Data Entry Collections Specialist
Resume:
●
LA QUETA SCOTT
Dallas, TX 75237
**************@*****.***
Objective
To obtain a position that will allow me the opportunity to enhance my career goals as well as advance in a great company.
Salary: open/negotiable
Skills
Epic, Medisoft, Quick Books, MS Word, EClinicals, MS Access, PowerPoint, Internet Explorer,
Medasset, Epic, Centricity, Tiers, TMHP, WEB DM, Oracle Applications, SAKE, First Advantage, ADP Payforce/Payroll, Horizon, Alpha and Numeric Data Entry
Experience:
Texas Oncology. Radiation Insurance Claims Specialist II 03/2019-present
●Work in Centricity per work queues
●Analyze denied claims for validity
●Reprocess insurance claims with proper CPT codes and patient information as needed
●Process appeals for claims to various insurance companies that denied
Cardiac & Vascular Ass. (Contract) Certified Medical Asst 10/18-01/19
• Check patients in and out
-verify insurance/process co payments
-EKG testing
-obtain patient vital signs
-process prescription refills via Eclinicals
-complete proper patient charting
Imur Family Medical Clinic Certified Medical Asst 07/18-10/18
• Check patients in
-verify insurance/process co payments
-EKG testing
-obtain patient vital signs
-complete blood draws, urinalysis test and injections
State of Texas/Health and Human Services Commission-contract Texas Works Advisor I 01/17-11/17
• Complete face to face and phone interviews with clients to determine state benefits eligibility for Medicaid
• Verify clients' demographics, income and resources
• Process clients applications for TANF, Medicaid and SNAP
Medix(contract)- Financial Counselor I 3/2015-12/2016
• Complete face to face interviews with patients to determine what financial assistance they qualify for
• Verify patients' demographic information
• Process patients' applications
• Verify patients insurance
Quest Diagnostics/Ameripath(contract)-
Collections Coordinator II 07/14-01/15
• Work AR report for complex claims research for laboratory bills
• Verify patients insurance coverage for billing
• Obtain correct procedure codes and diagnosis codes from physicians for correct processing of claims
• Use Centricity to post adjustments, payments and update patient status
Parkland Hospital
Medical Claims Collections Specialist 10/12-05/14
• Analyze Medically denied claims for correct reprocessing and reimbursement
• Verify patients Medical coverage
• Obtain correct procedure codes and diagnosis codes from physicians for correct processing of claims
• Use a computerized networking system to post payments, adjustments and credits
Epic Health(layoff)- Customer Service Rep/Medical 03/10-07/12
• Work aging reports for various medical accounts such as SSI, hospital, Medicaid/Medicare, PDN and therapy in a hospital setting
• Verify patient’s insurance eligibility with various carriers such as BCBS, Aetna, First Care, Christus and more
• Obtain correct procedure codes and diagnosis codes from physicians
• Use a computerized networking system to post payments, adjustments and credits
Odyssey Healthcare-
Medicaid Billing Collector (Temp) 05/09-08/09
• Compile various Aging reports of different cities in the Texas region of past due accounts
• Work Aging Reports to determine the reasons for patient’s accounts being past due 60-180 days old
• Bill current and old patients’ insurance carriers for payments for service rendered
• Collect on past due Medicaid claims form self-pay patients
• Collect on past due Medicaid claims from private insurances, hospitals and nursing homes
• Use a computerized networking system to post payments, adjustments and credits
Education
PCI Health—Certified Medical Assistant
University of Texas at Arlington Some coursework completed
David W Carter High School Graduate
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