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Financial Services Accounts Receivable

Location:
Atlanta, GA
Salary:
Negotiable
Posted:
December 05, 2023

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Resume:

CRIS GARR

**** ***** *** ****, *******, GA *****

ad1psv@r.postjobfree.com

404-***-****

WORK EXPERIENCE

Kaiser Permanente Medical Group

March 2018 to Present

Patient Financial Services Representative (Contract Position)

Medical Financial Services Coordinator (Contract Position)

Provides coordination of benefit services to members

Verifies patient insurance and eligibility

Assists patients who have pre-existing appointments with appointment details and out-of-pocket costs

Facilitates payment processing

Assists insured/uninsured patients with financial assistance resources and sets up payment plans

Assists in charge and care disputes including billing and payment discrepancies

Supports client administration through the sales process to generate customer partnerships

Assist with benefit plan implementation by developing implementation strategy per customer needs

Work to provide customized solutions to meet requested exceptions while minimizing internal risks

Hospital Corporation of America

July 2017 to March 2018

Medical Collector

Follow up on hospital claims

Submit appropriate documents for adjustments

Provide medical documents to insurance companies as needed such as medical notes or accident information

Reach out to patients as necessary

GNOS Medical

August 2016 to December 2016

Insurance Follow-Up/Billing Specialist

Performed follow-up on accounts receivable for medical laboratory claims, account correction and Adjustments

DeKalb Medical Center

December 2014 to August 2016

Billing Representative

Handled Accounts Receivable, self-pay, collections, payment posting & insurance verification and patient and facility education within the central billing office.

Successfully managed pending claims daily, provided support for patient providers, group administrators, brokers and agents in the processing of medical and ancillary claims.

Obtained, reviewed, and completed practitioner credentialing and re-credentialing with health plans, hospitals and patient care facilities.

Apollo MD (Combined Physician Service Solutions)

February 2014 to November 2014

Insurance Specialist

Performed accounts for Hospitalists.

Data set regions: Georgia and Tennessee Insurance follow-up; including account correction and adjustment, resolving patients account inquiries and monitoring billing errors claim line item adjustments.

Piedmont Healthcare Corporation

June 2005 to January 2014

Revenue Cycle Representative

Performed all accounts receivable for Multi-Specialty Physicians, which consist of Pediatrics, General Surgery, General Medicine, Internal Medicine, Family Practice and Orthopedics.

Performed multiple tasks which cover all the main functions of the Central Business Office which include insurance follow up, self-pay follow-up, payment posting, account correction and adjustment, resolving patients account inquiries, and monitoring billing errors claim line item adjustments.

APPLICABLE SKILLS

NextGen, ECW, Epic, Medical Manger, Navicare, Navinet, Ingenix Encoder Pro, Emdeon, MS Word, MS Excel, IDX, Centricity, and Verinet

EDUCATION

Evanston Township High School, High School Diploma

Phillips Junior College, Courses for Business Management



Contact this candidate