Accounts Representative Pharmacy Technician

Dൺඋඅൺ Sආ ඍ

East Peoria, IL *****

1-309-***-**** - ***********@*******.***

Pඋඈൿൾඌඌ ඈඇൺඅ Sඎආආൺඋඒ

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. S අඅඌ

Multitasking abilities

Computer proficiency

Data management

Self-motivated professional

Team building

Notary

Wඈඋ H ඌඍඈඋඒ

07/2021 to Current Third Party Rep 11

UnityPoint Health-Peoria – Peoria, IL

Working Follow-up for Iowa Medicaid, Illinois Medicaid, Wisconsin Medicaid, Veterans, and Tricare.

Solving denials that we get from Insurance for denying of claims. Calculate expected to adjust off.

Call Insurance company to find reasonings for denying. We may have to demand, resubmit claims.

Work with other departments for coding of account. Working from our Work-Ques.

Knowledge of Explanation of Benefits.

Problem solving for patients with Insurance questions. 11/2015 to 07/2021 Patient Accounts Representative OSF St. Francis Medical Center – Peoria, IL

Illinois Medicaid-problem solving, calling Insurance to fight for payments, calculated payments and adjustments, talking on phone with patients, Fixing patients accounts in work queues.

Use of Excel and Word

Completed Litmos Certification 1, 2 and 3

Working in numerous websites to work follow-up.

Worked Veterans Affairs and Tricare from Birth to Grave Problem searching and solving

Locating authorizations to bill with claim

Knowledge of UB-04 and 1500

Working from work queues

06/2014 to 07/2015 Financial Advisor Assistant

Churchill Wealth Management – Morton, IL

Performed due diligence and valuation processes.

Answering Phones, Scheduling clients for reviews, Sending Birthday Cards, Checking Commissions, Filling out forms for clients to set up Investment Accounts, Mailing Checks for clients to add to their Investment Plans, Calling to confirm next day appointments, Organizing and scheduling for Client Appreciation Parties, Preparing clients paperwork for reviews.

06/2013 to 06/2014 Patient Account Representative

OSF St. Francis Medical Center – Peoria, IL

Daily Balancing, Balancing of Accounts, Posting from Explanation of Benefits, Posting Blue Cross and Medicare Insurances Electronically Performed Problem Solving with Insurance Questions Answering phones to take patient payments

Fixing patients accounts in work queues

Working with Excel and Word

Locating Missing payments

Posted electronically

Work with 10 key

01/1990 to 06/2013 Patient Account Associate

Methodist Medical Center – Peoria, IL

Associate September 1999-2013

Daily balancing, Balancing Accounts, Knowledge of Explanation of Benefits. Posting of Self pays, Insurance and Medicaid. Worked with Nebo Electronic system, Electronically posted: Medicare, Blue Cross, Aetna, Unicare, Tricare and Cigna. Problem solving for patients with Insurance Questions, problems and payments. Training employees for department. Received large sums of cash and checks for deposit. balance and transferred to Physician Billing Service. Track and solved problems that may occur in Finance Department. Proper coding for contract Insurance companies. Posting co-pays and deductibles collected from admitting. Worked with Excel and Word

Pharmacy Technician January 1990-September 1999

Post charges to patient account. Dispensed drugs, dispensed starter doses to patients from ER. Prepared I.V. Solutions, Mixed Chemotherapy and oral solutions. Experienced in Pyxis System. Assisted Pharmacist on duty. Eൽඎർൺඍ ඈඇ

05/1985 High School Diploma

Pekin Community High School - Pekin, IL

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