Mildred Graves

Stone Mountain, Ga.

ad2rne@r.postjobfree.com

404-***-****

OBJECTIVE

Seeking position with an organization that can utilize my skills and experience in a business

environment.

Employment History

Tenet/Conifer Healthcare (remote)

Rep. Patient Account — July 1999-October 2021

●Perform billing functions for timely submission of primary and secondary claims for electronic submission to payers.

●Review and edit claims for accuracy and completeness per compliance guidelines for electronic and paper submissions.

●Monitor the billing editor and ensure unresolved claim issues are placed on hold and sent to appropriate departments.

●Review and work desk inventory, complete reports and resolve high priority and aged accounts.

●Diligently work to identify issues and problems and provide suggestions for resolution.

●Responsible for all aspects of accounts follow up and collections, reviewing remittance advices, making phone calls, checking payer websites, working accounts in desk to completion.

●Effectively resolve aged inventory to resolution, such as payment research, request adjustments, review and work denials, payment recoupments with minimal or no assistance necessary.

●Accurately and thoroughly document accounts with billing or collection activities that were performed.

●Review the account information and necessary system applications to determine the next appropriate work activity.

●Verify claims are adjudicated properly.

●Follow up and resolve outstanding payment issues.

●Assist with special projects assigned by management and assist team members when needed.

Grady Memorial Hospital-Hughes Spalding Hospital, Atlanta, Ga

Billing Representative and Cashier- Aug 1985-Oct 1993, Feb 1995-July 1999

●Ensured timely and accurate billing of Medicaid, Medicare and Third Party claims electronically or manually.

●Review and correct errors on claims

●Research and attach documentations to claims

●Combined accounts when needed to endure all patient charges were billed on one claims

●Reprocess claims and transmit all claims worked at end of day.

●Mail hard copy claims to payers.

●Run end of day reports.

●Account for daily cash received.

●Cleared discharges, answered phone calls, assist patients.

●Verify and collet night collections by admission personnel.

●Charge back all return checks to proper accounts.

●Post payment to patient accounts.

●Balance cash control sheets daily.

United States Air Force

Supply Specialist and Command Post Specialist, Feb 1975-Jan 1981

●Receive and stock and inspect condition of supplies.

●File and update warehouse locations.

●Process documents on damaged supplies.

●Assist in inventories and backorder of supplies.

●Prepare and type reports.

●Receive, control and destroy classified information.

●Prepare and update manuals and publications.

●Operate console telephone circuits.

●Coordinate daily flying schedule

Education

Eunice High School, Eunice La

Material Facilities School, Denver, CO

Command Post School, Mississippi

Skills & Certifications

32 years experience in hospital billing office and working with the public

System Training:

Epremis

Caremedic

Med-8000

ACE

VI

ON-DEMAND

Passport

IMAC/THRIVE STAR

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