Customer Service Home Health
Resume:
Donna G. Daniels
P.O. Box 270
Boutte, La. 70039
EXPERIENCE:
Peoples Health Network
Admin Services Support Clerk/Customer Service Rep
Scan all legal document coming into company-Answer phone for PBX operator-Collect all work from all areas, Answer phone on a Que answering questions about Medicare Plan, also give our prescription coverage and copays, order durable medical equipment, send request for ID cards, make request for change of address.
Tenet Healthcare
07/04-12/05
Refund Clerk
Reconcile accounts for the New Orleans Regional Business Office which serviced 9 Acute Care facilities in the Louisiana and Tennessee area with a net accounts receivable of approximately $435 million dollars and 170,000 open accounts, answer phones for patient calling about refunds, wrote refunds, read contracts to determine if account was paid according.
Custom Staffing/First Health
02/04-6/04
Data Entry Operator
Post Workman Comp claims into the system to pay
Researched unpaid claims and reprocessed if need to ensure payment.
Mentor 4/United Health Group
11/03-02/04
Appeal Coordinator
Handled appeals for patients and providers
Checked for correct claim payment and made sure appropriate paper was filed.
Reprocessed claims with correct paper work and information in timely manner to ensure payment.
Maintained and often exceeded follow up standard by always meeting 14 day deadline.
Morton Plant Mease Primary Care
11/01-11/03
Cash Poster, Refund Clerk
Post payments to patient accounts.
Research accounts for overpayments for all insurances which included Medicare and third party insurances
Instrumental in refund project that decreased refunds from $148,000 to $3,000 in four months.
Snelling Personnel
06/01-11/01
Collector/ Claims Processor
Called insurance companies to follow up on accounts that were 60-90 days past due.
Researched accounts, which included Medicare Part B and Third Party accounts to find out why claims were not paid and reprocessed manually with correct paper work.
Called patients about accounts and made arrangements for payments.
Department of Corrections
12/00-06/01
Secretary
Typed progress reports for Judges and Probation Officers
Answer phones and scheduled Court appearances for counselors
Prepared payroll on is Isis system
Amedisys Home Health, Inc.
12/95-12/00
Claims Processor,Payment Poster/ Collector
Duties post payments from insurance companies on patients accounts
Download Medicare system to post to payments accounts
Called insurance companies with 30-90 days past due
Process Medicare part B and Medicaid claims electronically and manually
Ensured all proper paper work including assignments of benefits were in order to process claim. Completed IV Therapy Billing on a weekly basis. Consistently exceeded 14 day turn around time on payment of claims
Superior Home Health, Inc.
12/90-12/95
Billing Manager
Bill all claims to Medicare including part B and Medicaid electronically and manually
Gathered all appropriate paper work to ensure process of Medicare Claims
Completed IV Billing Therapy on a weekly basis.
Order supplies and scheduled all Nurses and Aides visits
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