Reimbursement case manager, medical collections and patient registrati

KL

OBJECTIVE

To secure a position as a Reimbursement Specialist with a reputable company where I can expand my skills and help strengthen the company.

SKILLS

Organized problem solver with strong attention to detail.

Ability to recognize and deal with priorities.

Understanding of medical terminology, accounts receivable, insurance collections and billing.

Strong interpersonal skills with excellent written and verbal communication.

Knowledge of Microsoft Office Suite, Quickpath, PLP, Finesse and Cisco programs.

Verification of patient benefits and determining if prior authorization is required.

KENYON LEEKS

REIMBURSEMENT SPECIALIST CASE MANAGEMENT

2920 SPRINGSWEET LN #14 RALEIGH, NC 27612

919-***-**** **********@*****.***

EXPERIENCE

REIMBURSEMENT CASE MANAGER •

TRIALCARD MORRISVILLE, NC •

11/2019 – PRESENT

Serves as an advocate to patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement process, and other general access issues i.e., pharmacy prescription triage, buy and bill and medical benefit verification for complex pharmaceuticals.

Evaluates program enrollment forms for data integrity and coordinate data processing.

Assists with insurance benefit investigations and triage cases according to program standard operating procedures.

Ensures the accurate collection and reporting of information.

Coordinates financial options for those with financial need.

INTAKE AND TRIAGE COORDINATOR •

TRIALCARD MORRISVILLE, NC •

10/2017 – 11-2019

Reviewed and ensured all incoming forms were complete, collected and captured missing information if needed.

Efficiently made and received inbound/outbound calls to advise patients of program benefits and guidelines. Also triaged inbound calls to assigned care coordinators and case managers.

Provided support, training, development, and coaching assistance to team members with questions or concerns.

Resolved problems by clarifying issues, researching, and exploring answers/alternative solutions.

Maintained a high level of ethical conduct regarding confidentiality, privacy and HIPPA regulations.

Collaborated with specialty pharmacy liaison and supervisors by creating cases and distributing assigned workload to Reimbursement Case Managers.

Worked closely with internal team to appropriately manage and resolves issues.

MEDICAL COLLECTIONS COORDINATOR •

OPTIMUM OUTCOMES RALEIGH, NC •

2/2014 – 10/2017

Responsible for collecting outstanding balances on medical debt for WakeMed, UNC, Duke, Missions Hospital, and various other clients.

Set up payment arrangements for the collection of outstanding medical debt.

Followed all HIPAA regulations and placed/received between 80-100 calls per day.

Consistently exceeded monthly collection goal and quality assurance requirements.

COLLECTIONS COORDINATOR •

ILLINOIS COLLECTION SERVICES TINLEY PARK, IL •

9/2002 – 10/2013

Responsible for the set up and daily operation of the automated dialer system to include unattended desks and collector pools.

Responsibilities also included assigning work tasks, disposition of accounts, processing of telephone and walk in payments.

Direct liaison for client accounts and assisted the supervisor with calls and duties.

Supervised over the small balance department and handled the Assistant Manager functions for the collection floor.

EDUCATION

AA IN BUSINESS ADMINISTRATION • MAY 1994 • SOUTH SUBURBAN COLLEGE - SOUTH HOLLAND, IL.

DIPLOMA • JUNE 1991 • SOUTH SHORE HIGH SCHOOL – CHICAGO, IL

REFERENCES

Available upon request

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