Data Entry / Funding Specialist Coder II
Resume:
Funding Specialist
WESLEY
PRESCOTT
Contact
Professional Profile
Skills
**** ***** ** ** *******, Texas 79602
******.***********@*****.***
Obtain a responsible and challenging
position within your company that will
allow me to learn new skills, build a strong
business relationship with the company,
and exceed expectations to excel within
the company.
Insurance Knowledge /
Verification Skills
Customer Service
Data Archiving
Verbal & Written
Communication
Phone Etiquette
Medical Records
ATEMS stands for the Academy of Technology Engineering Mathematics Science. Within the years of my High School timeframe I was able to pursue both Engineering and Technology at a higher level than most.
2014-2018
A.T.E.M.S High School
High School Graduation
Education
Working orders within multiple ques, ensuring each order is worked within an appropriate and accurate amount of time to provide quality service.
Speaking with Patients and their Family members about their order, providing updates and answering any questions they might have.
Verifying insurance and confirming eligible benefits for DME. Admitting Rep:
Greet guests as they enter the hospital, answer questions, and provide aid and escort guests to wherever they need to go. Once guests enter my area, if they are here for an appointment then I would register the guest and escort them to where they were headed, radiology, chronic heart failure lab, and other locations. My main duty was to check-in guests coming to my department to be admitted to the hospital. Once guests enter my area, I would gather and make sure guests' information in our system is correct to date. Once checked in, I would call the floor, ensuring the guests' room was ready, once done I would personally escort the guest to their assigned room.
2023 - Present
2021-2023
Funding Specialist
Insurance Verification / Admitting Rep
National Seating & Mobility
Experience
In the DR Docs Required tab, collecting required documents that the Payer requires we need prior to submission. Insuring each document is valid and medically justified upon proper guidelines. In the RTS Ready To Submit tab, creating a Funding Packet with all Payer DR Docs Required and submitting it to the Insurance for Authorization.
In the Pending tab following up with the Insurance after Submission to check the status of the Submission to follow up within accurate amount of time.
In the Action tab going order by order reviewing each Action prompt to see what the issue is and then going into the order to solve and correct the issue to all within a timely manner to ensure high quailty assurance.
Hendrick Medical Center
References
Melinda Villa
Insurance Verification /
615-***-**** Trainer
Gina Hornsby
Phone:
Phone: 903-***-****
Funding Specialist Lead
Insurance Verification Specialist:
Answering my phone in a timely manner, providing answers to schedulers, hospital staff, or coworkers on insurance questions. Going based on my task list, ensuring the patient's insurance is still active, and once that is done add notes for pricing based on my excel sheet per CPT code.
With this job title, I was put in charge of ensuring Outpatient VA ER visits for our three locations including North, South, and Buffalo Gap Plaza, these visits were to be submitted to the VA within a 72-hour window. If it was over the submission window time, it would be denied. Some of the duties included.
Submitting Outpatient ER visits within a 72-hour window, making sure the Patient's information was all entered incorrectly, while also adding in ER Nurse's notes and ER Diagnoses Codes. Answering my phone in a timely manner to ER representatives answering any questions they may have, even if they didn't obtain my subject of knowledge.
Knowledge In
these Programs
Mircosoft Programs including:
Word, Excel, Powerpoint,
Outlook, OneNote, Teams
Google Programs - Drive,
Google Classrooms, Gmail,
Google Slides
Procreate
Adobe Programs - Adobe
Illustrator, Adobe Photoshop
Languages
English - Native
Spanish - Elementery
Wishing to expand my
knowledge in more languages,
such as France, Korean,
Chinese
Contact this candidate