To obtain a full-time position. Authorized for work in the U.S. for any employer.Resourceful individual, known for high productivity and efficient task completion. Excel in communication, problem-solving, and time management, abilities that enhance performance in demanding environments. Accomplished professional offering great communication and customer service skills. Reliable and dedicated when working alone or as part of team.
Overview
14
14
years of professional experience
Work History
Collections Rep
Children's Hospital of Philadelphia, CHOP
Philadelphia, Pennsylvania
08.2022 - Current
Reviews remittance advices (RAs) and explanation of benefits (EOBs) of assigned payors/accounts.
Reviews accuracy of RAs/EOBs on a weekly basis; contacts payors to resolve inappropriate denials/rejections.
Works with other CHOP departments (i.e.: Case Management, Medical Records, Credit and Billing) to appeal legitimate denials.
Advises supervisor of contractual problems on a weekly basis.
Resolves patient accounts billed to insurance payers or directly to the guarantor.
Sends and receives payor correspondence via mail and/or fax daily.
Utilizes account work queues to expedite resolution of outstanding accounts.
Reviews account work queues for thoroughness and applicability to workload with supervisor monthly.
Maintains complete, accurate and up-to-date account history for each account.
Reviews appropriateness of account balances (i.e.: allowances, late charges, duplicate charges, insurance, and patient balance, etc.) monthly.
Enters comments in account notes system for all patient accounting activity.
Maintains orderly filing system.
Coordinates medical record requests and audit requests of payors.
Submits requests for medical records within two working days.
Refers bills and audits to internal auditor on a weekly basis archiving on a weekly basis.
Billing Specialist
Center City Pediatrics
Philadelphia, PA
05.2019 - 08.2022
Handles rejected claims, policy information, phone calls to insurance companies, verifying insurances, translate to parents the reason for bills received, charge entries and much more.
In charge of our payment processing and patient registration/verification system via Phreesia.
Collect mail and distributes accordingly, incoming, and outbound parent phone calls.
Runs AR daily, print HCFAs and much more.
Applicant Experience and Engagement Representative
CGFNS
Philadelphia, PA
05.2015 - 05.2019
Provides courteous service regarding to the status of one's account, any concerns the applicant may have had in reference to nursing application for NCLEX examination, scheduling of appointments, working on entering requests on an Excel Spreadsheet, data entry.
Provides courteous service in response to applicant and customer inquiries through various forms of communications which include via telephone, email or by custom letter.
Facilitate creation, retrieval of applicant files and related materials.
Promote a high degree of customer satisfaction and problem resolution in all applicant interactions.
Troubleshoot applicant problems and follow-up on solutions.
Provide a high level of customer service in a fast-paced environment.
Holiday Gift Wrapper
Philadelphia International Airport
Philadelphia, PA
12.2014 - 12.2017
Gift wrapped customers gifts for the holidays.
Audio Visual Technician and Vacation Bible School Teacher
CHRIST HAVEN WORSHIP CENTER
PHILADELPHIA, PA
11.2012 - 09.2017
Projects images and videos for presentations during services.
Assisted children as well during summer camp.
Soldier
Army Reserve
Columbia, SC
03.2013 - 09.2013
To Serve and protect the United States of America.
Teacher's Aide
HOPE RISING CHILD LEARNING DAYCARE CENTER
Philadelphia, PA
07.2011 - 08.2011
Assisted children with their daily activities.
Education
Proficiency Certificate - Medical Insurance Billing and Coding
Community College of Philadelphia
Philadelphia, PA
05.2016
Associates - Culture Science and Technology
Community College of Philadelphia
Philadelphia, PA
05.2016
High School Diploma -
PA CYBER CHARTER SCHOOL
Midland, PA
05.2010
Skills
Good problem solving
Interpersonal
Oral communication skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
The ability to communicate effectively in English
Ability to apply common-sense understanding to carry out instructions furnished in written, oral, or diagram form
Demonstrates the ability to interact with the public and coworkers in a friendly, enthusiastic, and outgoing manner
Registered Nurse, Neonatal/Infant Intensive Care at Children's Hospital of Philadelphia, CHOPRegistered Nurse, Neonatal/Infant Intensive Care at Children's Hospital of Philadelphia, CHOP
Associate II Patient Financial Service at Children's Hospital of Philadelphia, CHOPAssociate II Patient Financial Service at Children's Hospital of Philadelphia, CHOP