Remote Health Care Administration Specialist
Resume:
Lynetta Golden
Remote Health Care Administration
*******.*.**@*****.***
OBJECTIVE
To obtain a position with a health care facility. To leverage the ability to communicate effectively and relate individuals from various economic, social, and cultural backgrounds. Also bring strong organizational skills and strong foundation in remote work accountability.
EDUCATION —
EXPERIENCE
Grand Canyon University – Phoenix, Arizona
B.S Health Care Administration 2022
S K I L L S-
Exceptional communication skills
Knowledgeable of medical terminology
Self-motivated to coordinate daily office functions
Knowledgeable of computer operation
Reimbursement & Collections
Superior attention to detail & exceptional organization
HIPPA Compliance
Local/State Health Law Knowledge
November 2015-present
Third Party Follow Up Representative -Remote• Conifer Health Solutions
Research and respond to insurance correspondence.
Update registration information, post denial codes and adjustments in practice management systems.
Research and obtain required documents to resolve misdirected payment issues.
Analyze and resolve moderately complex insurance denials.
Contact insurance carriers through websites, email or telephone to resolve outstanding accounts.
Appeal and/or resubmit unresolved invoices to insurance carriers.
February 2014- September 2015
Billing & Collections • Chicago, IL. • Salem Group Staffing
Enter patients’ demographics into internal data base (EOB).
Generate claims for services rendered by healthcare providers.
Assign ICD-9 Diagnostic & DGR/CPT Procedural codes.
Review claims for accurate medical terminology and corresponding documentation with generated claims.
Bill payers (Medicare, Medicaid, & Commercial insurance companies).
Inform (Self-Payers) of their responsibility with monthly billing statements.
Review reimbursement, approved, denied, and delinquent claims before collections process.
Generate excel spreadsheets for M/R and A/R reports weekly, bi- weekly and monthly.
July 2008- November 2013
Professional Medical/Billing Coordinator • Chicago Heights, IL. • St. James Hospital & Health Centers
Adhered to local/state health law, HIPAA compliance
Input patients’ demographics into data base (EOB).
Generate clean claims prepare billing packets quality review weekly.
Composed effective reports summarizing accounts payable data.
Analyze and verify billed amounts for all DOS.
Submit claims to (Medicare, Medicaid, and commercial) insurance payers.
Lynetta Golden
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