Summary
Overview
Work History
Education
Skills
Timeline
Generic

YVETTE GILL

Montgomery,AL

Summary

Effective Medical Claims Processor and Medical Bill Collector with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively . Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

31
31
years of professional experience

Work History

Medical Insurance Collector

Montgomery Surgical Center
Montgomery, AL
12.2015 - Current
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Responded to correspondence from insurance companies.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Reviewed provider coding information to report services and verify correctness.

Patient Registration Specialist

Montgomery Surgical Center
Montgomery, AL
08.2009 - Current
  • Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.
  • Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
  • Imaged and scanned patient and registration documentation into electronic patient record via system.
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
  • Accurately inputted patient and insurance information into company's computer system using [Software].
  • Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.

Eligibility Worker

Winston County Department Of Human Service
Louisville, MS
08.1999 - 06.2009
  • Managed processing of financial assistance and food stamp benefits applications.
  • Inputted all gathered information and researched data on applicants into computer system using [Software].
  • Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
  • Scheduled appointments with applicants to gather information and explain benefits processes.
  • Interviewed applicants and explained scope of different available benefits.
  • Educated patients on eligibility and affordability options by offering insightful information.
  • Reviewed applications for different aid programs and determined which qualification criteria for individuals.
  • Communicated with people from various cultures and backgrounds on application process.
  • Documented all communication with applicants and inputted information into system using [Software].
  • Developed extensive fact-checking and research skills as result of continuously reviewing different programs and options.

Auditor

Silver Star Resort And Casino
Philadelphia, MS
03.1997 - 07.1999
  • Balancing transaction work for the restaurant, bars and retail shops for a daily revenue.
  • .Maintained secure cash drawers, promptly resolving discrepancies in daily totals.
  • Kept accounts in balance and ran daily reports to verify totals.
  • Investigated auditing discrepancies by reconciling cash drop and credit card transactions.
  • Collaborated with team members to handle guest requirements from check-in through check-out.
  • Updated customer accounts with add-on room charges, minibar use and room service bills.

Education

High School Diploma -

Louisville High School
Louisville, MS

No Degree - Business Administration

East Central Community College
Decatur, MS

Skills

  • Claim Amount Calculations
  • Correspondence Sorting and Filing
  • Analytical and Critical Thinking
  • Customer Satisfaction
  • HIPAA Procedures
  • Patient Admission
  • Eligibility Determinations
  • Coverage Determination
  • Problem Investigations
  • Payment Solicitation
  • AR Aging Reports
  • Problem Identification
  • Updating Customer Accounts
  • Insurance Claim Forms Review
  • Medical Records Requests
  • Reviewing Patient Information
  • System Information
  • Document Scanning
  • Microsoft Access
  • Customer Inquiries
  • Data Entry Accuracy
  • Accuracy Verification
  • Microsoft PowerPoint
  • Office Support
  • Knowledge of HIPAA Regulations
  • Information Updates
  • Microsoft Word
  • Effective Customer Service

Timeline

Medical Insurance Collector

Montgomery Surgical Center
12.2015 - Current

Patient Registration Specialist

Montgomery Surgical Center
08.2009 - Current

Eligibility Worker

Winston County Department Of Human Service
08.1999 - 06.2009

Auditor

Silver Star Resort And Casino
03.1997 - 07.1999

High School Diploma -

Louisville High School

No Degree - Business Administration

East Central Community College

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YVETTE GILL