Data Entry Customer Service
Resume:
Heather D. Sellers
****************@*****.***
Oct 2021 – June 2022 Fresenius Medical Care Kennesaw, GA
Collections Patient Account Representative Managed Medicaid
Research and resolve short payments and denials.
Submit appeals, reconsiderations, or rebills for adjustments on claims.
Following up and comment high dollar accounts and other segments in VQ8.
Verify insurance and make appropriate changes to ensure claims get on file within timely filing limitations.
Keep current with insurance carriers such as fee schedules, contracts, timely filing limitations, and appeals process.
Edit rejected claims and resubmit to the proper payer.
Oct 2017-Jan2021 Super Source Kennesaw, GA
Accounts Receivable / Collections
Business to business collections
. Run weekly aging reports for 18 route managers.
Discuss customer accounts with all the route managers and address any issues they may have.
Set payment plans for any account needing assistance.
Contact all accounts with a past due balance for four different locations.
Enter daily cash receipts that includes checks, cash, ACH, and credit cards for three locations
Daily deposits for three locations
Balance daily and monthly recon sheets
Manual Invoices
Answering multiple incoming phone lines
Run all credit card payments thru the web portal
Work side by side with the accountant to ensure all journal transactions are balanced
Submit delinquent accounts to a outside collection department
Nov 2012-April 2015 Parallon Rome, GA
Medical Scheduling Specialist
Customer Service
To 687 Scheduling patients for all HCA facilities
ICD-9/ CPT Code Verification
Patient Demographics/ Medical Records
Scheduling patients for1 all outpatient procedures
Answering multiple incoming phone lines
Patient Services
Missing order reports
Indexing all faxed orders
Feb 2010-Oct 2012 Marietta Imaging Center Marietta, GA
Scheduling Specialist
Customer Service
Insurance Precertification/ Verification
ICD-9/ CPT Code Verification
Patient Demographics/ Medical Records
Scheduling patients for 8 different modalities
Scheduling patients for 3 different centers
Answering 26 incoming phone lines
Patient Services
Deposits
Check in patients/ check out patients
Open/ Close facility
Aug 2007-Nov 2009 Summit Radiology Services Cartersville, GA
Collection Specialist
Working aging reports for Workman’s Compensation and Medicare HMO
Post Zero Pays
Work all commercial insurance correspondence
File claims for payment
Handle selected appeals for all insurance companies
Customer Service
Answer phones
Update bad addresses
Scheduling patients for 8 different modalities
Patient Service
Data Entry/ Demographics
Aug 2006- Aug 2007 Cartersville Diagnostic Center Cartersville, GA
Insurance Coordinator/ Financial Adviser
Insurance Precertification and Referrals/ Verification
Medicare/Medicaid Verification
ICD-9/ CPT Code Verification
Bad Debt Collections
Budget Planning for patients
Care Credit
Scheduling
Patient Service
Deposits
Data Entry
Open/Close facility
Feb 2004- Aug 2006 Marietta Imaging Center Marietta, GA
Precertification/ Medical Records Clerk
Insurance Precertification/ Verification
Medicare/ Medicaid Verification
ICD-9/ CPT Code Verification
Bad Debt Collections
. Patient Demographics
Scheduling patients for 8 different modalities
Medical Records
Patient Service
Deposits
Answering 26 incoming phone lines
Over Reads/ Barcodes
Data Entry
Billing
Education
1998-1999 Floyd State University Cartersville, GA
Core Classes
1994-1998 Cass High School Cartersville, GA
High School Diploma
Skills
Typing skills of 70-75 wpm
EMR
Computer skills include:
* Windows 95-XP, PowerPoint, Excel, Microsoft Word, Lotus, SAP,Epic, Waystar, VIsiquate, Sorian (E Cube Financials) On-Base Document Imaging Next Gen Relay Assurance Relay Clearance Coverage Data hub provider portals, Business Works, Onbase (DEI), Order Facilitator, Mainframe, Publisher, Platinum, Power Scribe, Misys Tiger, Meditech, Athena, Avreo, Adventist, Mckesson HBOC, QRis, MD Manager, MD Interpreter, NextGen, Account Edge, Acumatica, EOMobile, Back office, Asana,
Contact this candidate