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Insurance Medical

Location:
Lawrenceville, GA
Posted:
March 22, 2020

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Resume:

Kamona N. Mutambaie

404-***-**** nicole.mutambaie@3350 Sweetwater ! yahoo.com rd Apt 507, Lawrenceville, GA 30044

! ACCOUNT MANAGEMENT CANDIDATE

• Account Management

• MS Office: Outlook, Word, Excel, Pow-

erPoint

• Conflict resolution

• Business Performance Management

• Project Management

Results-• ! Health oriented, Services customer-Management centric candidate with extensive business process, data analysis, relationship management, and conflict resolution skills. Possesses the ability to manage multiple complex projects for internal and external customers as well as has an aptitude for maximizing resources. _! Work Experience:

Northside Hospital, Atlanta, GA 01/08/2016-Present

Completing timely follow-up for all patient account claims to all third party payers, including but not limited to commercial insurance carriers, HMOs, Medicare, Medical Assistance & Blue Cross.

Performing insurance follow-up functions for unpaid accounts in the accounts receivable (AR) that include: insurance collection calls for payment resolution on accounts;identify the need to rebill and or bill secondary payers for account balances; work & process payer denials; respond to additional payer requirements to make sure timely payments of accounts; follow-up on under- payment from payers; review remittance advices for payment information & follow-up on un- paid claims in AR.

Hollis Cobb Associates, Atlanta, GA 11/ 2004 – 11/ 2015 Sr. Client Relations Specialist - Medical Accounts Receivable

Perform day to day account management/collections duties, which include: resolving client con- flicts, negotiating patient settlements, evaluating balance adjustments, and submitting account for legal review.

Manage patient’s financial data, ensuring accurate and timely reconciliation of patient and in- surance payments; cross referencing with client’s data to locate payment inconsistencies.

Proactively developed excellent customer relationships through effective communication, trans- parency, follow-up and follow-through skills, resulting in achieving monthly goals requirements. OSI Collections Services,Duluth,GA 02/ 2001 -10/ 2004 Collector/! Collected Team Lead balances outstanding from third party payers as well as processed currency postings; generated invoices to clientele, reviewed accounts, and decided cancellation status of each assign account.

Managed the rejections from Insurance carriers and identified, initiated, and facilitated resolu- tion of customer issues

Posted contractual and write off adjustments.

Negotiated payment arrangements on past owing receivables, then processed payments by cred- it cards.

Answered calls and email received by patients, then documented consumer contacts on system(s) of record.

!

Mutambaie, Kamona PAGE TWO

Professional Work Experience ! – Continued

!

Education:

Alabama A&M University

B.S. Computer Science

Jamaica High School, New York

Diploma

Achievements: ! Received Cure Award

G.E.M. Award

Systems Management Expert award

Platinum collector for exceeding goals by 200%

quarterly.

Languages:

English,French



Contact this candidate