Customer Service Client

Malisha Clark

***** * ***** ***** *** #**** Moreno Valley, CA 92555

● ************@*****.***

FINANCIAL ACCOUNT SPECIALIST/ PATIENT BILLING/QUALITY MANAGEMENT

Experienced financial and patient advocacy professional with demonstrated expertise in records management billing and AR analysis. Proven ability to develop, enhance, and further cultivate relationships with key stakeholders, as well as internal and external resources. Effective communicator with the ability to deliver complex financial information to both internal and external customers, promoting a more robust understanding of patient responsibility and accountability. Leads from the front through client service, financial understanding, and unflagging drive to achieve company objectives.

KEY STRENGTHS

Strategic Management ● Client Relations ● Exceptional Communication Skills ● Relationship Management

Excellent Problem Solver ● Financial Assessment Strategy ● Contract Management ● Risk Management

Team Building ● Customer Service Oriented ● Detail Oriented ● Vendor Relationship Management

PROFESSIONAL EXPERIENCE

Air methods, San bernardino, CA

Air Methods provides lifesaving Emergency air transport . 5/2017- Present

Patient Advocate

My role as a patient advocate, I help the patient understand the billing process and financial options. Provided empathy and compassion, meanwhile delivering patient responsibility and accountability in a timely manner. Acted as a liaison between patient and healthcare provider. Fostered an open and forthright communication that benefits both parties. Very resourceful for both patient and physician/ insurance company in support of optimal delivery of care.

Cedars- sinai Medical center, Beverly Hills, CA 9/2014- 11/2016

Cedars-Sinai is a nonprofit academic healthcare organization.

Financial services representative

Discuss insurances and cost of procedures with patients before admitting them to the hospital. Collected forms for prior authorizations if needed.

Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.

Investigated and resolved patient inquiries and complaints in a timely and empathetic manner.

Effectively served as primary liaison for HMO, PPO and managed care providers. Directed calls to appropriate individuals and departments.

Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.

Apria Healthcare, Rancho Cordova, CA 1/2009 – 2/2014

Major health services provider with nationwide presence, operating variety of offices collectively throughout California.

Biller IV Analyst Lead

Effectively manage all billing, collections and customer financial information, ensuring completeness of data and preparing all billing packets for compliance review within 24-hour time period. Perform contractual appropriate contractual adjustments based on billing information from all Medicaid carriers throughout system. Collections on AR from Medicaid (TX) claims and Medi-Cal approved claims. Additional experience working AR claims from Commercial and Managed Care payors.

Key Achievements:

Develop effective knowledge of CPT, HCPC and ICD-9 codes and medical terminology to ensure proper billing and efficiency of operations.

Monitor and maintain billing reports, including non-billables, developing accurate tickler files and holding all claims pending authorization and documentation.

ADDITIONAL EXPERIENCE

Patient Services Assistant Supervisor, Healthcare Partners Medical Group, Torrance, CA, 1997 – 2001

Insurance Biller, Scripps Business Department, San Diego, CA, 1995 – 1997

EDUCATION

Associate of Science Coursework, Healthcare Management, Anthem College, Phoenix, AZ

Data Entry Certificate, Southern California Regional Occupational Center

Medical Billing and Coding Certificate, Anthem College, Phoenix, AZ

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