Entry Representative Data
Resume:
Bettye A. Morris
Nashville, TN 37214
Objective
Secure a long-term career both challenging and rewarding. Continue to Grow within the company and obtain knowledge in new positions.
Work experience
Door Dash/Uber
November 2020 – Current
Door Dash:
Food Delivery
Uber:
Food delivery, transport customers, pick up packages from a sender’s house and deliver to their recipient and shop for customers and deliver their items they have asked for.
The Kroger Little Clinic - 2630 Elm Hill Pike Nashville, TN 37214
December 2013 - June 2021
Job Titles: AR Credit Balance/Refunds Lead, AR Payment Posting Rep. and Customer Service Rep.
Credit Balance Lead:
●Oversaw a department of 6
●Reviewed their work monthly for QA and production stats
●Approved high dollar refunds for insurance companies and patients
●Made sure the training guide for the department stayed up to date
●Assigned each rep refund claims to work each week through ECW
●Conducted interviews for open positions
Payment Posting:
●Posted insurance and patient payments for over 100 clinics
●Reviewed out of balance payment to find the issue to balance the payment
●Reviewed insurance contracts to ensure they were paying the correct reimbursement rate
Customer Service:
●Worked a call answering que
●Answered calls from patients and clinic to resolve their issues or concerns
●Reviewed delinquent patient accounts to try 3 calls to retrieve past due amount last attempt would be to mail a letter
●Review patient accounts that were missing demographic information to call the patient to obtain the missing information to help the patient's claim be billed in a prompt fashion.
FMC - 1550 West McEwen suite 500 Franklin, TN 37067
October 1, 2012 – November 2013 Medicare Billing Specialist
●Timely follow up and collection of accounts within the assigned region.
●Maintains accuracy of patient insurance information
●Submission or resubmission of unpaid claims as warranted
●Account adjustments
●Reporting trends, problem accounts and unique circumstances to Supervisor
HCA Healthcare Shared Service Nashville TN
June 2007 until Sept. 2012
Job Titles: Medicaid Appeals Analyst, Insurance Data Entry Analyst and Pre-Registration
Medicaid Appeals Analyst:
Writing appeal letters to insurance companies; appealing on behalf of the facility and patient as well.
●Verifying pre-cert information on behalf of our facilities and Doctor’s offices.
●Calling insurance companies to check the status of our appeal.
●Reading insurance contracts for details on how we may appeal each individual case.
●Work in systems such as Artiva, Rcom, Dei, Meditech and Host
Insurance data entry representative:
●Verify patient insurance for 17 facilities
●Schedule patients for 17 facilities
●Register patients for 17 facilities
●Always multitask
●Keep up with productivity standards
●Head of EAG committee, coordinated all birthdays, functions and celebrations for a department of 48.
Pre-Registration:
●Pre-register patients before their upcoming appointment for 17 facilities
●Keep up with productivity and QA
●Always multitask
●Collect patient amount due
***While in pre-registration I had the opportunity of piloting the order facilitator program for the department. Make corrections to the program to make it better for our departments use. It was later pushed out to the department and made wonderful changes in production and the overall work of the department.
Education
McGavock High School
Diploma 1999-2003
Completed the SAW class at the Shared Service Center in 2010
Skills
●Computer savvy
●Dependable
●Great customer service skills
References
Ashley Myers 615-***-****
Kimberly Brown 615-***-****
Managerial References
Karen Northington 615-***-****
Tammy Merchant 931-***-****
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