Medical Billing Sales

James Hudnut

**** ******* **, ** ****** MO *****

Cell 636-***-****

**********@*****.***

OVERVIEW

Communication, ability to work under pressure, decision making, time management, self-motivation, conflict resolution, leadership and adaptability.

PROFESSIONAL HISTORY

NEXTGEN HEALTHCARE, St Louis, MO 06/2014 – 09/2018

Specialist, Medical Billing II

Performed medical billing and collection activities for assigned insurance accounts.

Developed and maintained effective working relationships with payers and/or clients.

Reviewed and/or audited accounts to determine status and appropriate action required from workflow generated from practice management system.

Documented follow-up appropriately in practice management systems.

Researched and follow-up on denials and requests for additional information utilizing denial management reports and correspondence.

Collaborated with management to identify payer trends and non-payment issues.

CORAM HEALTHCARE, St Louis, MO 08/2008 – 05/2014

Sr PFSC AR Management

Reviewed accounts receivable claims for home infusion therapy insuring correct payment from health insurance.

Determined and facilitated health claims paid correctly; work to resolve claim / billing errors, incorrect payer, and short or overpaid claims by contacting billing dept, pharmacy branch and appealing claims to the health insurance company.

Trained others regarding overpayments and appeals.

Successfully worked to get correct insurance contracts loaded resulting in applying past payments not applied and getting claims reprocessed resulting in payment.

Put in place tools so entire PFSC can use web sites of health insurance payers.

MOHELA, Chesterfield, MO 05/2007 – 05/2008

Consolidation Loan Specialist,

Inside sales to facilitate student loan consolidation, provide options to customers to complete sales, and sales documentations.

Strategic planning and reporting on marketing strategies to increase consolidation and direct consumer loan volume.

Old Cornerstone Financial, St Louis MO 04/2006 – 01/2007

Loan Officer

Called on consumers to offer refinance their mortgage needs.

Analyzed their application and credit, submitted for pricing, sold mortgage product to consumer.

Followed up with consumer for all proper documentation to finalize their mortgage loan.

EDUCATION

Columbia College Columbia MO B S Business Administration, minor finance

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