YASIACH GRAY

**** *.**** ******, *********, OH **104 216-***-**** ad42n4@r.postjobfree.com

Insurance Follow-Up and Coding / Health and Insurance Plan Member Specialist CAREER PROFILE

Healthcare Service Professional with strong customer service and insurance follow up focused background and a genuine interest in a position focused on improving the overall patient or member experience. Seeking an opportunity to work in the background working on insurance services, and to support a team of like- minded professionals.

CORE COMPETENCIES

• Patient Registration Interviewer • Information Processor • ICD-10 coding • HIPAA Compliance • Medical Terminology • Sorter/Encoder Operator • Compliance Officer for FCRA • Direct/Indirect Customer Service • Typing 50-55 wpm • Microsoft Office Suite – Word, Outlook, PowerPoint, Excel, Access EDUCATION

Undergraduate Certificate, Medical Billing and Coding DeVry University, Cleveland OH

EMPLOYMENT HISTORY

Professional Driver July 2022 – Present

J.B.Hunt Transport, Lowell, AR

• Drive using Electronic Logs (ELD) to keep track of drive time, off duty, on-duty, and sleeper berth times

• Followed FMCSA rules and guidelines to remain in government regulations holding a commercial driver’s license

• Maintain a physical every 3 years and complete random drug test to maintain employment and remain in good standings with FMCSA

• Traveled to Home Depot distributions centers in the Midwest to obtain loads and transfer to other distribution centers across states

• Completed backhaul loads for items needed at the distribution centers for local Home Depot Retail Stores

• Currently deliver freight for Jamestown Container locally across OH Professional Driver January 2022 – July 2022

ROEHL Transport, Gary, IN

• Drive a refrigerated trailer over the road to obtain freight and deliver to specified customer

• Complete backhauls to and from customers and have them complete bill of lading

• Have consignee complete paperwork to upload to portal and send to dispatcher

• Drive semi-truck with a dry van. to multiple stop locations to deliver loads to Lowe’s Retail Stores

• Keep Electronic Logs (ELD) of drive time, off duty, on duty, as well as sleeper berth

• Checked in at distribution center, provided load information to obtain trailer for store delivery

• Made sure to complete pre-trip and post trip inspections of tractor and trailer before and after shift Billing Representative April 2021 - July 2021

ARC Psychiatry, Beachwood, OH

• Assist patients with balances, take payments and setup payment arrangements

• Created queries to assist with any patient overpayments to initiate the refund process or if patient would like to apply balance to future visits

• Access availity and OneSource to verify patients' insurance

• Worked denied claims and made corrections to coding and modifiers for psychiatry

• Worked the clearinghouse to verify insurance, updated or corrected to resubmit claims to correct insurance

• Assigned multiple worklists to assist with insurance follow-up and correct accounts for proper billing

• Work self-pay accounts and tried to collect patient balances

• Worked spreadsheets to verify if insurance overpaid and the balance was patients responsibility

• Worked in Epic associated with Cleveland Clinic to verify current insurance Revenue Cycle Customer Service Billing Rep July 2018 – April 2021 University Hospitals, Cleveland, OH

• Assist patients with billing issues, balances and understanding their hospital or physician statements as well as take payments and setup payment arrangements

• Explain patients Explanation of Benefits (EOB) when the patient has questions about a denial.

• Access availity and OneSource to verify patients' insurance

• Work Revenue Group escalations and other requests under the department trainer

• Knowledge of processing attorney request for billing and provide invoices or completed records by mail or fax once payment received, also process victims of crime request

• Complete returned mail and process incoming mail

• Assigned multiple worklists to assist with insurance follow-up and correct accounts for proper billing

• Work self-pay accounts on Experian, HDX and spreadsheets from collections as a backup to the department trainer

• CHAA Certification - Certified Healthcare Access Associate

• Worked in Cerner (Soarian), Athena, Quadax, Papers, Experian, Physicians Portal, and Allscripts Medicaid Account Specialist January 2013 – July 2018 Human Arc, Cleveland, OH

• Advise patients and plan members on enrollment process in government-funded assistance programs and assist in applying for additional coverage with Medicare for prescription drugs

• Guide members applying for MSP (Medicare Savings Plan) to assist with the payment of Medicare Part B Premiums

• Contact multiple State Departments of Social Services to complete applications, obtain status or assist with appeal if member was denied coverage

• Verify ICD-9 codes for service under Michigan’s State Children's Health Insurance Program (SCHIP), now known as the Children's Health Insurance Program (CHIP), to determine if covered under insurance