Healthcare Support
Resume:
ANGELA A. TURNER
**** ** *** ********, ** Cell 469-***-****
SUMMARY OF QUALIFICATIONS:
To obtain a position utilizing my knowledge of medical billing and coding, customer service, and problem-solving skills. To use my experience in the healthcare industry to provide excellent patient care, maximize reimbursement for services rendered, and utilize my strong communication and organizational skills.
Patient Pre-registration Pre-Certification Problem Resolution
Insurance Verification Insurance Claims Customer Service
Account Resolution Medical Collections Chauffeur’s License
EXPERIENCE:
Louisiana Methodist Children’s Home, Ruston, LA (October 2022 – Present)
Mental Health Specialist
Deliver direct care services under the supervision of a therapist or a mental health professional who is responsible for each resident’s active treatment plan
Assist in transport of youth on home pass with company provided vehicle
Ensure all house or unit residents are present and on time for all clinical activities
Ensure agency’s Behavioral Management Plan is implemented with fidelity
Participate in treatment team meetings and communicate fully regarding the delivery of treatment services to the house or unit residents
Maintain the structure, cleanliness and organization of the house or unit
Interact positively with residents, their family members, fellow staff members, and all other stakeholders
Access2Care Medical Transportation Mgmt, St. Louis, MO (March 2024 – October 2025)
Customer Service Representative / Dispatcher
Assist with all phone call information and dispatching of rides
Organize and route trips based on schedule and location to ensure optimal performance
Document complaints regarding transportation and scheduling
Establish and maintain effective communication with transportation providers
Report and record all incidents to the applicable manager
Document and report provider no shows or on-time performance issues
Parallon Business Solutions, Irving, TX (December 2012 – August 2023)
Patient Unit Representative – Customer Service Operations (Nov 2019 – August 2023)
Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services
Perform electronic insurance eligibility confirmation when applicable
Collect patient cost share and collect payment via phone or set up payment arrangements
Contact patients via phone to confirm or obtain missing demographic information
Receive and record payments from patients for services scheduled
Ensure appropriate documentation is entered in standard format on patient record
Discrepancy Analyst (December 2012 – November 2019)
Researched to identify discrepancies between billed and received amounts
Reviewed reports to determine types of discrepancies and assigned appropriate
reason codes
Made all corrections of non-payment related discrepancies
Placed correct contractual adjustments on accounts
Communicated with insurance agencies regarding overpaid discrepancies
Managed Health Network, Irving, TX (August 2008 - November 2012)
Intake Services Representative – Customer Service
Determined members’ eligibility; explained benefits and authorization procedures
Resolved customer service issues regarding quality assurance, provider relations and billing
Authorized voluntary EAP services and initiated outpatient services; managed email care treatment
Followed procedures for special accounts and submitted referrals to mental health clinicians
Care Entrée/Precis Inc., Grand Prairie, TX (November 2001 - July 2008)
Service Representative/Receptionist – Customer Service
Customer Service/Accounting
Answered in-bound calls; created, updated, and maintained customer accounts
Contacted customers regarding billing issues and delinquent payments
Assisted account manager with monthly reports
Managed incoming/outgoing mail and client traffic for company of 80+ employees
Claims Processor
Initiated and processed UB-92 and HCFA claims
Submitted denial forms to non-participating providers and members
Contacted providers/members regarding claims received
Blue Cross Blue Shield of South Carolina, Dallas, TX (January 2000 - November 2001)
Benefits Service Representative – Customer Service
Initiated and processed insurance claims to provide customers with healthcare coverage
Educated customers on procedures and guidelines of health claims
Issued adjustment transactions to correct payments for insurance claims
Created, updated, and maintained customer accounts; resolved insurance claims
Interacted with beneficiaries, physicians, and other healthcare providers to determine liability and negotiate the best settlement for all parties
SKILLS:
Microsoft Office; Meditech; Healthcare/Insurance Claims; Knowledge of Health Insurance Portability and Accountability Act regulations; Knowledge of healthcare products and services; Customer Service skills; Strong communication and problem-solving skills; ability to multitask and manage multiple accounts; detail-oriented
EDUCATION:
1991 – High School Diploma, Grambling High School, Grambling, LA
Contact this candidate