Reimbursement specialist
Resume:
KRISTIN
MARSHALL
***************@*****.***
EXPERIENCE
The Pickled Okra LO – Business Owner
**/**** – 08/2023
• Own and operate a full-service restaurant.
• Responsible for ensuring sales tax is prepared and paid monthly Prepares the schedule/payroll
weekly.
• Keeps record of inventory and places food and
alcohol orders Prepares and keeps record of
licensing and bookkeeping.
• Prepared bank deposits and handled business sales, returns and transaction reports.
• Consulted with customers to assess needs and
propose optimal solutions.
• Put together realistic budgets based upon costs and fees for successfully operating business.
• Developed and implemented marketing strategies to generate new customers and increase sales and
profit margins.
• Oversaw business budget planning and
administration, accounting functions, purchasing,
and bi-weekly payroll to handle financial needs.
• Trained and motivated employees to perform daily business functions.
• Scheduled employees for shifts, considering
customer traffic and employee strengths.
Southern Ridge Development – Office Manager
04/2020 – 01/2022
2
OBJECTIVE
Authorized to work in the US for any
employer. Organized and
dependable candidate successful at
managing multiple priorities with a
positive attitude. Willingness to take
on added responsibilities to meet
team goals. Detail-oriented team
player with strong organizational
skills. Ability to handle multiple
projects simultaneously with a high
degree of accuracy.
• Creating Quotes, invoices, spreadsheets Managing spending
• Filing paperwork
• Filing taxes
• Answering emails/phone calls Collecting payment
accounting duties
• Maintained computer and physical filing systems.
• Created, maintained, and updated filing systems for paper and electronic documents.
• Developed and maintained successful relationships with vendors, suppliers, and contractors.
• Coordinated special projects and managed schedules.
• Controlled finances to lower costs and keep business operating within budget.
• Successfully managed budgets and allocated
resources to maximize productivity and
profitability.
The Watering Hole – Bartender
01/2017 – 05/2020
• Opening and closing duties
• Greeting customers
• Placing liquor orders
• Serving drinks (beer, wine, liquor etc.)
• Making sure I put all open tabs in computer and add each drink to correct tab.
3
SKILLS
• Task Delegation
• Negotiation and
Persuasion
• Staff Management
• New Business
Development
• Sales Planning
• Cost Analysis and
Savings
• Budgeting and Cost
Control
• Accounting
Management
• Purchasing and
Planning
• Budget Controls
• Verbal and Written
Communication
• Making sure all tabs are closed and paid at the end of each shift.
• Collecting money on all sales
• Closing duties include making sure all credit cards are closed, the cash drawer is correct.
• Make sure deposits are correct.
• Cleaning and stocking bar for next shift
• Ensure everyone is happy and having a good time.
• Act as a bouncer when needed.
• Not over severing anyone/ making sure everyone
gets off the property at closing time safely.
Medical Center Navient Health – Patient Account
Representative
02/2016 – 10/2017
• Answer multiple phone lines.
• Take phone payments.
• Input correct procedure, diagnosis, and modifiers onto claim forms from super bill's
• Verify insurance and patient information is correct before submitting claims.
• Scrub claims and then submit claims threw a clearing house.
• Work at a timely and accurate manner
4
• Field phone calls from patients, health care facilities, and insurance company's
• Read and understand explanation of benefits.
• Post payments from patients and insurance
companies
• Answer patient billing questions
• Follow HIPAA regulations.
• Work denials
• Experienced in Dermatology, Pathology, Chiropractic, and Physical Therapy
• Responsible for keeping deposits accurate.
• Followed up on denied and unpaid claims to resolve problems and obtain payments.
• Coordinated with insurance providers to verify
customer's policy benefits in relation to claims.
• Employed clinical and billing codes expertise to correct billing inconsistencies.
• Prevented delays and claim denials by correcting information prior to submission.
Assurance Health Care – Reimbursement Specialist
05/2016 – 02/2016
• Specializes in reimbursement of patient accounts.
• Account follow-ups
• Collection duties
• Verifier inpatient/outpatient, rehab and quick med claims are coded correctly.
• Post payments and adjustments from EOB's
• Mails hard copy claims when needed.
• Verifies claims are correct before submission to insurance companies.
• Corrects errors on claims such as modifiers, payers, condition codes etc.
• Works well as a team member
5
• Works with other departments to resolve issues.
• Worked with outside entities to resolve issues with billing, claims and payments.
• Contacted patients after insurance was calculated to obtain payments.
• Electronically submitted bills according to compliance guidelines.
• Posted payments and processed refunds.
• Responded to patient, family, and external payer inquiries.
• Researched billing errors and discrepancies to initiate corrective action.
EDUCATION
ASSOCIATE DEGREE –
ACCOUNTING AND PRE- NURSING / GEORGIA MILITARY
COLLEGE
2020 - 2023
HIGH SCHOOL DOPLOMA/
MARY PERSONS HIGH SCHOOL
2005
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