Customer Service Insurance
Resume:
Doris Stigall
**** ****** **; Apt *
Sherwood, AR 72120
*******@***.***]
Objective WORK EXPERIENCE
Doris Stigall
**** ****** **; Apt 7
Sherwood, AR 72120
*******@***.***]
Easter Seal of Arkansas
3920 Woodland Heights Rd
Little Rock, AR 72212
11/2011 to Present
Supportive Living Companion
Support coordination is the service of advocating, identifying, developing, coordinating and accessing supports and services on behalf of a recipient, or assisting the recipient or family to access supports and services on their own
North Metro Medical Center
1400 Braden St
Jacksonville AR 72076
Medicare Patient Account Rep
March 2010 to Present
Collects on delinquent accounts, liaising between collection agencies, medical facilities and courts. I tracks billing and monitors all collections, initiates claims for unpaid bills against the estates of deceased debtors, and coordinates payroll deductions for payment for medical care of the employees of the medical facility. Work medicare claims an followup if claims are not paid according to the fee schedule or remit shows where procedure are denied. Would do appeal on the procedure that has been denied to make sure facility is getting reimburse for the corrected amount . I maintain hospital practices and local, state and federal regulations. I also maintains all patient information.
Rapid Resolution
April 2007 - February 2010
United Healthcare
200 West Capitol
Little Rock, AR 72201
Receiving calls from provider with problem where they feel claims had not paid correctly per there contract. Researching contract, and claims they had been submitted to check to see if they are paid correctly. Also sending info to other department to have insurance claims reprocess and make sure all info documented.
Rebsamen Medical Center
1400 Braden St
Jacksonville AR 72076
Jacksonville, AR
Patient Account Rep
April 2005 - April 2007
Bill claims on SSI (commerical BCBS products), also do refund on accounts overpaid by patient or insurance company. Handle medicare report for bad debts. To overview the timeline and accuracy of hospital billing to third parties payers and patient.
June 2003 – March 2005
Rush Medical Center
Chicago, ILL
Healthcare Services
Responsibilities include supervising electronic claims submission and payment in a PHO setting; reviewing, investigating and resolving claims issues; monitoring claim files for denial, review or payment; ensuring compliance with State regulations and reporting utilization data for senior management.
PATIENT ACCOUNT REP
September 2002 - April 2003
Baptist Memorial Hospital
Little Rock, AR
09-2002 thru 04-2003
Supervisor: Tara Breeding 501-***-****
Processes insurance billing to ensure collectable. Bills secondary claims with appropriate back up at the time primary payment is received. Have knowledge of statement process to notify the patient of the status of the account. Processes daily posting, taking appropriate action to include the resolution of credit balances.
PATIENT ACCOUNT REPRESENTATIVE
October 2001 - August 2002
Gottlieb Memorial Hospital
Melrose Park, ILL
Review claims to make sure that payer specific billing requirements are meet follow-up on billing, determines and applies appropriate adjustment, answer inquiries and updates accounts as necessary. Familiar with standard concepts, practices, and procedures within a particular field. Perform a variety task work under general supervision. Would do the billing on the downloading procedure on the internet.
PATIENT ACCOUNT REPRESENTATIVE
August 1996 - September 2001
ST VINCENT INFIRMARY HOSPTIAL
Little Rock, AR
Complete the daily billing and ensures bills are correct before submission. Understanding the importance of CPT/HCPCS, ICD-9 and revenue codes, reporting errors. Monitors claims submitted through electronic billing vender and ensures no claims are pending, recognizes claim problems when occuring.
PATIENT ACCOUNT REP/INSURANCE VERIFIER
June 1985 - July 1996
University Hospital
Little Rock, AR
Called insurance company for verification for patient coverage, contact patient for insurance information if no info on the patient. Work trial balance, did secondary insurance also follow-up on accounts.
Secretary
February 1983 - May 1985
USAF/86 TFW |
Ramstein, Germany
Done typing for organization, answer telephone, would do daily reports, experience with 10key by touch. Use word processor for reports, order supplies.
EDUCATION
High School Graduate
May 1970
Brinkley High School
Brinkley Ark
SKILLS
Word Excel
Intermediate
Meditech
Intermediate
IMF SOFTWARE
Intermediate
Typing 45 WPM
Intermediate
Customer Service
Intermediate
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