VALERIE VA UGHN

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

Raleigh,NC ***16

252-***-****

ad2hkf@r.postjobfree.com

OBJECTIVE:

To secure a permanent position in account receivables/medical billing that will utilize my experience and skills. One that will allow me to grow within the company. EXPERIENCE:

06/21-4/23 Labcorp/Covance

Pharmacy Support Specialist Remotely/Durham, NC

• Respond to incoming calls and faxes

• Document calls in appropriate tracking systems, and handle/escalate calls per procedures.

• Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage.

• Liaise with partner distributors and pharmaceuticals based on their degree of urgency.

• Coordinate prior authorizations.

• Financial Assistance with copays.

02/11-09/14 WakeMed Health & Hospitals Raleigh, NC Patient Account Representative

Medicaid billing and account follow-up. Access assigned work que and follow on Medicaid claims. Correct denied claims & refile. Correct minor coding errors. I called Medicaid on a daily basis for billing errors.

11/06-12/11 Patient Financial Services, Inc. Raleigh, NC Patient Account Representative II

Access online work queues, weekly reports and/or pools from various business systems to analyze outstanding Medicaid and Medicare accounts and determine actions necessary to resolve accounts receivable balances. North Carolina Medicaid billing through Medicaid billing system/ website initiate and/or respond to contact by third-party Insurance carriers, patient and employers, in processing and resolving Medicaid account Billing issues including insurance verifications, and authorization of payment for services, establishing payment arrangements, obtaining account adjudication status, submitting appeal letters in response to payment denials and referrals to legal offices. Cleaning up Aging reports/complete knowledge of UB04 billing, and physicians billing on HCFA 1500. Insurance follows and collections on accounts assigned. Billing and follow up on Commercial insurance billing systems (Aetna, BCBS, UHC, Humana, Cigna). 09/06-11/06 Quality Staffing Cary, NC

Account Administrator

Temporary employee processing claims for the NCDOT in the Workman Compensation Department. Investigating, approving, indexing, and writing checks, for workman’s Compensation claims.

12/04-06/06 Well Cornell Medical College New York, NY Medical Billing and Follow-Up

Employee performing billing and account receivable activities to maximize reimbursement through the utilization of the IDX system. Review account receivables for the department of OB/GYN. notify the manager of potential problems. Performs extensive follow up activities through the IDX BAR collection system. Investigate and analyze problem accounts, post rejections, monitors payment patterns, prepare letters of appeals, answer inquiries from patients and insurance companies, respond to requests for information from patients and insurance carriers, update patient demographic information make corrections, performs job duties as required. 06/04-12/04 MMC Holding of Brooklyn Brooklyn, NY

Medical Billing/Account Receivable Specialist

Temporary position appealing physicians claims that were denied. Submitted HCFA 1500 Forms. Telephone contact with insurance companies to obtain claim status. Submit appeal on denied claims. Complete follow-up calls for radiology and cardiology Physicians in regard to the status of the claims submitted. Re-submission of denied claims. 12/03-05/04 McBee Associates, Inc. New York, NY

Recovery Coordinator

Prepared and entered medical denials from insurance companies in Access for the nurses to write appeal letters, heavy telephone follow-up with insurance companies regarding the appeal. Ability to read and understand EOB’s, ICD9, and CPT codes, Medicaid and Medicare IPRO.

11/03-12/03 Long Island Jewish Medical Center Great Neck, NY Physician Account Receivable Specialist

Billing and collection for providers of medical services, third party follow-up. Incoming and outgoing calls to patients and insurance companies. Heavy telephone contact. Account management, collections of copays, coinsurance, and deductibles. Major insurance companies contact.

12/00-11/03 New York University Hospital New York, NY Account Receivable/Collection Specialist

Supervised six (6) junior A/R representatives. Assisted in resolving patient billing issues, contact patients via telephone and mail. Post payments, set up payment plans. Reconcile accounts. Referred accounts to outside collection agencies. Account management 05/00-12/00 Siac/Sector Inc. Brooklyn, NY

Account Receivable/Collection Specialist

Resolve customer billing issues, posted payments, contact customer on past due invoices. Set-up payment plans, reconcile client’s accounts. Assist with month end closing. Referred accounts to outside collection agencies. Update internal system on a daily basis. Worked with monthly and weekly aging.

EDUCATION:

09/93-08/95 State University of Brooklyn Brooklyn, NY Course: Radiology Technician

Received Radiology Training

09/64-05/67 G.W Wingate High School Brooklyn, NY

Course: Academic

Academic Diploma received

SKILLS:

Knowledge of office procedures, accounts receivable, IBM computer, Microsoft Word, Outlook, Organizational Skills

REFERENCES AVAILABLE UPON REQUEST

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