Georgia Brown

** ***** ** ***,

LODI, NJ *****

201-***-****

(adwfm8@r.postjobfree.com)

An efficient, well balanced professional seeking a growth opportunity in the

health care or business industry

EXPERENCE:

HACKENSACK UNIVERSITY MED. CENTER, Hackensack, NJ

Customer Service Representative (11/03 – Present)

Responsibilities:

Assists the Collection Manager in reviewing all internal issues for expedited resolution.

Performs timely resolution of patient inquiries/complaints, via telephone, in person, or in writing.

Ensures HIPPA compliance in all interactions pertaining to patient accounting, insurance processing and correspondence receives in the Finance Department.

Reconciles insurers’ payment to explanation of benefits to determine patients’ responsibility, and performs comparison t managed care contract for accuracy.

Maintains and utilizes all written policy and procedures implemented within the patient accounting department.

Implements the proper activity/CDM codes for the processing of any medical record request/coding change or audit request received from insurance companies, attorneys, audit companies, etc.

Oversees the completion of the audit tool worksheet for identification of errors made by outstanding department.

Investigates all billing issues with appropriate outside departments to insure accuracy.

Enters charge debits and charge credits.

Initiates charity care screening process in compliance with Department of Health regulations.

Establishes payment arrangements with patients and monitors status of accounts on a monthly basis.

Responds to all inquiries and correspondence form attorneys, collection agencies, and patients while account is in bad debt.

Process all return mail in a timely manner by contacting patients, physician offices, and patients’ employer, and exhausts all efforts to secure accurate information.

Updates all demographic information on both the clinical and financial system, and ensures ENAD screens are updated.

Documents all efforts on SMS/EPIC system for future retrieval.

Completes work station phone calls for all self-pay accounts on a weekly basis.

Works closely with the Department of Consumer Affairs in order to achieve optimal patient satisfaction.

Identifies the needs of the patient population served and modifies and delivers care that is specific to those need (i.e. age culture language hearing and /or primary caregiver (s) at their level (developmental/age, educational, literacy, etc.).

HACKENSACK UNIVERSITY MED. CENTER, Hackensack, NJ

Adjustment Representative (8/01 - 08/02)

Responsibilities:

Reconciled insurers’ payment to explanation of benefits to determine patients’ responsibility and freight cashier. Accounts receivable/ payable, Processed refunds for patients.

HACKENSACK UNIVERSITY MED. CENTER, Hackensack, NJ

Billing Specialist (8/01 to 07/02)

Responsibilities:

Secretarial duties included filing, typing general office work

EDUCATION:

Clifton High School, Class of 1994, Clifton, NJ

High School Diploma

Office Technology Certification

Patient Financial Services Certification Program, 2005

Hackensack University Medical Center, Hackensack, N.J.

COMPUTER SKILLS:

Microsoft Word, Excel, Access database, PowerPoint.

REFERENCES:

Available Upon Request

Contact this candidate