Vicki Clardy

Personal

Home Address: *** *** ****,

St. Rose, LA 70087

Phone Number: 225-***-****

Email: ad47df@r.postjobfree.com

Marital Status: Divorced

Health Conditions:

I have had Multiple Sclerosis 23 years – diagnosed in May 2000.

I do not have any major problems & have never had a major episode.

I do walk with a cane occasionally use a walker.

Expected Wages: $15-$20.00 per hour

Employment

Lane Regional Medical Center

Credentialing Specialist 6/2009 to 5/18/2020

-I kept 8 clinics & 36 Providers up to date on their state license,

and all licenses for providers: State License, CDS, DEA & Malpractice Insurances

-As well as keeping CAQH website updated & all Insurance Companies notified with all licensing information updates.

-When a new provider either fresh out of school or transferring from another provider came to a clinic, I had to change or get all information for licensing into the PECO system & create a CAQH file and notify all insurance companies-completing all forms required for each. Assuring that provider was set up for billing with all insurances..

-I also assisted with Self-Pay balances reviewing balances in old system and notating notes in new system or deleting notes if account was paid in full

-Also, assisted with any Insurance issues that front desk clerks @ clinics had from patients concerning their balances or claims not paid.

Urgent Care Supervisor 02/2009 – 06/2009

–I managed all clerical side of the urgent care. Being sure all positions were filled for the day or working them myself. Also, charged & created all insurance claims for any services. Worked all claims in electronic system for claims to bill out to insurance companies, also correcting any claim errors that kicked back in system. Created charts for any new patients as well as verifying all information on electronic charts was correct. Handled all financial for each day- balancing & handling all banking deposits and financial notices to Accounting Department @ hospital. Posted all insurance payments and self- pay payments to accounts. Did all ordering of supplies as well as dropping off & picking up sterile tools from Hospital for Urgent Care.

Patient Advocate 06/2008- 02/2009

– Met with patients or phone calls to discuss the balances on their accounts.

Explaining to them in detail what occurred in processing & how insurance paid. Also as to what their balance was & set-up patient payment plans to pay off their balances.

Medicare Insurance Clerk and Medassests Electronic System Supervisor 2/1999 – 06/2008

- Worked all electronic claims & any claim errors that kicked back.

–Worked all A/R (accounts in aging)report for balances that were in Medicare insurance. Verified Medicare had claims in Medicare system & they were paid correctly.

–Called Medicare or reviewed claims in electronic system for Medicare on unpaid balances or not paid correctly.

–Reviewed all self-pay balances and if no payment received within 90 days of insurance payment, I then turned them over to Bad Debt Agency.

GS Financial Services. 7/1997 – 2/1999

-worked accounts for 16 different hospitals that were unpaid by insurance companies or were in self-pay assuring that balance was patients. If no payment within 90 day urned self-pay balances over to bad debt agency..

-Called insurance companies questioning the balance unpaid by insurance and details.

-Spoke to patients concerning their balances explaining to them in detail.

-Called insurance companies questioning the balance unpaid by insurance and details.

East Jefferson General Hospital 5/1994 – 7/1997

-Medicare Insurance Clerk- downloading all claims daily from a disc into computer & processing claims then submitting them electronically to Medicare.

Education

-High School Diploma-1983 Destrehan High School

-Medical Terminology Devaughn coding system.

-Webinars for Medicare & Blue Cross for updating coding & billing.

Skills

Microsoft office software

American Board for Providers

La Nursing Board for APRN

Kronos

Waystar

Meditech

Expanse

CMS, PECOS, NPPES, HER AND CAQH Proview

References

Kathy Williams, Lane Family Practice, 225-***-****

Thomas Hines, Hope Church, 985-***-****

Barbara Dean, Restorix Health (Metairie, LA office), 504-***-****

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