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Administrative Assistant, Office Manager

Location:
Houston, TX, 77042
Posted:
August 29, 2011

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Resume:

Garnette Brown

**** ******** **. *** ***

Houston, Texas 77042

602-***-****

***************@*****.***

SUMMARY:

Customer Service Clerical Dependable

Ability to Multi-Task TEAM Player Limited Supervision

COMPUTER & ADMINISTRATIVE PROFICIENCIES:

Excel 10-key by Touch WordPerfect 6.0

Windows 2000 DDE Medicare System A/P & A/R

MS Word Quick Books Alpha Numeric Filing

Cubs Computer System Data Entry IDX Hospital System

Athena Health System

HEALTHCARE ADMINISTRATION EXPERIENCE:

11/2010 - Present Northwest Practice Management Houston, Texas

Contact all insurance companies on all denials and slowpays. Speak with patients on the phone and at the front desk of the clinic regarding balances and insurance issues. Contact Workmans Compensation regarding peer reviews and requests for reconsiderations. Complete all necessary appeals to receive the maximum payment. Verify that all necessary diagnosis and cpt codes are complete and accurate according to the fee schedule.

03/2010 - 10/2010 Primary Services Insurance Verifier Houston, Texas Verified all insurance information obtained from all patients. Updated hospital system with new insurance information. Billed all claims with updated insurance.

08/2008 – 05/2009 Banner Health Patient Financial Services Phoenix, AZ Received patient calls, load claims into the editor for electronic billing. Print and mail claims. Make phone calls to insurance to check on slow paying claims and denials. Complete correspondence. Mailed medical records to insurance for claims processing. Correcting claims for adjudication.

05/2008 – 08/2008 Arizona Medical Billing Medical Biller Phoenix, AZ

Claims responses, denials, appeals with insurance companies and patient calls, setting accounts on payment plans, reviewing spreadsheets and excel sheets for current accounts payable. Correcting claims for adjudication.

11/2007 – 05/2008 Associated Billing Services, Inc. Patient Services Phoenix, AZ

Claim responses, denials, appeals with insurance companies and patients, payment plans, payments over the phones. Contact patients about insurance information. Open and sort mail for responses from Insurance.

03/2007 - 10/2007 The Orthopedic Clinic Registration Representative Phoenix, AZ

Patient registrations from several locations on new and existing patients, patient demographics, worked closely with the billing and front desk supervisors, and insurance verification with patients and insurance companies

07/2006 - 02/2007 Pediatrix Medical Group Hearing Screen Biller Richmond, VA

Received package from hospital associate on all infants for hearing screens, verified insurance information, patient demographics, billing, worked all unbilled and hold reports to ensure completeness, worked closely with hospital associates to make sure all unscreened infants are done in an outpatient capacity, relocation to Phoenix, AZ

11/2005 - 05/2006 Apria Healthcare Payor Change Specialist Phoenix, AZ

Received new insurance information from patients and doctors offices for new equipment, processed insurance information and updated the patients demographics, obtained authorizations from insurance companies and doctors offices, completed the payer change in the computer system and informed patient when equipment would be received, relocation to Richmond, VA

12/2004 - 11/2005 Gentiva Health Services Intake Specialist Phoenix, AZ

Received/responded to incoming calls from referral sources and potential patients, contacted referral sources to advise them of referral status and identified potential payer sources, participated in performance improvement activities

EDUCATION

Everest College Certified Medical Biller and Coder Phoenix, Arizona



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