Data Entry Quality Assurance

MONICA PHILLIPS

***** ****** ***., *********, **** 44128/ C: 216-***-**** / *.*********@*********.*** SUMMARY

Detail-oriented, efficient, and organized Office Professional with background in general office and finance seeking to provide Administrative, Accounting and Payroll support to energetic finance department. Self-starter with a focus on quality customer satisfaction and confidentiality. Dedicated and committed to a job well done. Key skills and abilities include:

Accounting/Payrol

l

Invoicing

Billing

Records/Office

Management

Quality Assurance

Teamwork

Microsoft Office &

Access

Claims Processing

PROFESSIONAL EXPERIENCE

Shaker Heights, OH (University Hospitals)

Revenue Cycle Specialist (2022-Present)

• Submitting and resolving medical claims of varying complexities.

• Following up with insurance companies to ensure appropriate payment on claims.

• Resolving denials, correcting claims, and appealing claims.

• Utilizing worklists and system applications to review, update patient information, and resolve outstanding accounts receivable (AR) balances.

• Contacting patients and guarantors for billing information.

• Maintaining patient and physician confidentiality.

• Verifying insurance plans.

• Adhering to PHI requirements.

TWINSBURG, OH (Cardinal Health)

Denial Claims Representative (2021- 2022)

Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.

Possesses understanding of service level goals and objectives when providing customer support.

Possesses strong organizational skills and prioritizes getting the right thing done.

Daily transmission of insurance claims

Review resolution, resubmission of rejected claims from health plans

Creating outbound appeal packets to ensure timely filing guidelines. BEACHWOOD, OH (Life Stance Health)

Medical Billing Specialist (2020-2021)

Assisting in a prepayment review that Anthem requires of the practice.

Printing, Organizing, and matching of claims with medical records.

Basic review of medical records to ensure all components are included before submission to Anthem.

Charge Review, reviewing of claims for proper coding to submit correctly to insurance companies.

Preparing documents to be mailed by stamping and stuffing. GARFIELD HTS, OH (Cleveland Clinic Marymount Hospital) Health Unit Coordinator (May 2020- July 2020)

Assists with processing patient admissions, discharges, and transfers.

Communicates and Facilitates communication with patients, families, and other departments and health care team members regarding patient care.

Assemble and maintained patient medical records and other documents related to patient care.

Assists with unit clerical functions.

Called life flight transportation for patients experiencing emergency traumas.

Inputting medical data in various databases.

HIGHLAND HILLS, Oh (Advance Partners/Paychex)

Payroll Specialist (2018-2020)

Reviewed client payroll data for accuracy. This required checking critical details such as accuracy of taxing locales and balancing figures from multiple databases.

Reviewed client invoicing, which required checking critical details such as supporting payroll information.

Balanced payroll and invoicing to accounting statement for accuracy.

Finalized payroll and print checks.

Finalized invoicing and printed invoices.

Made sure payrolls were completed within required banking time frames and packets were shipped properly and timely.

HIGHLAND HILLS, OH (Advance Partners/Paychex)

Accounts Receivables (2016-2018)

Reviewed and matched invoices to timesheets to ensure time worked were correct and accurate.

Contacted clients with any discrepancies against invoices and timesheets.

Worked with Customer Service Representatives to resolve and make corrections needed with billing.

Distributed invoices via mail, email, EDI.

EDUCATION & TRAINING

Health Information Management Associate Degree 5/14/2022

Lakeland Community College, Mentor, Ohio

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