Entry Specialist Data

SHERRY BAKARE

HOUSTON, TX

Phone: 281-***-****

Email: ********@*********.***

Objective

I am a dependable and reliable employee who is organized, seeking a position that will allow me to utilize my skills and experience for professional growth.

Skills

• Microsoft Word, Excel

• ICD-9 Coding

• Medi-Soft

• Proficient of Dynatax

• Microsoft

• Lotus 1-2-3

• Transcription

• Bookkeeping

• Filing

• Correspondence

• EOB’S

• Data Entry Specialist

• Provider Enrollment Specailist

• Appeals

• Insurance Verification

• Multiline Phone System

• Electronic and Manual HCFA’S

• Pre-Authorization

• Referrals

• Data-Entry

• Demographics

• Customer Service

• Eligibility and Benefit Verification

• TDH Connect

Employment History

02/2022 - 09/2022 Insurance Follow-up Specialist

Next Level Urgent Care, Houston, TX

• Worked in unison and effectively communicates with Management Team, providing daily input through verbal discussion and email to assure the best operation and success of the business.

• Displayed excellent time management skills and a track record of meeting goals and deadlines.

• Thoroughly documented accounts as needed to provide a clear understanding of actions taken.

• Collaborated with third-party institutions and other team members to resolve billing inconsistencies and errors.

• Set a professional example for all employees to follow as it relates to Next Level Urgent Care business and internal operations.

• Served as the team leads for the billing, payment posting, and AR follow-up teams.

• Resolved denials and rejections sent from the 3rd party billing providers.

• Prepared and submits daily claim files.

• Identified denial trends and works with the leadership team to address root causes.

• Aided and input the Director of Revenue Cycle regarding weekly production of Billing, payment posting, and AR follow-up teams.

• Performed quarterly staff productivity and quality reviews.

• Worked AR follow-up assignments as needed.

• Handled additional assignments as requested by Revenue Cycle Director.

• Maintained the strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Followed all SOP and work with the leadership team to identify new policies as needed.

12/2020 - 05/2021 Patient Insurance Specialist II

Baylor College of Medicine, Houston, TX

• Answered Insurance Verification Helpline and solves insurance issues for patients, physicians, and departments

• Accurately obtains benefits from insurance companies for upcoming services

• Contacted PCP offices to obtain referrals

• Registered patients, verify insurance, and pre-certifies outpatient and inpatient surgeries

01/2002 - 03/2016 Billing Specialist

Parallon Performance Services, Houston, TX

• Gathered Medicaid billing information by reviewing patient hospital records and checking for completeness.

• Ensured payments by verifying the accuracy of Medicaid coding.

• Billed Medicaid carrier by inputting billing information to the database, initiating electronic transmissions.

• Resolved disputed claims by gathering, verifying, and providing additional information; followed up on claims.

• Resolved discrepancies by examining and evaluating data, selecting corrective steps.

• Adjusted patient bills by reviewing remittance advice, consulting with the Medicaid office.

• Prepared monthly reports of Medicaid billing by summarizing billings, adjustments, and revenues received.

• Updated job knowledge by participating in educational opportunities; reading professional publications; keeping current on Medicaid billing and reimbursement procedures.

• Served and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.

• Accomplished billing department and hospital mission by completing related results as needed

01/1999 - 01/2001 Medical Collector/Biller (Third-party) ACS Systems, Houston, TX

• Insurance follow-up, Correspondence, Customer Service, TDH Connect Medicaid Appeals, electronic/manual claims submission,

• Managed Care-HMO

• Trained new employees and worked as a team that helps the growth of the company

01/1996 - 01/1999 Insurance Billing Specialist

Med-Source Billing Service, Houston, TX

• Medicare/Medicaid Appeals, workers comp, payment posting, claims mail out, E.O.B'S, Adjustments, per-certification, Insurance Verification 12/1995 - 12/1998 Medical Records Clerk

Dean's Professional Service, Houston, TX

• Set up charts, audit charts, request medical records, copy charts, release information to patients according to state by-laws 12/1992 - 09/1995 Office Clerk

Abdul Khan, MD, Houston, TX

• Monitor patients' daily activities, plan and coordinate patients' activities, assist nurses with patient

• Patient Care, vital signs, EKG

11/1987 - 09/1992 Unit Clerk

CPC Cypress Point Hospital, Houston, TX

• Responsibilities: Assist nurses, enter doctors order in computer, Insurance Verification

Education History

01/1991 Arts & Science

Associate degree

Pitmann's College London, TX

01/1989 Medical Office Management

No degree provided

Texas College of Medical Careers, TX

Occupational Licenses, Certificates, and Training

Medical Office Management

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