Valley High Pharmacist
Resume:
Janet C. White
Carmichael, CA 95608
*********@*****.***
SUMMARY OF QUAILFICATIONS
Accomplished Collection and Representative for over 28 years of experience working in Patient Financial Service Center. Reliable team member focused on completing work quickly and accurately to meet or exceed set goals. Value the importance of adhering to all compliance areas according to HIPPA and company guidelines.
SKILLS
Working knowledge of Microsoft Word, Excel, and Outlook.
Proficient on company online accounting and billing system: HC360, MMX, Medi-AR and ePremis. Epex training.
Excellent Communications, Customer Service skills and phone etiquette.
Collection Resolutions of underpayments and/or overpayments from initial remittance the appeal process via phone, Payer Portal or written appeals.
Knowledge of standard clerical and office practices.
PROFESSIONAL EXPERIENCE
Coram/CVS Specialty Infusion Services, Rancho Cordova, CA 1992-2021
Collections Specialist
Prioritized collection efforts based on outstanding balance and aging on accounts as assigned.
Analyze and research unpaid and overpaid claims as assigned via work queue.
Confirmed accuracy of claims via Payer Contracts and Company Billing Grids.
Contact payers via payer portals or phone to resolve payment discrepancies to close claims.
Experience with Medicare Appeals process including Redeterminations and Reconsideration
Request relevant information from appropriate Revenue Cycle and clinical
departments as required
Request relevant information from appropriate Revenue Cycle departments for timely claim appeals and resolution.
Worked escalated issues from patients and payers as assigned.
Admissions Representative
Admissions: Received request for services via incoming calls or fax, to begin services.
Verified payment information including insurance verification and authorization requirements.
Confirmed product availability and forwarded information to pharmacist and nursing departments to coordinate start of service.
EDUCATION
Santa Barbara Business College, Fremont, CA 1991
Computerized Accounting
Castro Valley High School, Castro Valley, CA 1965
Diploma
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