WORK EXPERIENCE

Charge Entry Specialist

Vadim Baram, Inc - Creve Coeur, MO

August 2018 to May 2020

• Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code and date of injury (DOI)

· Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes

· Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work with CHMB

· Reduce denials by correct use of modifiers, mapping, and linking codes with services

· Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems

· Ability to successfully track and follow up on information requests to and from the clients.

· Work with clients and group to facilitate information and resolve charge questions

· Achieve goal of a 48-hour turnaround batch time

· Responsible for Claim Edit Reports and Unassigned Money Reports

· Complies and enforces all policies and procedures related to the position, the department and the company

· Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements

· Other duties as assigned input of demographic charges and time of service payment information Credit Balance Representative/Payment Poster

St. Louis University

July 2014 to April 2016

Responsibilities

• Responsible for daily payment, posting and reconciliation to ensure accurate accounts receivable reporting

• Post insurance payments by line item, post personal payments, zero pays and make appropriate adjustments HEATHER

GERDES

Credit Balance Representative / Payment Poster/ Customer Service Saint Charles, MO 63304

adjeoj@r.postjobfree.com

314-***-****

Dear employer,

I am writing this letter to apply for your open position. I am familiar with your company and would be very excited to have an opportunity to work for your company. Thank you

#readytowork

Authorized to work in the US for any employer

• Responsible for accurately posting all payments and adjustments to the proper account. Verify this information is correct and in accordance with contracts

• Post payments while ensuring maximum accuracy and timely reimbursement. Balance each batch to deposits.

• Post credit card payments.

• Post, balance and maintain deposit logs for each client

• Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service. Skills Used

Analyzing data, compiling information, communication with peers and Insurance companies. Payment Poster/ AR Reprensentive

Nextgen Practice Solutions - St. Louis, MO

September 2007 to September 2013

Responsibilities

• Review and/or audit accounts to determine status and appropriate action required from workflow generated from practice management system. Document follow-up appropriately in practice management systems.

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

• Receive, research and respond to correspondence from insurance companies, attorneys and patients.

• Use facility correspondence websites, phone and/or correspondence to contact payers regarding reimbursement for unpaid accounts.

• Contact patients as needed to collect appropriate information or to collect and/or resolve patient balances.

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

• Identify, verify and document account adjustments according to established policy and procedure.

• Ensure service level and productivity requirements are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries, etc.

• Develop and maintain positive working relationships and partner with internal and external customers by providing superior customer service.

• Work accounts containing higher degree of complexity in claims and/or client mix requiring higher degree of investigation, communication and customer service skills.

Type equation here.

Patient Account Representative

Professional Solution Stat

2004 to 2006

• Worked with payer groups to determine current reimbursement on paid claim

• Worked with Physician clients to resolve reimbursement and documentation issues

• Responsible for maintaining a satisfactory percentage of again dollars

• Answered phone and resolved patient questions.

• Reported trends to the next level management.

• Posted cash and adjustments to patient's account.

• Answered phone and attempted to resolve patient questions Type equation here.

Midwest Dermatology

Medical Records Clerk

1991-1993

• Interacted patients to verify and update health records

• Accurately scheduled and inputted patient appointment into the scheduling system.

• Updated insurance information into the medical software.

• Responsible for obtaining referrals from the patients.

• Assisted patient with prescriptions refill requests and processed request through approving Physician to appropriate pharmacies.

EDUCATION

Associate in Associates of Arts

St. Charles Community College

None

Associate in General

Francis Howell North High School

SKILLS

claims (10+ years)

Epic (7 years)

Billing (10+ years)

Typing (10+ years)

Collections (10+ years)

ICD-9 (10+ years)

Medical Records (10+ years)

Medical Billing (10+ years)

CPT Coding (10+ years)

ICD-10 (4 years)

Insurance Verification (10+ years)

EMR Systems (10+ years)

Medical Office Experience (10+ years)

Medical Scheduling (7 years)

Customer Service

Anatomy Knowledge

Patient Care

Data Entry

Microsoft Word

Physiology Knowledge

Medical Terminology (10+ years)

Accounting

HIPAA (10+ years)

Medical Terminology (6 years)

Physiology Knowledge (5 years)

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Medical Coding (7 years)

Accounting (8 years)

Front Desk

Phone Etiquette

ASSESSMENTS

Medical Billing — Proficient

April 2020

Understanding the procedures and forms used for medical billing. Full results: https://share.indeedassessments.com/attempts/00870cbd12c135e1434269ba44dab1d9eed53dc074545cb7 Electronic Medical Records: Best Practices — Highly Proficient May 2020

Knowledge of EMR data, associated privacy regulations, and best practices for EMR use. Full results: https://share.indeedassessments.com/attempts/61182602815ea3bd1162d498624ecee4eed53dc074545cb7 Medical Billing — Proficient

April 2020

Understanding the procedures and forms used for medical billing. Full results: https://share.indeedassessments.com/attempts/00870cbd12c135e1434269ba44dab1d9eed53dc074545cb7 Sales: Influence & Negotiation — Highly Proficient May 2020

Persuading reluctant customers to buy products or services, and influencing and negotiating with customers to meet sales goals.

Full results: https://share.indeedassessments.com/attempts/c306d0a9afa6dadfc423107d900d52ffeed53dc074545cb7 Customer Service Fit — Highly Proficient

May 2020

Measures the traits that are important for success for customer service roles. Full results: https://share.indeedassessments.com/attempts/11344cb3b8c10b4313e63749a178684ceed53dc074545cb7 Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

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Contact this candidate