Insurance Billing

ATAVIA ANDERSON

Springfield, TN · 615-***-****

Email: **********@******.***

**Seeking a position in healthcare with a company which will require me to utilize my skills, abilities, and experience in the healthcare field to ensure the company's success and my personal growth.

EXPERIENCE

JUNE 2011 TO OCTOBER 2017

PATIENT REGISTER & PATIENT ACCESS SERVICE COORDINATOR, TENNOVA HEALTHCARE

·Created claims for the billing department to analyze

·Hospital and Physicians billing

·Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas.

·Prepare documents for imaging/scanning into electronic patient record.

·Maintain inventory control of forms and paper supplies needed in area. Assist with all possible account resolutions pertaining to patient balances. Perform all other duties and projects as assigned.

·Electronic billing and claims processing

·Maintain an appropriate level of productivity as defined by project guidelines

·Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.

·Assists in maintaining harmony between the client staff and projects team members

Researched, compiled and analyzed basic information for inclusion in daily reports

·Performing such task as copying, filing, scanning, mailing, faxing

·Created claims for Blue Cross Blue Shield, Tricare, United Healthcare, Aetna and other independent insurance companies

·Handled Self-Pay payments

·Assigned fee schedules to the claims

·Medicare billing/ Medicaid billing

·Weekly data entry meetings overview

·Entering Billing and Coding corrections and putting in code error

·Getting claims out in timely so insurance companies denies the claim

·Reviews claim before sent out double checking for anything that needs to be correct

·Answer calls and respond to emails

·Handle customer inquiries both telephonically and by email

·Research required information using available resources

·Manage and resolve customer complaints

·Hospital and Physicians billing

·Process orders, forms and applications

·Identify and escalate priority issues

·Route calls to appropriate resource

·Follow up customer calls where necessary

·Document all call information according to standard operating procedures

·Inform patients or representative of delinquent accounts

·Inform patients of policies and procedures

·Schedule new patients’ appointments/return appointments

·Phone consultation

·Verifying insurance

*OCTOBER 2017 TO JULY 2019

BILLING ACCOUNT SPECIALIST, AERGO SOLUTIONS

·Receiving and sorting incoming payments with attention to credibility

·Managing the status of accounts and balances and identifying inconsistencies

·Issuing bills, receipts and invoices

·Assume the responsibility of receiving and sorting incoming payments with attention to credibility

·Manage the status of accounts and balances and identify inconsistencies

·Issue and post bills, receipts and invoices

·Check the validity of debit accounts

·Update accounts receivable database with new accounts or missed payments

·Ensure all clients remain informed on their outstanding debts and deadlines

·Provide solutions to any relative problems of clients

·Write thorough reports on billing activity with clear and reliable data

·SEPTMEBER 2019 -

·PATIENT RELATION REPERSENTATIVE, INSURANCE VERIFICATION SPECIALIST-Associates In Gastroenterology

·Assist patients with problems associated with hospital registration and admission

·Respond to patients’ complaints regarding hospital services and ensure that concerns are handled properly

·Post patient demographic and financial entries into the predefined hospital database

·Respond to patient inquiries regarding physicians and services.

·Ensure coordination of communication between patients and families and medical staff

·Ensure that all concerns and complaints are directed to the concerned personnel with a hospital

·Provide patients and families with information on hospital services, procedures, and protocols

·Schedule meetings with patients or family members and ensure that corresponding physician or hospital staff’s availability

·Analyze and interpret patient account data and facilitate payments

·Compile financial data and perform financial analysis assessments of uninsured patients

·Create and maintain liaison with insurance companies to inquire about payable or paid claims

·Provide support by establishing payment arrangements for uninsured or underinsured patients

·Confirm that patients have proper medical clearance

·Responsible for reviewing discharge instructions with patients

·Ensure suitable follow-up appointments are scheduled after a procedure is scheduled

·Provide support to other members of the department as needed.

EDUCATION

MAY 2008

HIGH SCHOOL DIPLOMA, springfield high school

Skills: Organizational skills: Applicants must be highly organized individuals with the ability to multi-task, work under pressure, and manage changing priorities and a heavy workload.

Customer service skills: The role involves high customer contact. Therefore, it is important that applicants are courteous and willing to provide support to patients and other workers. Willingness to “go the extra mile” when the situation demands.

Communication skills: Communicate with patients both on one-to-one basis and over the phone. Hence, it is important that applicants for the role can appropriately convey information both orally and in writing to clients, clinical, and non-clinical personnel. Exceptional written communication skills, Outstanding interpersonal skills.

Willingness to “go the extra mile” when the situation demands.

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