Insurance Manager
Resume:
ISABELLE ELIZABETH WILLIAMS
Raleigh, NC 27610
919-***-**** (home)
919-***-**** (cell)
919-***-**** (work)
Objective: To work in an office environment where good communication abilities and office skills can be used to maximize office productivity.
EXPERIENCE
Accounts Receivable Manager
Saguaro Management Billing for Mental Health/Triumph LLC,3210 Fairhill Drive, Raleigh, NC 27612
Feb 2007 – present
Oversee day to day operations for follow up department. Contact insurance companies and local management entities (LME) regarding no payments. Communicate to field staff any corrections needed from keying errors and charge adjustment request. Implement process and policy for follow up department. Keep staff inform of changes. Assist as needed throughout billing/cash receipts departments. Attend weekly managers meeting for updates and changes.
Business Office Supervisor/State Business Manager
North Carolina Oncology Associates, 4000 West Chase Blvd, Suite 300, Raleigh, NC 27607
February 2000 – Feb 2007
Implemented and worked as administrator for Misys Tiger
Supervised staff of eight patient account representatives, five cash posters, two claims specialist and one refund specialist Attend weekly meetings with Executive Director/Controller, review and sign refunds, prepare and attend monthly meetings with satellite practices, prepare and maintain timesheets for employees, submit applications to Tricare for new physicians, submit credentialing applications for all new physicians to Medicare and Medicaid. Maintain and update changes to Medicare/Medicaid applications. Prepare month end reports. Review insurance bulletins for update information as it obtain to our practice and relay the information to all practices. Interview/hire candidates for new position. Work with Provider Reps at Insurance Companies as needed regarding reimbursement issues. Perform internal audit based on corporate headquarters guidelines. Perform employee evaluations. Research questions for practices regarding coding questions and relay the response. Run reports on any payment issues we are having with payer to see if payments are made based on our contracts
Collections Representative
Raleigh Orthopedic Clinic, 3515 Glenwood Ave, Raleigh, NC 27612
December 98 – February 2000
Collected on accounts in 90 days or more status, called patients to set up time payments, contacted insurance companies regarding status of payments, worked the credit balance report, prepared the bank deposit and assisted others when needed.
Refund Specialist
Medpartners Regional Billing Office, 1212 Cedarhurst Rd, Raleigh
April 98 – December 98
Processed refunds to patients and insurance companies, answered telephone, researched and processed unidentified payments sent in from insurance companies and patients, entered refunds in SAP computer system, and assisted others when needed.
Billing Clerk
Wake Radiology, 3614 Haworth Dr, Raleigh, NC 27609
September 97 – April 98
Posted BCBS and personal payments, answered telephone, filed insurance when requested, processed contract billing accounts, worked Medicare report and assisted others when needed.
Refund Specialist
Lenoir Memorial Hospital, PO Drawer 1678, Kinston, NC 28501
December 87 – August 97
Processed overpayments from insurance companies and patients, prepared refund reconciliation statements monthly, prepared Medicare and Medicaid credit balance report quarterly, filed secondary insurance, and assisted others when needed.
EDUCATION
Masters in Health Service Administration, Strayer University awarded December 2009
BA in Business Administration, Strayer University awarded June 2006
COMPUTER SKILLS
Microsoft Words, Cirius electronic billing system, Unity System at LMH, SMSNET Medical Information Systems, MISYS computer system (+Medic and Misys Tiger) Knowledge of BCBS Medicaid terminal, 10-key calculator, SAP computer system, AS400, MAS200, MEDIC vision, Excel, and Word for Windows, Knowledge of the Internet, RealMed and Allscripts EMR.
References available upon request
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