** **** ***** ******

Munford, TN ***** 901-***-****

ad4jk9@r.postjobfree.com

Kala Wiggins

Patient Financial Services Rep

Professional Summary

Experienced Patient Financial Services representative with 14 years of experience.

20 plus years with great customer service expertise with various demographics of customers. 12 years of collections and reimbursement. Demonstrated success in achieving top inside sales each period. Skilled in communication, problem solving, and dedicated to delivering exceptional services.

Employment History:

Bioventus Memphis, TN

Patient Financial Services March 2022 - current

Educate patients about Bioventus products, clarifying out of pocket costs, and providing clinical benefits information.

Manage payments, negotiate terms of payment, and administer patient assistance programs within the company guidelines.

Coordinate product shipments and completion of required forms in a timely manner.

Interpret medical records for patient history, diagnosis, therapy, treatment plans.

Ensure timely submission of required documentation for pre-authorizations.

Develop and nurture relationships with healthcare professionals, clinicians, clinics, therapist, and medical facilities to promote and sell medical devices.

Create and execute effective sales strategies to achieve or exceed sales targets.

Negotiate pricing, contracts, and terms of sale and return policy.

Close deals ensuring mutual benefit and customer satisfaction.

Baptist Home Medical Equipment Memphis, TN

Reimbursement Specialist 2019-2022

Managed DME billing for various insurance providers (Mostly Commercial Insurance but Medicare as well).

Managed and coordinated in hospital systems such as (EPIC and Caretend).

Processing of medical request, refill authorizations, and HCFA-1500 and UB-04 medical billing forms with electronic billing.

Knowledge of ICD-9 and 10 diagnosis, CPT codes, and modifiers on claims.

Delivery and pick up tickets.

Getting claims paid, doing appeals and reconsiderations when claims deny.

Rotech/Preferred Medical Equipment Memphis, TN

Customer Service Representative 2018-2019

Worked intake with receiving hospital or clinic medical orders for DME, calling on eligibility, seeing if auth was needed, created delivery tickets for drivers to deliver equipment to patients.

Confirmed delivery tickets and accepted claims to go to billing.

Shipped out medical supplies and small equipment when needed.

United Health Services Memphis, TN

Credit Representative 1 2010-2018

Managed workers compensation cases through patient discharge via incoming claims.

Communicate with clinics, insurance adjusters, and various facilities around the US.

Did processing of medical request, refill authorizations, and HCFA-1500 and UB-04 medical billing forms.

Excel, Microsoft Word, Data Entry.

Education:

2008 -2009

Medical Assistant and Phlebotomist, Delta Technical College, Southaven, MS.

2006 -2008

Southwest Tennessee Community College, Memphis, TN.

2002 -2006

Overton High School, Memphis, TN.

Skills:

Inside sales

Sales targets

Communication and Comprehension

Patient and client satisfaction

Exceptional services

.

References:

Upon request

Contact this candidate