Objectives

Responsible individual seeking to leverage background in revenue cycle in a physician’s office, hospital or other revenue cycle setting.

Summary of Qualifications

Bilingual – English/French

Knowledge of CPT, ICD-9CM/ICD-10CM, HCPCS, Insurance, Medical Terminology, Microsoft Office

Customer Service, including in-bound medical collection calls using predictive dialer

Customer Service, outbound calls to third party payers to resolve medical accounts receivables

Demonstrate the ability to utilize codes in the medical reimbursement process

Read and understand insurance EOB’s

Ability to edit and transmit medical/dental claims and post charges to patient accounts

Use computer technology software for completing Medical Office Insurance forms

Understand the Ethical and Legal Importance of Confidentiality when dealing with Medical Records and applying HIPAA rules and regulations

Education

Virginia College-Columbus, GA March 2013

Associates Degree/Healthcare Reimbursement

Experience

Patient Account Representative: Prosperity America, 06/2014 – present

Responsible for increasing cash flow for various out-sourced medical accounts efficiently and effectively on a productivity basis. Responsible for trouble shooting problem accounts with insurance companies by denial correction, third party collections or appeals. Coordinated activity between hospital business office and patients for outsourced accounts. Knowledge of several different patient accounting software including: Epic, Latitude, STAR, Live-vox, 3m coder, Mckesson.

Externship: Jack Hughston Memorial Hospital – Phenix City, AL 01/2014 – 03/2014

Participation in insurance follow-up calls and denial management and all aspects of revenue cycle.

Hair Stylist/Owner 03/2005 – 10/2013

Promoted and sold salon products and services. Recommended home care regimes and treatments. Educated guests on proper hair care. Set up workstations and treatment rooms with necessary products, equipment and supplies. Selected hair colors based on customer preference. Promptly fielded all incoming phone calls and scheduled appointments. Addressed inappropriate guest behavior. Briefed employees about the salon’s success and announced monthly sales goals. Created repeat business by developing long-term relationships with regular customers. Conducted weekly salon inventor.

Licenses

AHA Healthcare Provider, CPR Certification, Certified Medical Assistant, diploma from KLA, Fluent in Both English and French

Awards

President’s List

Dean’s List

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