adly7b@r.postjobfree.com

781-***-****

KETIA FRANCOIS

ACCOMPLISHMENTS

Self-motivated professional offering a strong work ethic and determination to complete tasks in a timely manner. Accurate and detail-oriented with extensive customer service support and clerical knowledge.

SKILLS & ABILITIES

Strong eye for detail

Excellent analytical and problem-solving skills

Exceptional computer skills and computer network comprehension

Expert in customer relations

Revenue generation

Effective time management

Accounting operations professional

Emdeon, Epic, ECW, Sorian Clinicals

PROFESSIONAL EXPERIENCE

CLAIM SPECIALIST, UNITED HEALTH CARE

June 2017- Present

Performs insurance billing duties/enter/edit/view claims in system including review and verification of patient account information against insurance program specifications. Handling Interfaces in EHR systems which includes mapping patients and providers after importing files. Review patient accounting records and documents to verify accuracy of charges and third-party information and initiate corrections. Analyze and resolve problems with coding of surgical procedures and diagnosis using ICD-9 CPT-4 and HCPC coding. Follow up on payment errors, low reimbursement; denials Accurately interpret Explanation of Benefits (EOB). As well use and apply basic regulatory guidelines to Initiate and track appeals and reconsiderations as necessary.

OPERATIONAL SUPPORT SPECIALIST, WASTE MANAGEMENT

March 2014 – June 2017

I ensure the efficiency of billing operations and besides handling invoices, payments and financial records also perform a variety of administrative and clerical tasks. Verify discrepancies and resolve clients’ billing issues as well Create, documents, and modifies processes for new and existing clients as needed. Set up new residential and commercial dumpster accounts. Showcase superior numeracy skills, basic accountancy expertise, computer literacy, communication skills and respect for details on accounts. Reprice Invoices using client contracts and systems, Assists managers with escalation calls & Retention Calls. Problem-solve and use time effectively to multitask and prioritize work Ability to work individually or with a team to systematically identify and define problems

PATIENT CARE TECHNICIAN, DAVITA DIALYSIS

Jan 2012– March 2014

As a dialysis Tech I was responsible for assembling and maintaining dialysis machines, monitoring patients undergoing dialysis treatment and maintaining the highest safety and cleanliness standards when operating the machines.

EDUCATION

UNIVERSITY OF PHOENIX —BACHELOR OF SCIENCE IN BUSINESS 2014

Reference upon Request