Cozie Young 615-***-**** ad3xht@r.postjobfree.com

Experienced Medical Biller with advanced proficiency in Cerner, Epic, Meditech, CPSI, Allscripts, and other hospital billing-related programs. Seeking a position with a dynamic organization to use my expertise in Healthcare Billing, Training, and Quality Assurance. Possesses a proven track record in Health Insurance claims, Training/Instruction, Collections, and Customer Service.

MVA Claims Mentor Enablecomp, Franklin, TN 9/2020 – Present:

• Responsible for billing, follow-up, and resolution of medical claims, contributing to team revenue goals, averaging 40-50 complex claims daily.

• Negotiated TPL claims and attorney settlements.

• Coordinated training for team members, ensuring they meet or exceed performance metrics.

• Review EOBs to ensure correct posting allowances, adjustments, and payments.

• Work with Management to find and resolve issues promptly, developing processes and tasks to ensure optimal outcomes.

Claims Analyst Knowtion Health, Boca Raton, FL 5/2017 - 9/2020:

• Advanced knowledge of claims process and billed claims accordingly to Medicare, Medicaid, and third-party providers.

• Proficient with web portals like Availity, client systems, and databases as necessary to document and resolve medical claims.

• Accurately process Remittance/Explanation of Benefits to accounts and process secondary billing to correct payers or patient.

• Gathered pertinent patient information over the phone or in person for high dollar medical claims adjudication.

• Participate with regional sales leaders in developing business plans and effective value propositions to increase volume and profitability in assigned hospitals.

Claims Representative Revecore, Franklin, TN 4/2014 - 4/2017:

• Triage, investigate and bill medical claims for facilities and physicians.

• Follow up to verify claim status and resolve submission issues and resubmit or appeal claim for resolution.

• Built and maintained relationships with clients and leadership regarding target goals for revenue.

• Met or exceeded monthly metric goals working through work ques or claim ownership.