Financial Services Accounts Receivable
Resume:
CRIS GARR
**** ***** *** ****, *******, GA *****
*******@*****.***
WORK EXPERIENCE
Kaiser Permanente Medical Group
March 2018 to Present
Patient Financial Services Representative (Contract Position)
Medical Financial Services Coordinator (Contract Position)
Provides coordination of benefit services to members
Verifies patient insurance and eligibility
Assists patients who have pre-existing appointments with appointment details and out-of-pocket costs
Facilitates payment processing
Assists insured/uninsured patients with financial assistance resources and sets up payment plans
Assists in charge and care disputes including billing and payment discrepancies
Supports client administration through the sales process to generate customer partnerships
Assist with benefit plan implementation by developing implementation strategy contracts to provide health insurance coverage plans that meets the requirements and needs of the clients satisfaction
Work to provide customized solutions to meet requested exceptions while minimizing internal risks
Hospital Corporation of America
July 2017 to March 2018
Medical Collector
Follow up on hospital claims
Submit appropriate documents for adjustments
Provide medical documents to insurance companies as needed such as medical notes or accident information
Reach out to patients as necessary
GNOS Medical
August 2016 to December 2016
Insurance Follow-Up/Billing Specialist
Performed follow-up on accounts receivable for medical laboratory claims, account correction and Adjustments
DeKalb Medical Center
December 2014 to August 2016
Billing Representative
Handled Accounts Receivable, self-pay, collections, payment posting & insurance verification and patient and facility education within the central billing office.
Successfully managed pending claims daily, provided support for patient providers, group administrators, brokers and agents in the processing of medical and ancillary claims.
Obtained, reviewed, and completed practitioner credentialing and re-credentialing with health plans, hospitals and patient care facilities.
Apollo MD (Combined Physician Service Solutions)
February 2014 to November 2014
Insurance Specialist
Performed accounts for Hospitalists.
Data set regions: Georgia and Tennessee Insurance follow-up; including account correction and adjustment, resolving patients account inquiries and monitoring billing errors claim line item adjustments.
Piedmont Healthcare Corporation
June 2005 to January 2014
Revenue Cycle Representative
Performed all accounts receivable for Multi-Specialty Physicians, which consist of Pediatrics, General Surgery, General Medicine, Internal Medicine, Family Practice and Orthopedics.
Performed multiple tasks which cover all the main functions of the Central Business Office which include insurance follow up, self-pay follow-up, payment posting, account correction and adjustment, resolving patients account inquiries, and monitoring billing errors claim line item adjustments.
APPLICABLE SKILLS
NextGen, ECW, Epic, Medical Manger, Navicare, Navinet, Ingenix Encoder Pro, Emdeon, MS Word, MS Excel, IDX, Centricity, and Verinet
EDUCATION
Evanston Township High School, High School Diploma
Phillips Junior College, Courses for Business Management
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