Objective:

To obtain a rewarding and challenging permanent full-time position in the work force with responsibilities for the performance of the business in clerical areas of a company by providing leadership and direction. Where the perfect blend of my experience with people, excellent communication skills and good customer service, and knowledge in both, administrative and business areas, can be utilized to help in fulfilling the goals of the company and in its continued success.

Skills:

●More than 25 years of professional experience in health care administration

●Extensive knowledge of health care administration, clinic philosophy and policies and operating procedures

●Medical Terminology, billing, coding, insurance, and customer payment posting, DME intake.

●Familiar with fiscal management systems and human resource management practices

●Basic accounting and bookkeeping knowledge

●Knowledgeable in HIPAA, CLIA and OSHA regulations

●Excellent computer skills including Word, Excel, Outlook, Access, PowerPoint, CAPS, Aderant, Navi/ CarePort, Brightree, Watershed, E-clinicals, ADP payroll services, Parachute, Atlas, insurance websites and others.

●Demonstrated ability to work in a high-volume area.

●Skilled in developing and maintaining effective relationship with staff, senior management, and patients/costumers

●Possess excellent communication, judgment, problem solving and decision-making skills

●Excellent supervisory skills and has the ability to work under pressure.

●Organized and able to handle multiple tasks simultaneously and effectively

●Profound experience working work with infants, toddlers, young children, and their families

●Demonstrated courteous and professional behavior

●Basic knowledge of the federal, state, and local laws regarding patient and treatments.

●Consistently praised for efficient handling of job duties

●Ability to work in team, independently, and remotely effectively

Professional Experience:

Independent Medical Equipment: Customer Rep- Insurance Department March 1, 2021- Current

Insurance verification

Chart data entry

Communicated though different computers systems with all the local hospitals including UAB on patient discharge and set up the home equipment delivery.

Post insurance and customer payments

Keep up with inventory in our warehouse for availability in stock.

Answer phone calls about billing questions and customer service

Take payments over the phone.

Create charts and sales tickets using medical DME codes.

Work the AR and stop/ hold reports and insurance denials.

Obtains insurance authorization for equipment.

MEREM HEALTH SOLUTIONS: MEDICAL BILLER Oct. 7, 2020 - Jan. 26, 2021

Posting insurance payments

Reading and posting EOBs correctly

Posting patient payments

Sending out claims to insurance companies by e-claim and 1500 forms

Keeping up and cleaning AR

Correcting claims and rebilling

Sending additional info and primary EOBs

Physician billing and posting

Working appeals and denials

LIBERTY NATIONAL LICENSED AGENT: Aug 26, 2019 - Sept 30, 2020

Company life insurance sale

GENTIVA HOME HEALTH: REIMBURSEMENT COORDINATOR Oct 4, 2015 – Sept 27,2019

Team Lead over Insurance Authorizations; Insurance Verifications; and Reimbursements, helping management with understanding and streamlining the billing process

help oversee 27 branches insurance and billing in the Birmingham and Georgia area in patient intake

Run insurance benefits and eligibility, have experience with over 300 insurances across the U.S.

Obtain per-certs and authorizations from the patient’s insurance.

set up the patient’s chart and accounts in 2 different EMR systems

I keep up with re-certs for continue care of patients

Run and maintain auth due report and pre- bills reports

ADVANCED WOUND CARE UAB BESSEMER: Office Coordinator JUNE 5, 2014 – OCT 2, 2015

answer multi -line phone

Schedule appointments

Entering demographics and insurance

Check insurance benefits and copay

Retrieve pre-certification and authorization for treatment

Prepare charts for clinics

Schedule lab and imaging tests

Pay roll and deposits

run end of month reports

scrub, verify, and code charges

enter Dr schedules and off days

order supplies and manage office equipment

manage inventory

Children’s Hospital ENT- Children’s South: Billing and Insurance Specialist Jan 2012-June 2014

Entering Post Op charges

Setting up clinic charts, verifying insurance eligibility and benefits, making sure all referrals and pre-certs are obtained and correct.

Patient demographic entry and updates, insurance changes, and scheduling.

Children’s Hospital Pediatrics East, Deerfoot and Roebuck Offices: Referral Coordinator 1998-2011

Handle the referrals to and from of both clinics for eleven doctors.

Schedule appointments with specialty care clinics for patients

Obtain referral authorizations from all insurance companies

Order lab work and x-rays and Schedule patient procedures

Prioritize patient daily care according to acuity

Answer multi-line phone, operate fax, and copy machine

Doctors Assistant

Assist patients with A.M. care, take vital signs, prep for procedures, draw blood,

Maintain and set up patient rooms

Assist with patient and family education

Perform preventive maintenance on emergency equipment

Assist R.N. with sterile and non-sterile dressing changes

Utilize PC to enter and retrieve patient data

Factory Connection, Pinson, Alabama: Store Manager 2005 - 2007

Employee schedules and Pay roll

Opening and closing the store

Balance of daily receipts

Bank deposits

Customer service

Inventory management

Education:

Wallace State – Associate Degree in Business, Insurance sales state certified, CPR certified, Emergency Medical training, First Aide training, Medical Terminology, Gymnastics Coach for 11 years, Volleyball Coach for 15 years.

Pay requirements: negotiable, with health care and dental benefits.

Contact this candidate