Customer Service Primary Care

Alana Glover

PROFESSIONAL PROFILE:

•• Over** years of experience in the healthcare industry

•• Adept in billing and scheduling experience with third-party companies and provider offices, completing patient registration and scheduling for a variety of healthcare procedures and admissions, including insurance verification and obtaining authorizatios

•• Experienced in providing financial counseling to patients, including determining financial responsibility, posting payments received via check, debit, and credit, as well as making collection efforts

•• Computer proficient, including Citrix, Mainframe, Microsoft Office Programs, and utilizing dual monitors

PROFESSIONAL EXPERIENCE:

February 2020 to present Team Wellness Center Dearborn, MI

A/R Billing Specialist

•• Follow up on unpaid claims withing standard billing cycel following prescribed method

•• Gather and assist with informatjon retrieval for conducting appeals and denied claims

•• Responsible for rebilling services provided to consumers and patients (mental health, dental, primary care)

•• Provide excellent customer service to both members and providers

August 2018 to February 2020 Conifer Health Solutions Detroit, MI

Patient Service Representative

•• Completed financial clearance, including verifying patient demographics and insurance information

•• Provided financial counseling, including determining patient’s financial responsibility, securing payments, and making collection efforts

•• Posted debit and credit payments to patient accounts

•• Handled pre-registration of accounts for upcoming inpatient and surgical admissions

•• Assisted patients with scheduling and appointment information

•• Utilized Citrix, Mainframe, Microsoft Office Programs, and dual monitors

March 2016 to July 2018 Gateway Primary Care Detroit, MI

Lead Patient Enrollment Associate

•• Reviewed, monitored, and reconciled patient accounts and interfaces with patient financial services for resolution

•• Posted payments to patient accounts, including checks, debit, and credit transactions

•• Identified and tracked high utilization emergency department patients

•• Performed care coordination via verification of insurance coverage and benefits to facilitate authorizations and referrals

•• In charge of providing excellent customer service

•• Completed patient registration and scheduling

•• Assisted in the training of other team members

May 2015 to August 2016 Westland Truck & Car Wash Westland, MI

Billing Account Specialist

•• Performed billing for customer accounts, drafted necessary documents, and performed data entry

•• Implemented electronic invoicing

April 2008 to April 2015 Michigan Pediatric ENT Associates Detroit, MI

Surgical Scheduler

•• Completed patient scheduling

•• Performed daily billing, including reviewing patient accounts, coding, and posting charges

•• Provided patients with information relating to their co-pays, deductibles, and plan coverage

•• Obtained necessary authorizations and referrals

January 2002 to April 2008 McFord Pediatrics Dearborn Heights, MI

Medical Billing Specialist

•• Completed daily billing, reviewed patient accounts, coding, and posting payments

•• Assisted with patient registration, including insurance verification and collection of co-pays and deductibles

EDUCATION:

Associates in Liberal Arts

Henry Ford Community College

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