Customer Services Front End

KATHY A ALLEN

Objective

To obtain a position within medical, hospital and customer

services setting. I have 11 years @ University of Mississippi

Center of healthcare and customer services. Ready for

another stage in my career with leverage in professional

experience.

Skills

Time management Medical terminology

HIPPA compliant Computer and customer services

Dependable Knowledge CPT codes & ICD 10

Knowledge with insurance Exceptional customer services

Collections Deductibles and copay skills

Experience

2022 -present – Birthright of Jackson

Answer incoming and during outgoing phone calls. Taking message from

Clients giving out general information about services offered. Giving out

material to clients that need supplies and other sources that they need at

that time. Keeping up with other resources within the community to help

all client’s in other area.

2011 – 2022 University of Mississippi Medical Center

Eligibility and verification process per websites on each insurance

Document the insurance authorization on each account for filing

Document deductible, coinsurance and out of pocket amount

Obtain all benefit limits and Non-Par insurances as well

Knowledge of all insurance Non Participation with hospital and physician

Document notes on guarantor or hospital encounter with authorization

All patients to be Self-Pay are referral to Health Benefit Coordinator

Knowledge or RTE process in EPIC

Front end Pre-Registration may be performed prior to authorization

Transmit clinical documentation by phone or fax

Work from work que to complete cases status and follow up

Working denials and appeal on a timely matter per protocol

Arrange peer to peer if needed or refer to appreciate person

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2000-2011 Gastrointestinal Assoc,P A

Billing/Insurance Analyst

Filing HCFA and UB94 claims to individual insurance companies

Researching medical forms for denials and correspondence daily

Posting payments to patients account and balancing batches

Electronic filing claims and research filing rejection edits

Training individual’s on system, batching claims and filing claims

Worked on appeals to insurance carrier’s and adjustment for payment

Customer services to patient about accounts after insurance pays

Work adjustments and appeals to insurance companies

Daily payroll for check out patient account and collections

Deposit and daily balance of office account and month end report

Balancing daily journal’s and worksheet

Education

Phillips Jr College Jackson, MS

Assoc Degree Business Administration

*********@*****.*** 601-***-****

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