Rochel L. Baumann “Roxie”
**** ******** ******, ************, ** 32207
● Cell: 904-***-**** ● Email: ******@****.***
CAREER OBJECTIVE
Looking to obtain a position utilizing skills and experience in resolving account related concerns.
MAJOR QUALIFICATIONS
• Seven years of hands-on experience working in medical field
• Fifteen plus years’ experience in billing and accounts receivable
• Certified Professional Coder (CPC)
• Extremely familiar with medical terminology
• Computer – MS Office Suite, JDE (finance), Windent, QuickBooks, Sunwave, Collaborate MD, Kipu, and Insurance Sites, Qlik Sense, Textura, JIRA, Contract Management, Linx, and willing to learn others
BILLING AND CODING EXPERTISE
• ICD-10 Coding • CPT-4 Coding • Regulations
SPECIAL SKILLS
• Skilled in translating codes into insurance company’ preferred coding systems
• Able to perform charge review, claim submission, claim follow-up, payment posting and patient statements
• Knowledge of preparing appropriate claim documents
• Knowledge with assigning appropriate medical codes to diagnosis and services
• Notary Public Since 2000
PROFESSIONAL EXPERIENCE
Otis Elevator – Jacksonville, FL
Service Sales Retention Specialist / Client Relationship Manager (CRM) – August 2022 – January 2024
• Met with Top 20 Clients Monthly to review the status of the account
• Propose & Meet Resign Rate
• Propose & Sell Subscriptions for OTIS One
• Effective communication with upper management regarding status of accounts
• Attending weekly staff, sales, and at-risk client meetings
• Strive to maintain over 90 AR to requested percentage of 15%
• Meet Quarterly sales portfolio plan
• Facilitate strong customer service culture measured by improved survey results
• Accurate Information updated across all platforms
• Process contract resigns, changes and cancellations and requested by client
Otis Elevator – West Palm Beach, FL
Accounts Receivable Specialist – March 2019 – March 2020 (Kelly Services) - March 2020 – August 2022
Managing AR for San Francisco, Anaheim, Sacramento, Philadelphia Downtown & Suburbs, Plainview Branches
• Strive to Maintain Over 90 AR to requested percentage of 15%
• Managed AR for Amtech Branches (added March 2020 to May 2021)
• Assisted in bringing Over 90 AR down and closing LA West Branch
• Assist Team members with daily requests
• Discussions with General Managers and other Managers as needed
• Present and offer input on Monthly Branch AR Conference Calls
• Responding to email requests from all customer types within a timely manner
• Schedule Meetings for One on One Account Review
• Contacting Customers regarding open invoices & logging notes regarding outcome
• Account Reconciliation – Due Diligence before requesting assistance
• Auto Cash Match where necessary
• Reviewing Linx for updated requests for submitting Invoices
• Review report for Dunning Letter submission
• Write-offs of invoices as requested; asking for additional information as required
• Update Who’s Who with correct contact for invoice submission
• Submit Collection Packages as needed
• Assist Management and Co-Workers as requested
• Assist in Team Trainings as Requested
• Pilot programs for training and assist in training coworkers
Ambrosia Billing – Palm Beach Gardens, FL
Billing Department Lead – October 2015 – November 2018
• Billing and Posting of (6) Six Treatment Facilities
• Oversaw staff of (3) three
• Initiate initial bi-weekly, 90-day & annual reviews & discusses with Management before review with staff
• Produced reports for Management on outstanding claims not submitted or rejected
• Monitored staff work for highest level of productivity and quality of work
• Review proper posting of accounts and appropriate adjustments
• Review Insurance correspondence for denials and dispense to collectors for review and determination
• Training new staff and training any new processes and procedures
• Creating processes and procedures to enhance efficiencies and productivity of department
• Assisting in Billing and Posting when staff were out sick or vacation or as needed
• Complete payer agreements and set up additional companies as required
Audiology Distribution / HearUSA – Palm Beach Gardens, FL
Insurance Claims Specialist August 2014 – October 2015
• Billing & Collection of Accounts Assigned
• Review claims for necessary corrections to ensure clean claim submission
• Assign claims to appropriate team member for payment posting and research of unposted monies
• Assist in payment posting when needed
• Verification of insurance to ensure that all claims processed correctly (when required)
• Locate and print manufactures invoices that are required per plan to submit with claim
• Process mail and answer denials and reprocess claims
• Processing claims by speaking with insurance companies to resolve any denials or rejections
• Spiceworks – ticket system from the centers to billing department to assist with questions and claim issues
South Florida Oral & Maxillofacial Surgery – Jupiter, FL
Patient Coordinator April 2011 – August 2014
• Code records by following prescribed coding standards such as ICD-9 and CPT
• Review physician notes and obtain necessary clarifications where necessary
• Assign appropriate medical codes to all diagnosis and services
• Prepare appropriate claim documents
• Verification of insurance coverage to ensure that all claims processed correctly
• Performed day to day functions associated with coding
• Reviewed patient records for proper documentation
• Assigned ICD-9-CM codes for procedures and diagnoses
• Entered and verified data elements
Over 15 Years of Administrative / Executive Assistant Experience in Palm Beach County
EDUCATION
Keiser Career College – Greenacres, FL
Certified Medical Billing and Coding – 2010
CGPA: 4.0
Northwood University – West Palm Beach, FL / Adult Distance Learning – Midland, MI
Associates Business Management – Graduated 2005
Bachelors Business Management – Graduated 2022
ADDITIONAL CAPABILITIES
• Excellent written and verbal communication skills
• Highly motivated personality with positive approach
• Proven ability to speak in a confident and assertive manner
• Exceptional telephone etiquette
• Willingness to continued learning
REFERENCES AVAILABLE UPON REQUEST