Taking care of all medical insurance information, their eligibility and keeping up with all paperwork for the company.
Filing claims and following up with denials, taking cash payment, etc. 2460 W.
26th Ave., C217, Denver, CO 80211 – 303-***-****
Swissport SAUSA, LLC – DIA 5/16 - 7/16
Temp Agency: Apple Agency (Contract)
Account receivables position. Entered invoices in Lawson software, Friday
prepared vouchers to send to home office in New Jersey. Answer phones and
support team of deicers routing calls to appropriate department, responsible for payroll, running day to day operations for all employees. 27510 E. 75th Avenue, Denver, CO 80249. Position ended as Frontier was bought by another company
and Swissport downsized.
Pinnacle East-West Family Practice 12/15 - 4/16
Temp Agency: SNI Companies
Greenwood Village, CO (Contract)
Responsible for all front desk activities, such as answering phones, scheduling patients, calling in medications to pharmacies, receiving files from physicians
from Athenanet and processing claims and checking the codes entered by the physicians. Talking to insurance companies, resolving denials, and running the
front desk.
Wakefield and Associates Collections (Contract) 9/15 - 11/15
Medical Billing and Collections – Flight for Life
Temp Agency: SNI Companies
Billing, verifying insurance, helping patients with their insurance companies to
pay medical billing and collections.
PROFESSIONAL REFERENCES
1. MariJo Parkin - Provider Network Management Director, Anthem Blue Cross &
Blue Shield / 303-***-****
2. Mark Cohen - United Airlines / 303-***-****
3. Kristen Mader - Provider Data Analyst Sr. – Anthem Blue Cross & Blue Shield /
4. Lorroya Romero – Anthem Blue Cross and Blue Shield, Senior Administrative
Assistant-720-***-****
RECOMMENDATION LETTER:
Anthem
November 5, 2019
RE: Recommendation for Debra Steele
To Whom It May Concern,
It is my pleasure to provide a letter of recommendation for Debra Steele. Debra worked in a temporary position for four months in the Anthem Provider Network Management department. I oversaw the projects on which she worked.
Deb did an excellent job in this position and was an asset to our organization. She was assigned a variety of duties including scanning and uploading contracts, reorganizing contract files, creating new contract files, and verifying status of network providers’ participation. Assignments would often change and shift quickly, and she was always flexible and up to the challenge with a positive attitude. She was always willing to offer her assistance and had a great rapport with other team members as well as with providers when making calls to provider offices.
Debra was a pleasure to work with. I particularly appreciate her adaptability, enthusiasm, responsibility, determination, humor, and friendliness. She is thorough and cares deeply about doing excellent work. She works well independently and follows through to ensure that the job gets done with excellence.
I am confident that Debra’s skill set, professional experience and personal qualities will make her a valuable asset to any employer.
Best regards,
Jo Parkin
Provider Network Management Director 700 Broadway, Denver, CO 80273
Ph: 303-***-****
******.******@******.***
Anthem Blue Cross and Blue Shield
Page 1 of 1
700 Broadway Denver, Colorado 80273
www.anWemcom
Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospibl and Medical Service, Inc. HMO product underwritten by HMO Colorado, Inc. Independent licensees of the Blua Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
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