Marshun Walker

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

Swansea, Il. 62226

ad293g@r.postjobfree.com

618-***-****

I am seeking a position with your company and hope that you will benefit from my initiative, capabilities, and contributions, ultimately qualifying for advancement and increased decision-making responsibilities. If you’re interested in a self-motivated, hard worker and highly competent candidate like me, we should speak. I am available for an interview at your convenience. I appreciate your time and look forward to speaking with you.

Work Experience

09/2021-04/2023 Fresenius Kidney Care Dialysis (Remote from home)

Patient Account Representative

Working from home obtaining and creating authorizations for dialysis patients.

Interacting with various insurance plans and clinics.

Interacting with team members for support.

Ensure appropriate documentation is entered in standard format on the patient records.

Entered patient's insurance information in database.

Obtain benefits for dialysis services from various insurance companies.

Engaged in weekly zoom calls and training with team members and management.

Interact with doctors, nurses, patient’s and medical staff to obtain authorization information.

Completed various daily tasks.

Data Entry

3/2020-8/2021 Anderson Hospital-Maryville, IL.

Pre-Arrival –Patient Access

Obtain authorizations for Out-Patient patients for MRI's CT Scans, Vascular Labs, Echogram, Mammograms and other outpatient procedures.

Perform pre-registration and insurance verification prior to date of service for outpatient services. For notification received with less than 3 days’ advanced notice perform within 24 hours of notification.

Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information in the approved standard format.

Perform electronic insurance eligibility confirmation with One Source NextBar when applicable and document results.

Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system.

Calculate patient estimates and be prepared to collect via phone or make payment arrangement.

Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment.

Ensure appropriate documentation is entered in standard format on the patient record performed in Avadyne and Meditech Systems.

Entered patient's insurance information in database.

Obtain benefits for out-patient services from various insurance companies.

Interact with doctors, nurses, patient’s and medical staff to obtain authorization information.

Data Entry

SSM Health - Creve Coeur, MO

01/2018-9/13/2019 Patient Service Representative-Out Patient

Obtain authorizations for Out-Patient patients for MRI's CT Scans, Vascular Labs, Echos, Mammograms and other radiology procedures.

Obtain benefits for Out-Patient services from various insurance companies.

Performs various administrative duties.

Operates various office machines (fax, copier and personal computer).

Answering phones from doctor’s office, insurance companies and SSM staff.

Trained in Epic System.

Entered patient's insurance information in database.

Obtain benefits for out-patient services from various insurance companies.

Interact with doctors, nurses, patients and medical staff to obtain authorization information./[

Data Entry

12/2014-01/2018 Chestnut Health Systems - Granite City, IL

Accounts Receivable Specialist

* Face to Face interviews with clients signing consent

documents.

* Completing insurance verification calls.

* Medicaid and Private Insurance Billing.

* Entering client's information in our computer software.

• Communicating daily with Clinicians and Administration.

• Financial intake with inpatient/outpatient clients

• Making sure documents are scanned and entered in a timely manner.

• Making copies of important documents and forms.

• Managing accounts for clients.

* Billing and offering payment setups or arrangements.

* Answering phones and greeting clients.

* Performs various administrative duties.

* Ability to work harmoniously with physicians, patients and employees in a professional manner.

* Professional experience in health insurance claims and/or physician office management.

* Over 1 year of supervisor experience in office setting.

Education

Rasmussen University-Online

October2023-Current

Medical Billing and Coding

Olive-Harvey College Chicago - Chicago, IL

1999 to 2001

Business Administration

Harold Washington College Chicago - Chicago, IL

1991 to 1993

Computer Science

Oak Park and River Forest High School - Oak Park, IL

1987 to 1991 High School Diploma (Received)

Skills

Authorizations and Benefits Eligibility, Medical Records, Phone Etiquette, Billing, Financial Intake/verifying insurance, secretarial (6 years), Benefits and Authorizations (6 years), Medical Billing, CPT Coding, and ICD-10 Coding, Customer Service, Inbound-Call Center

Awards

Excellence Awards

August 2015

An award that was given by the CEO, Director of the Chestnut Maryville Facility.

SPECIAL SKILLS: Obtain authorizations and benefits through Epic Software, Clerical, Accounts Receivable, Managerial, Customer Service Skills, Billing and Invoicing, Experience operating Microsoft Word Office, Excel, Financial Intake, Medical Records, Secretarial, Computer Skills (CMHC, FY-12, CON-IDT, ESSIST, REDWOOD TOXIOLOGY PROGRAM SYSTEMS). Noridian Medicare and Relay Clearance database systems.

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