Data Entry Specialist

Lori D. Hill

615-***-**** ***************@*****.***

Summary of Qualifications: Administrative professional with 15+ years of experience in healthcare environments. Background includes but not limited to multiple clerical office positions, utilizing exceptional organizational and communication skills while paying close attention to details with the ability to learn new task at an admirable pace.

Career Experience:

Tennessee Orthopedic Alliance (4/2019 – 4/2021)

Refund Specialist (Recycle Billing Dept.)

Process patient and Insurance refunds in Nextgen system

Make adjustments as needed

Receive incoming/outgoing calls from patients & Insurance

Maintain balance control report

Transfer debit/ credits to correct accounts

Maintain email box with internal request for patient refunds

Pull patients payment receipts from US Bank, patient Navigator and scan into doc management.

Completed Xcel online courses and Kaplan University Online courses for Insurance agent license (10/18 – 12/18)

Pediatrics Associates of Davidson County Office assistant (7/2018 - 9/2018 Temp)

Worked backlog of aged accounts to update and bring new system current.

Avant Insurance Co. (Contract) Snelling Temp Agency) Office Associate 9/2017 - 7/2018

•Electronic filing and scanning using Scan Snap iX500 scanner

•Mail Merging, enter new applications into ICS system

•Process Agent reports send invoices using Velocity & Image Right system

•Update payment portal for insurers to make online payments and email certificate per request

TWRA (Contract ) Knowledge Services Clerk 3 6/2017 – 8/2017

•Key TN Boat applications

•Renew boat registrations

•Process return letters for incomplete applications and mail

•Balance all daily check deposits

•Scan all daily checks processed in Inova system

•Update daily Breakdown report in Excel

•Process return mail for boat/ hunter/fish license update Real system

Garda World Cash Services 414 Union St Processing Teller 4-2016 – 5/2017

•Process daily deposits

•Balance deposits

•Strap all currency by denomination

•Process, scan, correct, and balance daily check deposits

Nephrology Associates 28 White Bridge Rd Accounting Specialist 5/2014 – 2/2015

•Handle incoming/outgoing calls from patients/Insurance companies

•Work daily EOBs respond to incoming mail, insurance follow-up

•Billed medical claims to multiple insurance companies, corrected and rebilled claims as necessary.

•Mailed claims to appropriate insurance carrier

Heritage Medical Associates 222 22nd Ave N Medical Collector 4/2013 – 5/2014

•Handle incoming/outgoing calls from patients/Insurance companies and note each account

•Work daily EOBs rebill electronically or by mail to insurance as necessary

•Complete Estimates for BCBS, Aetna, Cigna & UHC from EHR/PM System

•Collect Medical payments by cc/debit card, adjust patient’s accounts as necessary

•Mail patient/insurance companies correspondence as necessary, keep daily phone log

Accredo (Contract) Ranstad 3207 West End Benefits Specialist 12/2012 – 04/2013

•Request Patient Authorization

•Verify Insurance eligibility and benefits

•Complete pharmacy shipments for patient medications

Medassets (Contract CSI Companies) Patient Account Rep 3/2012 – 12/2012

•Follow up on all claims from billing through final resolution.

•Review and prepare claims for manual and or electronic billing submission.

•Correct and identify billing errors and resubmit claims to insurance carriers. Follow up on payment errors, low reimbursement, denials, etc.

•Review Insurance EOB’s and initiate appeals as necessary.

•Print and mail UB92s or HCFA 1500s as necessary for account resolution.

E Plus Cancer Care 104 Woodmont Blvd #500 Billing Associate 3/2010 – 03/2012

•Insurance Follow-up from multiple insurance companies request status of submitted claim

•Document patient account with status of claim, submit additional information if necessary Verify documents per patient sent via scan through RIS system from 11 different sites.

•Processed patient and insurance refunds, print out all charge outs once received

•Enter CPT codes and Diagnosis codes into system

•E-mail sites for missing documents as necessary

•Post adjustments for each patient, add Medicare profees as necessary

•Print batch reports, update daily charge/cash log

Aegis Sciences Corp. 515 Great Cir Rd Uninsured Patient Balance Specialist 5/2009- 3/2010

•Handle patient inbound/outbound calls and incoming and outgoing mail

•Work A/R report

•Verify patient eligibility through passport and or via phone, complete/update addresses by searching passport

•Adjust patient account balances to self-pay amount if un-insured

•Update system with insurance information when provided by patient or doctor’s offices

Aegis Sciences Corporation 515 Great Circle Rd A/R Specialist 6/2007 - 5/2009

•Entered medical ICD-9 codes into (Intergy) system.

•Log charges (placed on hold) on excel spread sheet for additional information needed.

•Made payment adjustments as needed, updated system with new information once received.

CIGNA 2 Vantage Way Enrollment Analyst 11/2000 – 6/2007

•Handle Internal/External customer service calls

•Enroll provider applications into data base

•Assign provider Medicare numbers Update provider License, EFT, EMC

CIGNA 2 Vantage Way Clerical Support Operator 2/1999 – 11/2000

•Received, prep., date stamped and entered provider/beneficiary checks. Open, date stamped, distributed incoming mail and daily reports Sorted date stamped and entered liability workload into system.

•Pulled files, distributed to liability team and assisted with special projects for team.

Software Skills: Microsoft office, Word, Excel, outlook, passport, Medisoft EHR/EMR and other industry specific software systems.

Licenses/Certifications:

Life, Accident & Health License

Property & Casualty License

Kaplan University - Online 2018

Maplewood High School 401Maplewood Lane Diploma

Community Involvement: Breast Cancer Awareness Walk

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