Insurance Information
Resume:
Kristi L. Reese
Houston, TX 77049
adhl2l@r.postjobfree.com
Objective: I'm seeking a full time position to provide administrative, receptionist, clerical, or data entry services to a growing company. I have twelve years of experience in the healthcare industry, specifically working with strong data entry skills and knowledge of customer service protocols. I feel with those skills, I would make a great fit for this position. I am detailed oriented, organized, self-motivated, a problem solver, a people person, and technically proficient to be an asset to any organization.
May 2020-Present CBRE
Facilities Coordinator
• Code and process Corporate and Vendor Invoices
• Create Spreadsheets for all Invoices for 7 Sites
• Help create budget for 7 Rental Car Sites around the US
• Run reports for budgeting
• Vendor Management for 7 sites
• Set up Vendors in our payment system
• Communicate with Vendors about accounts
• Manage Contracts and Certificate of Insurance for all Vendors August 2015-April 2020 Village Medical
Revenue Cycle Specialist
• Evaluate customer accounts, convey appropriate information, research customer issues, and establish financial arrangements with customers
• Review and work to resolve AR delinquencies within assigned accounts
• Execute follow-up inquiries on broken payment arrangements and secure future promises to pay
• Coding and billing for both insurance and patient accounts
• Post and reconcile cash payment accounts
• Post and reconcile credit card payments
• Timely response to all customer inquiries, both inbound and outbound
• Enter detailed conversation notes, including payment arrangements
• Perform consistently to meet performance standards set by the manager
• Properly identify denial type (audit vs. denial) and categorize to ensure appropriate management of audits and denial appeals
• Reconcile and collect AR/AP
• Obtains necessary information needed to complete and audit/appeal; ensures timely responses and updates in all required systems
• Researches and evaluates insurance payments and correspondence for accuracy
• Calls insurance companies to inquire about EOBs, denial letters, denial reasons, and payments
• Prepare the appeals for clinical review and be responsible for recording and tracking on a regular basis
• Work in conjunction with Patient Financial Services to reconcile denial payments and recoupments
• Send EMR records to Insurance company and Specialists
• Coordinate between locations regarding office and maintenance supplies
• Maintain purchase orders for all supplies
August 2014-August 2015 Medical Mediation Services Insurance Liaison
• Verify information, operate data entry devices and prepare documents
• Reconcile and collect AR/AP
• Process account information, customer information, and a variety of other forms of documents by resolving inconsistencies and reviewing data for errors using standard data entry procedures
• Maintains customer records by updating account information
• Analyze patient accounts
• Settling claims in accordance to company rules and regulations
• Make calls to insurance companies to dispute claim appeal denials
• Query billing systems for insurance and claim information
• Interact with insurance companies to determine account requirements for appealing medical services
• Follow up on provider communications to insurance companies to determine outcomes
• Pinpoint avenues for successful resolution of outstanding claims
• Identify discrepancies in information provided by payers
• Demonstrate persistence in working cases to achieve favorable outcomes
• Coordinate with offsite employees to resolve issues that evolve
• Coordinate between locations regarding office and maintenance supplies
• Maintain purchase orders for all supplies
June 2014-August 2014 Ben Taub Hospital
Clinical Internship
• Administered Respiratory therapy and life support to patients with deficiencies and abnormalities of the cardiopulmonary system, under supervision of the Physician and by prescription
• Completed patient rounds to administer medications March 2014-May 2014 East Houston Regional Hospital Clinical Internship
• Administered Respiratory therapy and life support to patients with deficiencies and abnormalities of the cardiopulmonary system, under supervision of the Physician and by prescription
• Completed patient rounds to administer medications 2006–2011 In HIS Steps Preschool
Pre-K 4 Teacher
• Plan, prepare and deliver instructional activities that facilitate active learning experiences
• Developed schemes of work and lesson plans
• Prepare classroom for class activities
• Use relevant technology to support instruction
1995-2001 Kelsey-Seybold Clinic
Data Entry Clerk, Customer Service Representative, and Insurance Specialist
• Verify information, operate data entry devices and prepare documents
• Process account information, customer information, and a variety of other forms of documents by resolving inconsistencies and reviewing data for errors using standard data entry procedures
• Maintains financial accounts by processing customer adjustments
• Maintains customer records by updating account information
• Reviewing billing information to check for accuracy and correctness
• Investigate further in case of discrepancy of information
• Verifying the documentation and other documentation provided by the claimant
• Knowledgeable about medical terms, practices, and pharmaceuticals
• Settling claims in accordance to company rules and regulations Education:
Santa Fe High School
High School Diploma
San Jacinto College
Respiratory Care Program
Key Competencies: Patient care experience in a hospital setting, CPR certified, patient charting experience, 10 key by touch, eager to learn, self-motivating, verbal and written communication skills.
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