Entry Specialist Data

ELISIA SHIPP

**** **** **** ***. *********, MD **212 · 410-***-****

*************@*****.***

Goal-oriented individual with a pleasant personality and a tenacity that knows no restrictions. A multitasking Physician Liaison considered highly ambitious, willing to meet or exceed monthly quotas and capable of maximizing brand awareness. Experienced Customer Service professional with strong leadership and relationship-building skills. Effective project leader and problem-solver with advanced programming skills and a hard-working mentality.

EXPERIENCE

MAY 2022 – PRESENT

PAYMENT POSTING REP., MEDSTAR HEALTH

BALANCES ALL BATCHES ENTERED ON COMPUTER AGAINST ADDING MACHINE TAPES ATTACHED TO COPIES OF CHECKS

BALANCES DAILY PAYMENTS POSTED

COMPUTES ALLOWANCES AND ADJUSTMENTS, IF APPROPRIATE.

CONTRIBUTES TO THE ACHIEVEMENT OF ESTABLISHED DEPARTMENT GOALS AND OBJECTIVES AND ADHERES TO DEPARTMENT POLICIES, PROCEDURES, QUALITY STANDARDS AND SAFETY STANDARDS. COMPLIES WITH GOVERNMENTAL AND ACCREDITATION REGULATIONS.

IDENTIFIES PROPER INVOICE FOR WHICH TO POST PAYMENTS

MAKES TRANSFERS AND CORRECTIONS TO PATIENTS’ ACCOUNTS.

PARTICIPATES IN IDENTIFICATION OF THIRD-PARTY PAYER PAYMENT DENIALS AND LOW REIMBURSED CHARGES.

PERFORMS OTHER DUTIES AS ASSIGNED. PERFORMS OTHER DUTIES AND RESPONSIBILITIES THAT ARE APPROPRIATE TO THE POSITION AND AREA.

POSTS PAYMENTS AND ALLOWANCES FROM PHOTOCOPIES OF CHECKS FROM PATIENTS AND THIRD-PARTY PAYERS

POSTS PAYMENTS AND ALLOWANCES FROM SCHEDULES WHICH ACCOMPANY BULK PAYMENTS FROM MAJOR CARRIERS AS WELL AS ELECTRONIC FUNDS TRANSFERS.

POSTS PAYMENTS TO PATIENT ACCOUNTS -- INCLUDING, BUT NOT LIMITED TO, PAYMENTS FROM INSURANCE CARRIERS, GOVERNMENT AGENCIES AND PATIENTS.

PREPARES REQUESTS FOR REFUNDS OR JOURNAL TRANSFER ON PAYMENTS WHICH DO NOT BELONG TO DEPARTMENT.

RECOGNIZES PAYMENT INCONSISTENCIES AND ANOMALIES AND INFORMS APPROPRIATE SUPERVISOR.

RESEARCHES AND CORRECTS ANY OUT OF BALANCE SITUATIONS.

RESEARCH UNAPPLIED PAYMENTS WITH PHONE CALL OR LETTER.

RESOLVES CREDIT BALANCES POSTED DAILY

JUNE 2021 – APRIL 2022

ADVANCED MEDICAL SUPPORT ASSISTANT, VETERANS HEALTH ADMINISTRATION (VHA)

PERFORMS ADMINISTRATIVE DUTIES ASSOCIATED WITH THE ADMISSION PROCESS. COMPLETES ALL FORMS FOR ADMISSION AND ADVISES THE VETERAN OF ISSUES CONCERNING SAFEKEEPING OF VALUABLES, PERSONAL FUNDS, CLOTHING, PATIENT RIGHTS, AND PROVIDES PATIENTS WITH INFORMATION ABOUT ADVANCED DIRECTIVES.

RECEIVES AND PROCESSES APPLICANTS FOR BOTH INPATIENT AND OUTPATIENT TREATMENT. HE/SHE MAKES AND/ OR ASSISTS IN THE DETERMINATION AS TO THE PATIENT'S ELIGIBILITY FOR MEDICAL BENEFITS TO INCLUDE COUNSELING PATIENTS, THEIR FAMILIES, AND AGENCY EMPLOYEES ON ENTITLEMENT TO BENEFITS.

RECEIVES TELEPHONE CALLS AND FACE-TO-FACE INQUIRIES FROM PATIENTS, FAMILIES AND FRIENDS OF PATIENTS REGARDING SCHEDULING APPOINTMENTS OR REQUESTS FOR CHANGES IN SCHEDULED APPOINTMENTS.

REGISTERS NEW PATIENTS WITH THE VHA, ENTERING COMPLETE AND ACCURATE DATA REGARDING INCOME, INSURANCE INFORMATION, AND PATIENT DEMOGRAPHICS INTO THE CORPORATE RECORD.

RESPONSIBLE FOR RECEIVING AND ROUTING ALL VETERANS WHO REPORT TO THE FACILITY FOR SCHEDULED AND UNSCHEDULED EXAMINATIONS AND APPOINTMENTS, ASSURING THAT THE PATIENTS ARE ELECTRONICALLY CHECKED IN FOR THEIR APPOINTMENTS

TRACK AND MAINTAIN REGISTRACTION INFORMATION VIA ONLINE REGISTRATION FOR MY HEALTHY VET.

RECEIVE AND SCREEN TELPHONE CALLS. HANDLED PROCEDURAL AND SUBSTANTIVE MATTERS OR REFER CALLERS TO OTHERS AS APPROPRIATE.

ASSITED IN COORDINATING AND EXPEDITED VIRUAL AND IN-PERSON CONFERENCES, MEETINGS AND TRAINING EVENTS.

COORDINATED CONFERNCES AND TRAINING EVENTS VIA ZOOM, TEAMS AND WEBEX WEBINARS ON SECURE NETWORKS.

FEBRUARY 2018 – JUNE 2021

ELIGIBILITY SPECIALIST, TRIDENT USA HEALTH

DETERMINE, DOCUMENT, AUDIT AND MAINTAIN ACCURATE AND CURRENT ENROLLMENT COVERAGE FOR CLIENTS / PATIENTS.

WORK WITH MEDICARE OR MEDICAID, DISABILITY CLAIMS, OR OTHER GOVERNMENT-SPONSORED PROGRAMS

RESPONSIBLE FOR REVIEWING PATIENTS' CASE AND INSURANCE COVERAGE INFORMATION TO PERSONALIZE THE CALL CONTENTS TO THE PATIENT

STUDY PATIENTS' SCANNED REQUISITION RECORD AND INPUT ALL INFORMATION RELATING TO INSURANCE COVERAGE.

ENSURE TIMELY PROCESSING OF BENEFIT INFORMATION AND SEEK ASSISTANCE FROM MANAGEMENT WHEN NECESSARY.

TRACKED AND MAINTAINED REGISTRATION INFORMATION VIA ONLINE REGISTRAION PROCESS AND VARIOUS EVENTS & TRAININGS

FEBRUARY 2017 – FEBRUARY 2018

DATA ENTRY SPECIALIST, ROBERT half

CONVERTED WORD, PDF, AND EXCEL FILES TO ADOBE FILES.

ENTERED DATA FROM THAT WAS COLLECTED IN THE FIELD.

APPLIED MY KEEN EYE TO DETAIL TO CATCH DISCREPANCIES

VALIDATE CUSTOMER ACCOUNT INFORMATION

HANDLED SENSITIVE AND COMPLEX ISSUES TO THE INVENTORY CONTROL TEAM LEADER

DOCUMENTED ALL ACTIVITIES IN A CLEAR AND CONCISE MANNER USING THE APPROPRIATE SYSTEMS AND IN ACCORDANCE WITH ESTABLISHED

JANUARY 2017 – JUNE 2017

BILLING SPECIALIST, DR. ANWAR KHOKAR (EXTERNSHIP)

ASSIGN NUMERIC CODES TO DEFINE DIAGNOSTICS, TREATMENTS AND PROCEDURES.

ENTER INFORMATION INTO THE FACILITY'S DATABASE USING MEDICAL CODING PROTOCOL TO PRODUCE A STATEMENT OR CLAIM.

POST PAYMENTS MADE BY INSURANCE COMPANIES TO PATIENT ACCOUNT FOR SERVICES RENDERED.

SUPERVISED AND MANAGED THE DAILY ACTIVITIES OF A CLINICAL TEAM CONSISTING OF 10 PHYSICIANS, NURSES AND SUPPORT STAFF

ASSESSED PATIENTS AND DOCUMENTED THEIR MEDICAL HISTORIES

BREAK IN EPLOYMENT SEPTEMBER 2015 – JANUARY 2017 TOOK TIME OFF FOR SCHOOL AND STAY AT HOME WITH MY SON

JANUARY 2013 – SEPTEMBER 2015

CUSTOMER SERVICE LIAISON, LEN STOLER AUTOMOTIVE GROUP

SUPERVISES ALL VEHICLE DELIVERIES, ENSURING THAT EACH CUSTOMER IS INFORMED OF THE VEHICLE'S WARRANTY DETAILS, MAINTENANCE REQUIREMENTS, AND FEATURES, PARTICULARLY THOSE RELATED TO SAFETY.

FOLLOWS UP WITH ALL SALES AND WARRANTY CUSTOMERS WITHIN 48 HOURS TO ENSURE CUSTOMER SATISFACTION.

DEVELOPS AND MONITORS THE RESULTS OF A DEALERSHIP CUSTOMER SERVICE QUESTIONNAIRE.

STAYS ABREAST OF UPCOMING COMMUNITY EVENTS AND CONSIDERS WAYS IN WHICH THE DEALERSHIP MIGHT PARTICIPATE.

FEBRUARY 2012 – DECEMBER 2012

CUSTOMER SERVICE REPRESENTATIVE, CAREFIRST BCBS

CHECK TO ENSURE THAT APPROPRIATE CHANGES WERE MADE TO RESOLVE CUSTOMERS' PROBLEMS.

CONTACT CUSTOMERS TO RESPOND TO INQUIRIES OR TO NOTIFY THEM OF CLAIM INVESTIGATION RESULTS AND ANY PLANNED ADJUSTMENTS.

REVIEW INSURANCE POLICY TERMS TO DETERMINE WHETHER A PARTICULAR LOSS IS COVERED BY INSURANCE.

INBOUND CALLS FROM FEP POLICY HOLDERS AND PROVIDERS TO VERIFY INSURANCE COVERAGE, COPAY, DEDUCTIBLE AND COVERED SERVICES.

SPOKE TO POLICYHOLDERS AND PROVIDERS ABOUT CLAIMS STATUSES AND DENIALS.

RECEIVED AND ROUTED MEDICAL RECORDS

EDUCATION

MAY 2017

CERTIFICATE IN MEDICAL BILLING & CODING, BRIGHTWOOD COLLEGE

3.86 GPA

JANUARY 2004

HIGH SCHOOL DIPLOMA, SEVERNA PARK HIGHSCHOOL

SKILLS

Microsoft Office Suite

Knowledge of ten-key billing

Account management

Billing oversight

Data entry

High accuracy

Advanced internet experience

Filing systems expertise

30 WPM

Ability to multitask

Detail oriented

Problem solving

Interpersonal skills

Strong communication skill

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