Safety Coordinator Patient Advocate

William H Jennings Sr. 614-***-**** Cell

**** ******** ****** *****

Columbus, Ohio 43228 ******************@*****.***

Objectives:

To use my skills, talent and knowledge working with a progressive business by assisting in growing they're business and thereby also progressing in my own personal and professional growth.

Employment History:

FirstSource Solution,LLC

1661 Lyndon Farm Court

Louisville, Ky 40223

502-***-****

01/12/2009-11/01/2022

Senior Patient Advocate Specialist: Review and process HCAP/Charity application for patients that are not eligible for Medicaid and/or don’t qualify. Verifying and research all information given to assist patient (s) with their medical expenses. Approving and processing W/O's as warranted based on income and family size. BPMS Auditor-Review and verify that employees are following proper guidelines when interviewing and screening patients and are keeping to HIPAA practices guidelines. Reviewing 800-1000 accounts per month and discussing any errors and low scores w/ management. Process Payroll, Payroll Reports, Order Office Supplies, Break room Supplies, New Hire Training i.e. HIPAA/InfoSec/Red Flag Rules/Corporate Compliance, Safety Coordinator, Internal Security Coordinator, Office Audits/Live-Vox Audits, Work Special Projects, Review and Audit accounts for Adjustments and W/O's, Switch Board phone coverage.

Patient Account Rep-Screen and interview patients for Medicaid eligibility, complete and process Medicaid applications, collect required data and coordinate w/JFS and patient to assist in the Medicaid process, until approved and/or denied. If denied, follow up to ensure the denial is justified, otherwise to file an appeal to have the decision reviewed and/or possibly reconsidered.

Account Representative-Billing and Follow-up on Medicare, Medicaid, Contract/ Commercial Payers, BCBS, BWC, Out of State MCD Plans, verify insurance, obtain prior authorization, post payments and adjustments, process contract w/o's. William H Jennings Sr. 614-***-**** Cell

Express Personnel Services

Gehenna, OH 2008-2009

2008-2009

Account Specialist 3rd party payer medical billing; follow up billing and collections Medicare and Medicaid accounts w/secondary follow-up, to other payer sources. Account reconciliation w/accounts over 90 days old. Medicare and Medicaid IVR systems, utilizing Quadax billing systems, verification of payer sources to assure information correct with timely deadlines. Education/Skills:

GED Skill Path Seminars 31 C.E.U's Nursing 101-CAN Basic Medical Terminology Microsoft Excel/Word 10-key ADP/Kronos Power Point Data Entry Chart Wizard VISO Spanish Speaking Fax/Copier

Additional Experience:

C.N.A. 11 yrs, Patient Registrations 5 yrs, Accounts Receivable 16 yrs, Prior Authorizations 5 yrs, Payroll 10 yrs, H.R./Account Payables 7 yrs, Insurance Verification 16 yrs, DDE Billing 8 years, Re-Occurring Billing 8 years, Lock Box Postings 3 years, Billing & Collections Patient Accounts 16 years, HCAP/Charity Patient Application 7 years, W/O’s/Adjustment of Patient Accounts 20 years, Research/ Reconciliation Patient Account 16 years, Business Office Manager 8 years, Customer Service 38 years, My entire career I have provided Customer Service to my patients, my clients, to my employers.

Summary:

I am a dedicated employee, fluent in Spanish, experienced in screening and gaining approval for Medicaid eligible patients. In addition, I am experienced as a 3rd party payer medical billing specialist, Pre-authorization POC, and STNA. Currently I am working as BPMS Auditor and have provided training for new employees. Finally, I have supervisory experience.