Customer Service Insurance

Latrina N. Robinson

*** ********** ** ********, ** 29229

803-***-**** Home 803-***-**** Mobile

Email:*********@*****.***

FUNCTIONAL SKILLS

Interpersonal and Organizational Skills

Microsoft Office: Word, PowerPoint, Access, Excel, Outlook and Internet Explorer

Medical Billing/Records

ICD-9-CM and CPT Coding

HCPCS

Collections

Accounts Receivable

Write-offs/Aged Accounts

First Net

Medical Terminology

Database Designs

Crystal Reports

Lotus Notes

Java, Visual Basic, Oracle, SQL

Mysis Tiger

Financial Counseling

MMIS

STAR

Management

EDI Support

Customer Service

Call Center

Reimbursement/Billing

Spring Charts

Medisoft

Help Desk Support

Claims

Third Party Liability

Application Management

SC State Government Policies and Procedures

Sales

Check In/Out

Horizon Plus

Cerner

Centricity

Scheduling

ACADEMIC CREDENTIALS

South University, Columbia, SC 04/2003 – 12/2006

Bachelor of Arts Major: Business Administration Minor: Management

PROFESSIONAL EXPERIENCE

Recruiting Solutions/Palmetto Health Alliance, Columbia, SC 04/2012 – Present

Billing Specialist-Scheduler/Temporary 803-***-****

Check-in patient for office visit appointments. Once the patient check-in demographics and insurance is verified and updated. The patient visit is completed and the check-out procedure is taken place. During the check out the patient is billed and charge for all procedures. Copays and self pays are also taken. The patient is then scheduled for his/her follow up appointments. Additional duties are medical records requests, physician scheduling and reporting, scanning, acct posting, managing and resubmission of claims, utilizing of practice management programs, ICD-9-CM and CPT coding and medical Terminology.

Recruiting Solutions/USC Medicine, Columbia, SC 06/2011 – 02/2012

Billing Specialist/Temporary 803-***-****

Conduct account reimbursement for bad debt and collection. Run account receivable reports daily for reporting. Use decision making and problem solving skills by analyzing delinquent accounts. Review resubmitted reports by third party insurance companies and government payers (Medicaid, Medicare, and Tricare) to review for rejections of procedure and diagnosis coding for correction and refilling. Collect payments of bad debt accounts 90 day and older and refer accounts 121 and older to collections. Make collection attempts for payments prior to collection. Write off accounts that couldn’t be collected on during collection. Utilize Mysis Tiger, ICD-9-CM and CPT coding, STAR, Medicaid and Medicare eligibility and Centricity.

Palmetto Health, Columbia, SC 03/2008-12/2009

Patient Access Representative 803-***-****

Enter patients into Palmetto Health Star database for registration. Collect patient chief of

compliant due to patient illness, demographics and insurance. Patient billing information is

then process and check through the in-house eligibility system. Point of service collections is

made for copays, deductibles, and self-pay patients. Also maintain knowledge of Medicaid,

Medicare, Tricare, charity and other commercial insurance policies for processing. Abide by

hospital policies and regulations (HIPPA) to insure patient confidentiality.

Blue Cross Blue Shield, Columbia, SC 08/2002 – 02/2007

Data Prep Technician 803-***-****

Provide technical validity of all EDI monitoring, error resolution and identification for client

support for Blue Cross EDI clients. Intake 50-80 calls per day with accuracy insuring 100%

quality assuring first call resolution. Reset password and enroll client for electronic claim

filing. Provide hardware and system technical support, product and services information and

viewing of claim status delays during real time eligibility. Maintain knowledge of B2B

electronic commerce, clearinghouse, insurance carrier and government healthcare programs,

software, hardware and call-tracking database.

HONORS AND ACTIVITIES

Dean’s List 2000, 2001, 2003 and 2005.

Phi Beta Lambda Business Association Professional Member

Contact this candidate