RN/Manager/Director

**** ***********

Houston, TX *****

Phone 832-***-****

[*********@*****.***]

Gwendolyn Tippins

Objective To obtain a position that will broaden my knowledge and further my Health Care career

Experience 1998- present Memorial Hermann Home Health Houston, TX

Title: Sr. Patient Account Representative

• Collections for insurance carriers and Patients

• Calling insurance companies to follow up on claim status

• Resubmission of claims to insurance companies

• Handles incoming correspondence and takes appropriate action. Responds promptly to inquiries.

• Analyzes accounts for errors, adjustments, and credits

• Training new staff

• Prepares written responses to patients for administrative complaints

• Adheres to all policies and procedures set forth by the company

• Promotes individual professional growth and development by meeting requirements for continuing education, skills competency, and supports department-based goals

• Performs audits by traveling to other home health sites to assist with monthly billing

• Verifies insurance benefits and explains to patients their financial responsibility

• Handles incoming phone calls and assists patients with billing and service questions

• Bills and collects for Hospice services

• Works independently and as a team player

• Extensive medical terminology knowledge

• Knowledge of HMO, PPO, POS, MCR, & Medicaid insurances

• Knowledge of primary billing, secondary billing and third party billing

1996-1998 Apria Health Care Houston, TX

Title: Medical Biller

• Handled incoming patient calls

• Worked various reports

• Verified and processed audits

• Researched missing data as requested by the billing staff

1990-1993 Macgregor Medical Houston, TX

Title: medical Records Clerk

• Developed X-Ray film

• Filed and arranged documents

• Creation and filing of charts

• Customer service

References available upon request

Education 2008-2011 University of Phoenix. Houston, TX BA Business Administration

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