Data Entry Third Party
Resume:
DONNA TAYLOR
Dorchester, MA *****
***********@*****.***
Authorized to work in the US for any employer
Work Experience
Counselor
Transition - Mattapan, MA
April 2022 to Present
• Ensures overall safety of clients and shelter/program environment.
• Performs rounds throughout the unit. Searches clients for contraband upon arrival in unit.
• Engage in shift change duties, including Med Log shift change & Med Lock-up key exchange.
• Intervenes to de-escalate conflict situations, anticipating potential conflict situations and intervening
prior to crisis.
• Maintains stable environment by ensuring resident compliance with program rules and individual
service plans. Performs urinalysis screening if necessary.
• Assists in overseeing and facilitation of support group meetings, NA/AA meetings, life skills and other
training for residents. Trains and assists guests with daily living tasks as needed.
• Monitors and serves meals, coordinates food and other supplies, and supervises clean up after meals.
Monitors and distributes linen and clothing supplies for guests.
• Attends required meetings and training sessions.
• Provides phone coverage as necessary.
• Transports clients via program van.
• Performs various administrative tasks such as maintaining accurate records, recording log notes and
data entry. Performs other duties as assigned.
Residential Counselor
Gavin Foundation
October 2018 to April 2022
Ensure the safety of residents (physical and emotional well being), and safety of the facility.
• Conduct hourly checks of the house using Det ex fob.
• Engage in shift change duties, including Med Log shift change & Med Lock-up key exchange.
• Maintain daily Logbook by denoting all incidents, issues, etc.
• Ensure that the program policies are followed and document any deviation of said policies.
• Monitor drug testing provided by Aspen ti Labs, random drug testing, or when indicated.
• Ensure that the 5:30pm evening details are completed in a timely fashion.
• Contact Program Director regarding crisis/emergency situations, including shift problems.
• Follow through with Emergency/Fire procedures when the situation calls for it.
• Provide crisis intervention when necessary.
• Perform other duties as assigned.
Auditor/Data Entry
Bank of America - Cambridge, MA
August 2017 to December 2018
• Review client contracts to determine if contract meet the qualification reporting standard of contract
policy identity any issues.
• Interact and liaison with external auditors
• Recognized new accounting standard data entry customer information entered excel spread sheet
Plexus Management
2013 to 2016
Westwood MA
Account Receivables/cash Posting
• Work third party claims
• Prepared EOB's for processing, and payment posting
• Maintenance of patients account's update primary insurance according to HIPPA Regulations.
• Follow up on denials of claims checking claim status from insurance
• Process EOB's and payment for Lockbox Cash Posting
Fenway Health Center
2009 to 2010
Brookline M A
Third Party Billing
• Processing third party claims
Prepared EOB's for processing, and payment posting
• Maintenance of patients account's update primary insurance according to HIPPA Regulations.
• Follow up on denials of claims checking claim status from insurance
Prepares daily banks deposits.
Claims Processor
Perosystem - Quincy, MA
2006 to 2007
• Daily processing of claims
• Review, screening and analyze incoming scanning claims
• Maintaining and updating patient information claims
• Rejections and resolve errors identified and send out clean claim
Dana-Farber Cancer Inst - Brookline, MA
2001 to 2005
Third Party Billing
• Processing third party claims
• Worked as team in preparing for clean claim for submission
• Maintained A/R for assigned payers ensuring that no more than 15% of expected payments are over
120 days old. Completed claim edits and hold bills accurately and within time constraints
• Downloading claims as required
• Process adjustments for claims including contractual issues
• Maintain patient accounts as necessary for reference
• Updated billing regulations
• Assist other staff members as necessary with training
Education
Newberry College
Skills
• Qualifications
• Proficient with the following Billing software:EPIC
• IDX systems, Medical Manager Meditech and Fast Track
• Software Microsoft Word, Outlook Excel and Internet
• ICD9, and CPT Coding and Medical Terminology
• Excellent communication, customer care interpersonal
• Organization and supervisory skills attention to detail.
• Ability to function effectively with minimal supervision.
• Prioritizing multiple projects and meeting deadlines.
• Patient Rep, Authorization/Referral verification Rep.
• Billing, Accounts Receivable Data Entry and Cashing posting
• Knowledge of general computer
• fax
• copier
• scanner
• Crisis Intervention
• HIPAA
• Hospital Experience
• ICD-10
• Medical Billing
• Medical Records
• Medical Office Experience
• Patient Care
• Medical Coding
• Clerical Experience
• Experience Administering Injections
• Insurance Verification
• Analysis skills
• Typing
• ICD Coding
• Phone Etiquette
• Vital Signs
• Anatomy Knowledge
• Customer service
Contact this candidate