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Reimbursement specialist

Location:
Eatonton, GA
Posted:
September 10, 2023

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Resume:

KRISTIN

MARSHALL

adzl1x@r.postjobfree.com

478-***-****

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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