Account Manager Case Management

Dewanda Clark

**+ years of experience in medical billing, staffing and case management

Atlanta,GA

(404) 914 - 6208

ad5t2l@r.postjobfree.com

EXPERIENCE

Entegrity Homecare Solutions, Jonesboro, GA — Account Manager January 2013 - May 2022

● Oversaw daily operations of the intake and maintenance of new and existing client referrals.

● Managed the scheduling of 30+ caregivers to ensure quality and timely care was performed

● Maintained and audited new home charts to ensure all documents were there for caregivers

● Conducted insurance verification and submitted over 1k+ bill reports to third party vendors

Secure Medical Management, Stn. Mountain, GA — Administrator December 2012 - January 2013

● Conducted meetings to introduce new clients (10+ in a given month) to the billing process and outlined their expectations and responsibilities to ensure accurate billing.

● Managed all billing and collection duties for medical offices including maintaining correspondences, batch billing, evaluating Explanation of Benefits (EOB) and processing payments received.

● Network in the community to generate new business for the practice.

● Ensured that all matters regarding Protected Information (PI) were processed efficiently with Attorneys.

Perimeter Spine Rehab Center, Atlanta, GA — Collection/Billing Specialist August 2009 - July 2011

● Efficiently filed electronic and paper claims (including MVA cases) and notes to private insurance companies, Medicaid and Medicare.

● Reviewed Explanation of Benefits (EOB) for correct payments, adjustments and denials.

● Submitted medical records to insurance companies as requested for audits and processing.

● Conducted follow up contacts on outstanding and denied claims. Verified patients’ insurance and demographic information for proper medical treatment. Emory Healthcare, Decatur, GA — Billing Recovery Specialist October 2008 - December 2008

● Ensured the timely resolution of medical insurance claims filed with insurance carriers and agencies.

● Worked commercial accounts that had multi-million dollar amounts to get claims paid through insurance or patients.

● Succeeded in follow—up of all nonresponsive insurance companies approaching the 30-day limit for payment.

● Improved practice’s collections/cash flow and reduced bad-debt write-offs.

● Effectively processed returned mail on high-dollar accounts and correspondences from third party payer sources.

SKILLS

ICD-9, CPT Coding

UB92s, HCFA 1500

Electronic Claim Filing

Medical Record Management

Customer Service and Support

Explanation of benefits

Medisoft

EDUCATION

Career Education Institute

Marietta,GA

Medical Administrative

Assistant, Certification

May 2005

Contact this candidate