Customer Service Insurance
Resume:
Vera Wells
Jackson, MS *****
*********@*****.***
To utilize my skills especially working with people. Work Experience
SPECIALIST FINANCE/PAYMENT POSTER
BAPTIST MEMORIAL HOPITAL - Jackson, MS
December 2017 to February 2019
• Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed.
• Ensure notes are entered in the patient account, and copies of EOB’s, denials and other correspondence are provided to the collector.
• Ensure payments and adjustments are accurately recorded in the patient accounting system daily.
• Meets or exceeds departmental productivity standards on a consistent basis.
• Performs duties necessary to ensure the team’s projects/goals are completed.
• Ensures compliance with all regulatory, company and departmental and HR policies and procedures.
• Reconcile daily batch posting to actual entry in order to identify and reconcile any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis. PATIENT ACCESS REGISTRAR
DOMINICAN PLAZA - Jackson, MS
August 2016 to December 2017
• Patient Registrar is responsible for the greeting patients as they arrive in the lobby.
• Register patients for hospital and physician clinic services in a healthcare setting.
• Responsible for entering demographic data, verifying patient insurance benefit coverage via phone and online insurance payer portals.
• Update patient accounts with insurance, demographic, and billing data.
• Maintains knowledge of, and complies with all relevant laws, regulations and policies, procedures and standards.
• Collect payment before test were administered.
BILLING SPECIALIST II
UNIVERSITY MEDICAL CENTER - Clinton, MS
October 2011 to March 2016
• Resolved billing issues identified by insurance carriers and patients.
• Reviewed claim denials and payer requirements for corrective action and prevention in the future.
• Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
• Kept accurate records of all activity and conversations for each account.
• Maintained the highest levels of accuracy and patient confidentiality.
• Quickly identified and resolved medical billing, coding and insurance discrepancies.
• Reviewed patient bills for accuracy and completeness, and obtained any missing information.
• Followed the guidelines and be in compliance with local, state or federal laws and regulations.
• Reviewed accounts for possible assignment and made recommendations to the Billing Supervisor, also prepared information for the collection agency.
• Researched and resolved denials and EOB rejections within standard billing cycle time frame.
• Reviewed billing edits and provided insurance company with correct information.
• Identified account discrepancies and issues that hindered claim payments.
• Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance.
• Answered all patient telephone inquiries regarding their bills and insurance questions. BILLER/COLLECTOR
UNIVERSITY MEDICAL CENTER - Jackson, MS
March 2008 to October 2011
• Review patients’ bills for accuracy and completeness and ensure that any missing information is promptly obtained.
• Identify insurance companies that need to be contacted from the information provided on patients’ bills.
• Contact insurance companies to determine the status of claims in a bid to expedite payments.
• Process payments as and when they are paid and ensure that correlating accounts are credited properly.
• Review denials, resubmit them and ensure that they are followed up on a constant basis.
• Oversee insurance payments to ensure that they are accurate and in compliance with contract.
• Collecting essential information from respective units and preparing bills.
• Filling insurance forms and submitting it to the respective company for payment.
• Preparing, reviewing transmitting claims using billing software, including electronic and paper claim processing.
• Making phone calls to the patient's insurance provider for verification purposes and answering their doubts regarding provided treatments Working with the support team to file records electronically for preparation of discharge reports.
• Assisting the accounts section for translating health-care services into medical claims and submitting the documents via mail to the patient's insurance provider. ACCOUNTING CLERK
UNIVERSITY MEDICAL CENTER - Jackson, MS
January 1999 to March 2008
• Entered invoices into accounts payable approval system for routing to project managers.
• Sorted and routed both incoming and outgoing mail orders.
• Prepare monthly and fiscal year reports for project manager meetings.
• Assisted with posting of cash receipts and expenses to journals or ledgers as needed.
• Reviewed, investigated, and corrected errors in financial entries.
• Collected A/R through collection calls and correspondence.
• Reviewed, analyzed and assisted with approval of customer credit and refunds.
• Researched and documented problems and proposed solutions.
• Regularly evaluated customer financial data and payment history to evaluate credit exposure. Education
DIPLOMA
JIM HILL HIGH SCHOOL - Jackson, MS
May 1986
Skills
Microsoft Office (10+ years), Excel (10+ years), Epic (6 years), Customer Service (10+ years), Administrative Skills (10+ years), Office Equipment (10+ years), Cerner (Less than 1 year), Onbase
(Less than 1 year), McKesson (1 year), Written Communication (10+ years), As400 (1 year), Administrative Assistant, Outlook, Billing, Receptionist Assessments
Customer Focus & Orientation — Expert
July 2019
Responding to customer situations with sensitivity. Full results: https://share.indeedassessments.com/share_assignment/rlyjk1qqusgchzpb Receptionist — Proficient
July 2019
Using basic scheduling, attention to detail, and organizational skills in an office setting. Full results: https://share.indeedassessments.com/share_assignment/yd4rjhoodzstkfyl Data Entry — Familiar
July 2019
Measures a candidate's ability to accurately input data and effectively manage databases. Full results: https://share.indeedassessments.com/share_assignment/erwiebzseicaujpg Scheduling — Familiar
July 2019
Cross-references agendas and itineraries to avoid scheduling conflicts. Full results: https://share.indeedassessments.com/share_assignment/3-73-q3yg9zskbe Merchandise & Supply Storage — Familiar
July 2019
Measures a candidate's ability to apply systematic processes for managing and storing products and merchandise.
Full results: https://share.indeedassessments.com/share_assignment/ii1q3n5dr2mupuua Basic Word Processing with Microsoft Word — Proficient July 2019
Measures a candidate's knowledge of basic Microsoft Word techniques for word processing, including the use of tools to format or edit text.
Full results: https://share.indeedassessments.com/share_assignment/9m1jer8hlki0-pg3 Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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