ALEXANDRA ODOM
Cleveland,OH
Summary
Performed insurance screening for customers to determine Medicare, Medicare Advantage, Medicaid, and private insurance benefits for durable medical equipment. Thorough working knowledge of HIPAA policies and procedures. Dedicated and focused employee who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals.
Overview
13
13
years of professional experience
Work History
Senior Billing Coordinator
Cardinal Health
10.2019 - Current
- Responsible for billing accuracy for orders within PleurX, ostomy, urological, and
diabetic supplies by reviewing: Previously denied claims and appeals, medical policy requirements from insurance plans, prescriptions and other medical documentation from physicians, prior authorization requirements and approvals on file, and re-billing insurance companies if necessary. - Frequent contact to customers and doctors' offices for verbal authorization and clinical notes.
- Responsible for verifying patient’s insurance for eligibility, benefits, and prior authorization.
Referral Office Liaison
Metro Health
07.2016 - 10.2019
- Telephonically enrolls, registers, and schedules appointment for patients into Metro Health System.
- Captured complete demographic, insurance, and guarantor information.
- Coordinated with medical staff and patients to find cost-effective options for services.
Collections Account Manager
Matco Tools
09.2013 - 09.2014
- Trained and mentored new employees on collection methods, documentation requirements and performance strategies.
- Supervised staff of collectors, monitoring phone calls and letters.
- Contacted customers to collect outstanding payments via one-time or negotiated installment methods.
- Consistently met or exceeded monthly targets for successful collections, contributing to the overall financial health of the organization.
- Conducted credit reviews for current clients to determine appropriate risk levels and adjust credit limits as necessary.
Collections Specialist
National Enterprise Systems
05.2011 - 09.2013
- Recorded information about customers' financial status and collections status efforts.
- Reviewed accounts to determine payment plan compliance.
- Collaborated with legal department officials on bankruptcy cases for management of proceedings and post- petition payments.
- Arranged for debt repayment and established repayment schedule based on customer finances.
Education
Practical Nursing
Hondros College of Nursing
10.2019
Skills
- Epic Software
- Conflict Resolution
- Time Management
- Proficient in MS Word, Excel, Access, and PowerPoint
- HIPAA Compliance
- Medicaid and Medicare Knowledge
- Insurance Verification
- Denial Management
Timeline
Senior Billing Coordinator
Cardinal Health
10.2019 - Current
Referral Office Liaison
Metro Health
07.2016 - 10.2019
Collections Account Manager
Matco Tools
09.2013 - 09.2014
Collections Specialist
National Enterprise Systems
05.2011 - 09.2013
Practical Nursing
Hondros College of Nursing