Entry Clerk Cap Team

Glory Smith

Monroe, GA ***** 470-***-**** *********@************.***

OBJECTIVE

Healthcare administrative professional seeking to utilize proven revenue cycle skills to ensure proper billing and reimbursement within a billing specialist position

SKILLS

Office Administration, Microsoft Office Suite, medical billing/coding, data entry, knowledge of ICD-9/10, insurance verification/eligibility, medical terminology, claim adjudication, accounts receivable/payable, medical scheduling, prior authorization, customer service, leadership and team development

EXPERIENCE

Piedmont Healthcare Hospital-Monroe, GA Nov 2017-Present

Patient Access Specialist

Input patient demographics for registration and billing in a large volume healthcare setting using EPIC system database

Verify insurance coverage, eligibility and obtain patient consent and acknowledgement on required documents, forms, and notices.

Calculate patient financial responsibilities and collect and post patient payments and/or deposits to patient accounts

Schedule patient follow-up appointments and obtain necessary authorizations. Serve as liaison between patients and department staff.

Assist in training current and new employees on the use of systems and departmental policies and procedures.

Walmart Supercenter- Loganville, GA July 2015-Nov 2017

CAP Team CSR

Manage counts on merchandise in backroom and sales floor

Set and recommend mark-up rates and selling prices for merchandise.

Remove damaged, out-of-code, not-in-set and discontinued items from displays and restock rotated manufacturer products as needed

Assist customers regarding store products and services, department information and pricing

Athens Heart Center-Athens, GA April 2015-June 2015

Scheduling Representative

Responsible for coordinating scheduling functions for testing and procedures for cardiology patients in fast paced call center

Provide prompt, professional service to obtain information from the patient and gather all necessary provider and client information and accurately enter into scheduling system

Contact payers to verify patient eligibility and procedure specific coverage information using solid working knowledge of HMO, PPO, Medicare insurance plans

Perform other clerical and business office functions

Clinical Laboratory Services-Winder, GA July 2012-March 2015

Front Office Admin/Code Entry Clerk

Welcome patients and visitors in person or telephone and answer all lab service inquiries

Enter patient demographics, obtain billing and testing information according to all HIPAA and company compliance policies and record in Electronic Medical Record (EMR)

Perform data entry of laboratory billing and test codes, payment postings, verify financial and payer information using Availity, Cahaba, eClinical, etc

Follow-up on claim status, Research rejections, identify documentation errors of billing and coding and coordinate the correction

Perform a wide variety of administrative/clerical duties.

Walmart Supercenter- Monroe, GA Nov 2002-July 2012

Department Manager

Coordinate, complete, and oversee department-related activities and assignments to meet customer and business needs

Ensure compliance with company policies and procedures and supports company mission, values, and standards of ethics

Drives sales by ensuring effective merchandise presentation overseeing the stocking and rotation of merchandise; setting up, cleaning, and organizing product displays

Manage facility level training providing direction and guidance and development opportunities for associates by hiring and training, mentoring, assigning duties, providing recognition and ensuring diversity awareness

Oversee associate scheduling and payroll procedures

Lead inventory operations, ensure enhance experience in the store, and lead merchandising operations

EDUCATION

Athens Technical College-Monroe, GA Graduated-June 2008

Associate Degree- Health Care Administration

Concentration- Medical Billing and Coding

*References furnished upon request

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