patricia malloy
**** ******* **. **********, ** *9412
843-***-**** Mobile ********@******.***
billing specialist
Data Entry Customer Service
Professional Billing Specialist seeking position in office setting, Bringing excellent customer service skills, Positive attitude, Strong communication and strong team player. Medical insurance knowledge, and past administrative experience. Exceptional clerical abilities, excellent time management skills, and a desire to succeed.
summary of qualifications
Empathetic Customer Service. Excellent Communication Skills. Ability to make decision. Proficient in detailing data entry. Collection. Specimen Preparation. Venipuncture, Capillary Blood Collection. Answer multiline telephones and direct calls to the proper recipients. Compose a wide variety of documents, and compile, and research data. Proficient with Microsoft Office Software, and medical software, such as MDIV, Putty, PC7, Image Cast. Understanding of spreadsheets, data processing, and file management. Keep up to date with changes in medical and insurance legislation. Knowledge of Medicare and Medicaid guidelines, indemnity, and managed care. Effectively communicated with insurance companies via phone, fax, and email to collect payment of submitted health insurance claims. Ability to discreetly maintain security of patient/customer information.
Professional Experience
TriMed Services - 2023 – current
A/R Specialist
billing clients
review and analyze health care provider claims
account reconciliation and accurate claim submission
insurance follow up and denial appeals
identify issues within the revenue cycle process
Maintain current and detailed collection notes
Insight Global – Contractor 2022 - 2023
Credit refund Analysts - MUHA
Research, analyze and resolve undistributed credit transactions within EPIC system
Process all levels of transactions needed for resolution
Correctly analyzing correspondents and managing its pathways to completion
Analyzing data, produce reports
Applying deposits, reconciling billing records and accounts
Outbound calls to insurance company for W9’s to add insurance in our data base
Recommend accounts to be written-off, properly notating account.
Review and scan correspondence to determine specific Projects
Preform special project and other duties as assigned
OneContent, NThrive Claims and Billing software
Boston Heart IOP /Liberty Doctors, Goose Creek, SC 2021 - 2022
Laboratory manager
Scheduled, trained new employees
Ensured proper and safety venipuncture of patient, clearly explaining blood draw process to patient
Act immediately when patient vasovagal or came close to
Ordered Test, billing, accurately identifying(labeling) patient with req
Spend and prepare specimens for courier before 12
Courtesy draws
Interviewing
Proficient in reassuring and calming patient
Keeping a clean work environment
Preform special project and other duties as assigned
Vikor Scientific laboratories, Charleston, SC 2020 – 2021
Specimen Processor
Receive and open specimen bags
Entering inventory, test codes and patient demographics
Preparing specimens majority covid, for testing and analysis
Labeling assigning accessions
Verifying requisitions against specimens before scanning
Select Laboratories, Manning, SC 2019 – 2020
Traveling Phlebotomist
Drawing blood from patients following venipuncture protocols
Completing paperwork as such for facility logs and requisitions
preparing tube labels correctly
submitting accurate payroll time sheets and work/travel mileage log
picking-up other specimens from the facilities in assigned route
transporting collected specimens timely to the designated location
Change Healthcare, North Charleston, SC 2013 – 2019
Data Entry Operator/Prepping Clerk
Manage and input data into database.
Compile, prioritize, sort and process claims, determined insurance resolution and follow up if necessary.
Examine, revise, approve, and dispatch materials according to established specifications.
Assign ICD-9 CM and CPT codes to resolve denied claims and resubmitted via fax, or mail.
Communicate with hospitals and medical offices to collect patient demographics and billing information.
Prepping charges under correct billing site for filing charges.
Sort and file correspondences, invoices, receipts and other records.
Maintain all Explanation of Benefits are entered into the system correctly for cooperate to review.
Generate daily claims and daily count reports for the Assistant Department Director.
Facilitate downloading of electronic files received from client or hospital to generate charges to be billed.
Verify data while performing clerical tasks in data processing function.
Process data entry materials from source documents to a computer-connected terminal or receive electronically.
Perform analytical skills and has the ability to zone in on a problematic issue within a timely manner.
Education
Certified Medical Assistant 2590959 Trident Technical College 2011
Diploma, West Ashley High School, Charleston, SC