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Customer Service Human Resources

Location:
United States
Posted:
April 27, 2012

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Resume:

Beryl A. Black ***********@*****.*** 850-***-****

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Objective: To procure a career with a fast paced, well-established organization that values quality customer service

Education: Florida A&M University; Bachelor of Science; Health Care Management

Computer Skills: Microsoft Programs (Word, Excel, Outlook, etc.). Internet Explorer. Typing skills: 55+ words per minute

Work Experience:

Supervisor: Billing/Administrative

•Managed the billing office for a multi-location sleep disorder clinic, including billing, coding, claims follow up, fee schedule/contract compliance and prior authorization coordination

•Maintained an accounts receivable ledger of $1 million per year, with a 14-21 day turnaround prior to the current electronic submission of medical claims

•Survived a full computer system crash and prepared the office for the onset of Y2K

•Created a start up pediatric medical office including accounts receivable, payable, budgeting, purchasing, payroll, tax preparation, human resources and front desk coordination

•Coordinated the nightly on-call schedule for independent pediatric physicians

•Attended practice management and continuing education conferences

Human Resources and Credentialing Coordinator

•Interviewed candidates for employment opportunities

•Performed background checks and coordinated pre-employment physicals

•Introduced health, dental, vision and retirement benefits

•Coordinated with physicians regarding updated credentialing documents and insurance plan enrollment

•Visited health care providers to assess office policies and procedures

•Scheduled QA and Credentials Committee meetings; created agendas and recorded meetings minutes

•Created the office schedules for contracted physicians

Reimbursement Specialist/Collector

•Investigated denials of unpaid medical insurance claims

•Performed medical claim appeal processes, including medical record and coding review

•Verified insurance benefits and created payment plans

•Analyzed and distributed accounts receivable and compliance reports for management consideration

•Provided medical billing, coding, cash posting and claim follow-up assistance

Work History:

Medical Transportation Management; Area Liaison

*January 2012 March 2012

Goodwill Industries; Cashier

*October 2011-December 2011

Family Health Clinic and Subsidiaries; Credentialing Coordinator

*August 2009-December 2010

McKesson Corp. (Ajilon Temporary Services); Reimbursement Specialist

*May 2009-August 2009

Lifeguard Transportation Service, Inc.; Contract Specialist

*June 2006-December 2007

EmCare, Inc; Enrollment Specialist

*June 2003-March 2006

First Steps Pediatrics; Administrator

*July 2000-May 2003

Sleep Disorders Center of Georgia; Billing Supervisor

*September 1998-May 2000



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