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Services Administration Medical Billing

Location:
Stafford, VA
Salary:
55,000
Posted:
July 27, 2021

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Resume:

Marcella S. Barksdale

** ******** **, **************, ** 22406

703-***-****• adnxbq@r.postjobfree.com

Dependable and customer-focused individual seeking challenging, upward mobility employment. Have demonstrated experience in customer service, coupled with a multitude of versatile skills transferable into any environment.. Reliable and driven, with strong time management and prioritization abilities. Proven track record in contributing successful operations on various medical facilities by streamlining processes to increase productivity. Knowledgeable in handling confidential matters and propriety information.

Highlights of Expertise:

Team leadership

Workflow Optimization

Inventory Management

Strategic Planning and Analysis

EPIC Super User

Team leadership

Customer and patient communication

Organizational, time management and problem solving skills

Medical Billing, Accounts Receivable, Cash Posting

Proficiency with multiple web-based systems: Epic, Health Quest, Passport, Huron, Playbook, and IDX

Proficient with Microsoft Office Suite (Word, Excel, PowerPoint; type 60 words per minute)

Professional Experience

Inova Health System, Fairfax, VA

Revenue Cycle-HB/PB Revenue Integrity Patient Financial Services Customer Support Management Lead

1/1/2010- Current

40 hours/Week

Served in a leadership position to other peers which involved coaching and feedback when needed. Assisted patients with all aspects of insurance billing resolution or payments and documented any information or conversations in the computer regarding the patient's accounts via phone, email, face to face, and social media. Resolved problems or escalated to managers as needed, able to diffuse intense situations and frustrated callers as well as directing to appropriate departments, as necessary. Provided information regarding patient accounts to authorized callers while complying with HIPPA guidelines and regulations. Updated claims information, identified proper insurance carriers, reviewed disputes, removed or referred accounts to collections. Processed payments made by digital and manual formats. Organized and processed claims for Commercial, Managed Care, Blue Cross, Medicare, and Medicaid. Greeted patients at the lobby, answered practice phones and collected patient co-pays. Educated patients regarding financial assistance programs when appropriate. Involvement in billing, collections, cash posting, and administrative support in Patient Accounts for hospital and physician accounts using Epic, Health Quest, Passport, Huron, and IDX systems. Collected and posted payments and record receipts. Processed claims for Commercial, Managed Care, Medicare, and Medicaid.

.

Carefirst Bluecross Blueshield, Washington DC

Customer Service Support/Call Center Rep III

1/1/2006- 10/18/2009

40 Hours/Week

Oversaw scheduling and patient flow adhering to corporate protocol while upholding a positive, professional, and courteous manner. Worked closely with health care facilities, identifying, verifying, and applying insurance coverage for patients. Assisted in handling complex patient problems helping diffuse patient complaints before requesting management assistance. Handled 70 to 80 phone inquiries per day. HIPPA compliance.

Education

Master in Business Administration/Specialization in Healthcare Management

American Intercontinental University, 12/15/2020

Bachelor of Healthcare Management/Specialization in Healthcare Services Administration Management

American Intercontinental University, 06/20/2019



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