Tina C. Scrivner Crump
Woodbridge, VA 22193
Cellphone Phone 571-***-****)
Objective: To obtain a challenging position that offers opportunities for professional growth.
2010-Present Prince Georges Hospital Center, Insurance Specialist
My occupational duties may include: Obtaining referrals and pre-authorizations as required for procedures.
Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances.
Reviewing accounts for insurance of patient follow-up.
Researching and appealing denied claims.
Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Performs insurance and patient refunds on both account receivable and bad debt accounts
Treat all patrons in a caring and professional manner to foster a positive image of PGHC and instill confidence in the care received
Demonstrates a commitment to professional, departmental, and organizational core values by incorporation into daily work
Prepares and issues all refunds for accounting office
2008-2010 K-Force/Planned Parenthood, Medical Billing Specialist
Submitted electronic billing
Account receivable/ posting payments
Work Denial claims
Corrected all allocation payments for refund purpose
Call insurance company/mail bills to patients Submits insurance claims to first, second, and third party payers
Applies payments to accounts/correct fund or revenue source
Process, Review and analyze Blue Cross, Commercial, HMO, PPO, Medicare (Parts A and B), Medicaid, Secondary, and Third party claims Discuses
Billing and accounting operations with other financial service colleagues
Identifies, research, analyze, and correct problems with overdue and unpaid patient accounts
Epermis Track (Stock Camp)
Microsoft Office XP (Word/Excel)
Provides guidance and training to lesser-skilled Account Representatives in all aspects of Patient Accounting
Answers questions concerning patient accounts and/or division/unit operations record data for patient billing purposes
Compiles data for reports, cost estimates, etc. and produces audit reports for electronic filing
Corresponds with insurance companies, hospitals, city/state agencies, and clinical physician offices
Drafts routine correspondence, memos, etc.
Skilled in Medical terminology, ICD and CPT-4 coding
Possess superior Customer Service skills
Serves as lead on special projects
2002-2004 Billing Specialist, Virginia Hospital Center-Arlington
Sort and organize work load on a daily basis
Adjust accounts for Commercial Blue Cross Blue Shield (Care First), some Medicare and Medicaid.
Electronically input data on patient’s accounts as needed
Perform various duties as assigned Anthem and CareFirst Point of Care and Epermis
2010- Present Strayer University College
2004- Certification Revenue Management of Patient Account