Patient Coordinator
Resume:
Roslyn R. Logan
adg7z6@r.postjobfree.com
Relevant Skill Set:
Medical Billing and Collection Specialist with 15+ years of experience in provider, call center and third-party revenue cycle systems
Skilled in performing collections and verifying claims for payments or reimbursements including following up on appeals, denials, and delinquent claims
Experienced managing 50+ calls per day to insurance organizations and patients to provide explanation of benefits (EOB’s), performing collections, and reviewing payments for HMO/PPO
Medicare, Medicaid, and Commercial or Private insurances
Knowledgeable in ICD-9/10, CPT, HCPCS, HCFA 1500, and UB-04
Skilled utilizing Microsoft Office and various EMR systems including: Epic, Artiva, IDX, Medical Manager, Meditech, Medisoft, All Script
Professional Experience:
Christus Health via Staffing Agency-Houston, TX
April 2019 to October 2020
Patient Account Specialist III
Responsible for following up directly with commercial and government payers
Resolved claims and secure appropriate and timely reimbursement
Responsible for billing and resubmitting primary and secondary insurance claims
Verified various insurances companies via phone, or provider portal and website
University of Mississippi Medical Center- Jackson, MS
September 2017 -March 2019
Billing Specialist II
Managed approximately 50 calls per day following up with insurance companies and patients regarding accounts
Handled complex patient accounts
Verified claims for payments or reimbursement
Worked to obtain Appeals, Denials, Reading of EOB’s
Verified various insurance companies and contractual adjustments via phone or internet
Pruitt Health -Norcross, GA
February 2017- June 2017
Private Biller/Collection Specialist
Ensured all billing functions accurately and on time
Researched, corrected and re-billed outstanding claims
Responsible for collections and Day Sales Outstanding
Managed the Private Billing as well as related AR collections processes
Month end close responsibility for all assigned location
Parallon Business Solutions via Staffing Agency- Norcross, GA
February 2016 -December 2016 (Contract, Assignment Completed)
Collection Specialist
Monitored insurance claims & auto claims by running appropriate reports and contacting companies to resolved claims that are not paid in timely manner
Identified coding or billing problems from EOB’s and Accident Reports to correct the errors
Nue-Medical Consultant Lawrenceville, GA
January 2015- January 2016
Medical Biller/AR Specialist
Posted and reconcile insurance and patient payments in a timely manner
Ensured demographic and insurance information is complete for outgoing charges
Able to research missing payments, check claims status resubmit claims
Laureate Medical Group via Staffing Agency, Atlanta, GA
July 2014- December 2014 ( Contract, Assignment Completed)
Charge and Payment Posting
Posted and reconcile insurance and patient in a timely manner
Efficient with All Script and entering Physician billing at off-site practices
Processed patient inquiries through EMR (Electronic Medical Records)
Check in and Check out patient, collect co-pay @ Time of service
Northeast Georgia Physicians Group, via Staffing Agency Gainesville, GA
January 2014- June 2014 (Contract, Assignment Completed)
Charge Posting
Posted charges
Entered inpatients and outpatients
Entered payments and adjustments, various clinics
Check in and check out patients and schedule appointments, collect co-pay @ TOS
Advocate Illinois Masonic Medical Center Chicago, IL
June 2005- August 2013
Revenue Cycle Lead
Edited all billing transactions for various doctors in various clinics
Accurate entered patient demographic
Verified patient eligibility and schedule appointments
Posted patients and insurance payments on accounts
Contact this candidate