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Insurance Specialist Receivable Representative

Location:
Fort Worth, TX
Posted:
February 11, 2023

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Resume:

Monica Godwin

Fort Worth, TX *****

Phone#: 817-***-****

E-mail: adu9qc@r.postjobfree.com

Objective To obtain employment with an established company to utilize and expand on my administrative experience and knowledge

Skills and Qualifications

Electronic Medical Records (EHR/EMR)

NextGen / Lytec / RUMBA / HST Appointment and Billing software Accounts Receivable/Accounts Payable / Expense Report Employee Benefits / Payroll

Knowledge of insurance coverage, benefit details and policies Manage inventory and office supplies

Telephone / Calculators / Fax and eFax / Copy Machine Typing - 45 wpm / 10 Key by touch

Internet and E-Mail / MS Office

Knowledge of CMS 1500, UB04 forms

Knowledge of medical terminology, CPT coding, HCPCS and ICD10 coding Manage petty cash / patient and insurance payments / bank deposits Medical Assistant – Blood pressure, prescriptions, assist with physical exams and office procedures Work History

02/2021- Ambulatory Surgery Center. Bedford, TX

Business Office Manager

● Managed office employees / payroll / employee benefits

● Coordinating surgery schedule between physician’s offices and surgery center

● Schedule team meetings and conduct daily team huddles

● Assist with credentialing renewals and certifications

● Answer phone and assist physician offices and patients with needs as well as complaints

● Order office supplies

● Pick up mail, open and distribute as needed

● Manage petty cash, patient/insurance payments and handle bank deposits

● Assist with all areas of front office and nursing staff for support and back up

● Managed projects and assist with projects

● Maintain medical records

● Managed all aspect of patient accounts / billing and collections

● Accounts Payable

11/2020 – 02/2021 TTS Tech Solutions Remote Work

Accounts Receivable Representative

● Work follow-up on patient accounts for timely claim and appeal filing

● Verify insurance to ensure coverage and benefits

● Work with internet sites for fast verification and correct coding

● Remote with California company MSM

04/2013-06/2020 Charles Gordon, D.O. Bedford, TX

Office Manager

● Managed office employees / payroll / employee benefits

● Coordinating doctor’s schedule between office and hospital

● Scheduled meetings and maintained doctor’s license renewals and certifications

● Answer phone and assist patients with needs as well as complaints

● Order office supplies

● Pick up mail, open and distribute as needed

● Manage petty cash, patient/insurance payments and handle bank deposits

● Assist with all areas of front office and nursing staff for support and back up

● Managed projects for doctor and assisted with projects

● Maintain medication inventory

● Managed all aspect of patient accounts / billing and collections

● Accounts Payable

● Negotiated Insurance Contracts

07/2012 – 04/2013 UNTHSC Fort Worth, TX

Business Office Representative

● Work follow-up on patient accounts for timely claim and appeal filing

● Verify insurance to ensure coverage and benefits

● Work with internet sites for fast verification and correct coding

● Speak with patients regarding insurance questions and correct insurance coverage

● Write letters of appeal for under allowed claims, bundled charges and submitting corrected claims

● Proper billing of physician visits and surgical procedures 09/2008 – 07/2012 MCNT North Richland Hills, TX

Insurance Specialist

● Answer phone calls and assist patients with insurance questions

● Work on Internet and with e-mails to communicate with other offices and insurance companies

● Write letters of appeal to insurance companies for corrected claims, under allowed claims and bundled charges

● Billing of office and hospital charges

● Insurance Verification and knowledge of insurance benefits and policies 02/2006-4/2008 Agateno Technologies OKC, OK

Patient Coordinator

● Answer incoming phone calls and assist patients with needs

● Coordinate schedule between 6 labs - e-mailing data and schedules

● Mailing information

● Order office supplies

● Managing expense reports

● Work on Internet and with e-mails to communicate with labs and corporate office

● Pick up mail, open it and distribute as needed

● Assist with special projects

06/1999-02/2006 Dan A. Waddell, D.O. Bedford, TX

Office Manager

● Managed office employees / payroll / employee benefits

● Coordinating doctor’s schedule between office and hospital

● Scheduled meetings and maintained doctor’s license renewals and certifications

● Answer phone and assist patients with needs as well as complaints

● Order office supplies

● Pick up mail, open and distribute as needed

● Manage petty cash, patient/insurance payments and handle bank deposits

● Assist with all areas of front office and nursing staff for support and back up

● Managed projects for doctor and assisted with projects

● Maintain medication inventory

● Managed all aspect of patient accounts / billing and collections

● Accounts Payable

● Negotiated Insurance Contracts

01/1998-06/1999 Coppell Health Coppell, TX

Office Manager

● Managed office employees / payroll / time sheets

● Coordinating doctor’s and massage therapist schedules

● Scheduled meetings and maintained doctor’s license renewals and certifications

● Assist patients with medical needs as well as complaints

● Manage expense reports

● Order office supplies

● Pick up mail, open and distribute as needed

● Managed petty cash, patient/insurance payments and bank deposits

● Accounts Payable - paid all bills for the office

● Accounts Receivable - managed all patient accounts 12/1994-01/1998 Greenville Surgery Center Dallas, TX Accounts Receivable

● Answered phone calls and scheduled surgeries

● Provided backup for receptionist

● Assisted patients with insurance questions as well as complaints

● Pick up mail, open and distribute as needed

● Managed patient payments, insurance payments and handled bank deposits

● Accounts Receivable - managed all patient accounts Education

35 hours towards Associate of Business Management degree Tarrant Count College

Hurst, Texas



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