DANA EAKLES

SENIOR PATIENT ACCOUNT

REPRESENTATIVE

EDUCATION 3.7 GPA

Ogle School of Beauty: Esthetician – Denton, TX 2017 National Laser Institute for Medical Aesthetics – Dallas, TX 2016 Mat-Su College – University of Alaska – Wasilla, AK 1992-1994 PROFESSIONAL OBJECTIVE:

Patient oriented account representative skilled at medical as well as pharmacy billing and collections to include charitable, copay assistance. Reliable multi-tasker with experience in Oncology. Strong attention to detail and extensive knowledge of medical terminology.

WORK EXPERIENCE:

AmerisourceBergen US BioServices Rep, Billing and Collections May 2019 to 8-06-2022

• Charitable claims management identifying and addressing issues for claim rejections and accuracy.

• Process both adjudicated and non-adjudicated claims

• Supporting Pharmacy Benefit Management (PBM)

• Billed all unbilled, charitable, copay assistance secondary and tertiary claims

• HCFA, UCF, or invoicing with purchase order and submitting through payer’s portals, emails, or faxing

• Reviewing credits on accounts submitting adjustments and refunds as needed

• Accurate month-end reporting on AR to prevent aging claims WORK EXPERIENCE:

Cambria Dallas Hotel & Suites Front Desk Clerk

June 2018 to January 2019

•Hospitality: Registering/booking guest in and out of reservations and rooms

•Collecting balances due to include fees

•Recognizing VIP guest so to provide excellent accommodations and experience during their stay

Contact

PHONE:

214-***-****

ADDRESS:

1404 Corinth Bend

Corinth, TX 76208

EMAIL:

adr7uw@r.postjobfree.com

DANA EAKLES

SENIOR PATIENT ACCOUNT

REPRESENTATIVE

WORK EXPERIENCE:

Texas Oncology Patient Account Representative II April 2003 to January 2017

•Maintained up-to-date billing system: Billing Collections and allocating payments while following HIPAA guidelines

•Collecting and reporting activities while meeting specific deadlines

•CPT/HCPCS – ICD-9, ICD-10 coding HCFA-1500, HER

•Strong experience in Commercial and Government Payers

•Process fully revenue cycle of claim

•Excellent knowledge and experience with appeals, recoupment, offset Clearing House process

•Analyzed and researched all over/under payment for claim resolutions and submitted adjustments and refunds as necessitated

•Managed patient Medical Records which eventually transitioned to EMR system

•Processed Drug Replacement as per physician orders as Charity/Financial Assistance warranted

•Comprehension of Medical Terminology

•Assist in employee training and mentorship

•Ordered and maintained office supplies for clinic WORK EXPERIENCE:

MAT-SU Regional Medical Center (previously Valley Hospital ~ Palmer Alaska

May 1995 to July 2002

•Maintained & kept organized a busy, high pace Med-Surge Nurses Station

•Accurately processed physician orders while following maintaining the security & confidentiality of patient health record while entering orders into the Meditech System

•Prepared patient charts upon admissions, discharges & transfers to other hospital units or facilities

•Scheduled labs & any other diagnostic test and/or therapy sessions as per physician orders

•Answered nurse call system and any incoming calls to medical staff and handled accordingly

•Accurately transcribed medication orders on MARs as ordered by physicians

•Ordered and maintained office supplies for Med-Surge Unit Contact

PHONE:

214-***-****

ADDRESS:

1404 Corinth Bend

Corinth, TX 76208

EMAIL:

eakles.dana@gmail

.com

DANA EAKLES

SENIOR PATIENT ACCOUNT

REPRESENTATIVE

SKILLS

•U.S. Health Insurance Portability and Accountability Act (HIPAA)

•Medical Billing

•Revenue Cycle

•Claim denial resolution

•Delinquent Insurance Report

•Maintain assigned billing accounts

•Review, analyze and resolve insurance denials spotting trends

•Appeal and/or resubmit unresolved invoice balances

•Electronic Billing

•Medical Terminology

•Healthcare, Hospital, Oncology Clinic, Pharmacy

•Compassionate.

•Strong work ethic.

•Maintains strict confidentiality.

•Knowledge of HMOs, Medicare and Medicaid.

•CPT and HCPCS coding.

•Processing credits

•Understand ICD-9, ICD-10, HCPCS, revenue coding.

•Strong work ethic.

•Good written communication

•Strong Interpersonal Skills

•Strong Organizational Skills

•Customer Service

•Good telephone and oral communication skills

•Understands medical and billing procedures and account aging

•Health Insurance

•Data Entry

•Assist in employee training and mentorship

Technical skills

•Microsoft Applications: WORD, EXCEL, OUTLOOK, POWERPOINT

•SCRIPTMED

•MEDITECH

•MISYS

•WAYSTAR

•IKnowMed

•SNIPIT/SNAGIT

•FAXCOM

Contact

PHONE:

214-***-****

ADDRESS:

1404 Corinth Bend

Corinth, TX 76208

EMAIL:

adr7uw@r.postjobfree.com

Contact this candidate