Arnold Davis
Brooklyn,New York
Summary
Highly knowledgeable Manager with wealth of healthcare experience and expertise in problem-solving. Talented in maintaining complex and comprehensive databases covering patient information.Knowledgeable administrative professional with expertise in medical records management, coding and data entry. Proven ability to review and document clinical data, ensuring accuracy and compliance. Well-versed in ICD-10, CPT and HCPCS coding systems.
Overview
11
11
years of professional experience
Work History
Senior Patient Account Representative
Northwell Health
01.2017 - Current
- Worked with outside entities to resolve issues with billing, claims and payments.
- Coordinates clinical documentation requests to business office to ensure timely appeals.
- Contacted patients after insurance was calculated to obtain payments.
- Electronically submitted bills according to compliance guidelines.
- Guides billing/clerical staff regarding billing and office/clerical functions.
- Monitors accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds
Care Navigator Supervisor
UnitedHealthcare
09.2016 - Current
- Educated member on gaps in care and assisted with scheduling provider appointments.
- Assisted members with social determinants of health and linked to appropriate community resources.
- Identified gaps in care and assisted in closure of gaps.
- Maintained confidential health information according to state and federal regulations.
- Facilitated communication between patients and various departments and staff.
- Answer inbound calls from patients or providers and address as appropriate
- Serve as an extension of the provider practice to assist in the end to end management of Medicare patients
CVS
Store Manager Trainee
03.2013 - 09.2016
- Monitored and managed pharmacy staff performance to maximize productivity and customer satisfaction.
- Supervised team of 50 agents and helped to resolve issues arising during shifts.
- Enforced compliance with pharmacy regulations and maintained up-to-date records of all medications dispensed.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Accomplished multiple tasks within established timeframes.
- Onboarded new employees with training and new hire documentation.
Education
High School Diploma -
George Wingate
Brooklyn, NYSkills
- HIPAA Compliance
- Electronic Health Records
- Medical Coding Knowledge
- Revenue Cycle Management
- Healthcare Systems Knowledge
- Patient Confidentiality
- Customer Service
- Proficiency using Microsoft Office Word, Excel, and PowerPoint
- Exceptional verbal
- Strong attention to detail
- Exceptional verbal and written communication skills
- Conflict Resolution
Timeline
Senior Patient Account Representative
Northwell Health
01.2017 - Current
Care Navigator Supervisor
UnitedHealthcare
09.2016 - Current
CVS
Store Manager Trainee
03.2013 - 09.2016
High School Diploma -
George Wingate