Dynamic Charge Entry Specialist with extensive experience at Utah Gastroenterology, adept at claims processing and insurance verification. Recognized for exceptional problem resolution and analytical thinking, ensuring timely payments and enhancing patient satisfaction. Proven ability to collaborate effectively across departments, maintaining compliance with HIPAA regulations while delivering outstanding customer service.
Overview
18
18
years of professional experience
Work History
Charge Entry Specialist
Utah Gastroenterology
09.2021 - Current
I post all patient payments to patients account
Serve as the primary point of contact for all financial inquiries and transactions
Manage financial records, including accounts payable and receivable
Prepare and process invoices, expense reports, and financial statements
Assist with financial reporting and analysis as needed
Collaborate with other departments to ensure smooth financial operations
Take calls from patients who have questions regarding their bill
Assist patient by resolving their inquiry by answering their question either verbally or in writing
Initiate telephone contact with patients to collect on outstanding balances prior to their next appointment
Update patient demographics
Structure payment plans for patients
Ensure timely receipt of payments
Interpret patients benefits in order to answer billing questions accurately
Place eligible accounts with the collection agency
Update patients charts with valid insurance and/or contact information
Ensure eligible claims are refiled for payment consideration in a timely manner if patient bill is erroneous
Periodically contact insurance carriers to obtain the status of payment of a claim and/or challenge the processing of a claim
Take phone calls from various physicians answering questions regarding a patient
Other duties as assigned
Adaptable and proficient in learning new concepts quickly and efficiently.
Self-motivated, with a strong sense of personal responsibility.
Medical Receptionist
Northern Wyoming Mental Health
01.2020 - 01.2021
Schedule and manage the admissions process for all residential treatment and recovery home admissions in both Sheridan & Cheyenne
Schedule transportation for patient admission and discharges with referral sources
Communicate patient information with the Treatment Team
Ensure incoming patients complete all necessary documentation
Assist patients in applying for Medicaid/Behavioral Health coverage as well as enrolling in Medical insurance through the Health Market Place
Collaborate with the billing department regarding benefit assignments
Enter data utilizing various Electronic Health Record systems
Assist patients in completing discharge addiction severity index (ASI) and any discharge documents
Provide program information to internal/external inquiries
Maintain waitlists for residential treatment and recovery homes
Answer telephone calls and greet visitors
Serve as backup coverage for Behavioral Health Technicians
Helped patients complete necessary medical forms and documentation.
Adhered to strict HIPAA guidelines to protect patient privacy.
Supported office staff and operational requirements with administrative tasks.
Charge Entry Specialist
Utah Gastroenterology
09.2017 - 12.2019
I post all patient payments to patients account
Serve as the primary point of contact for all financial inquiries and transactions
Manage financial records, including accounts payable and receivable
Prepare and process invoices, expense reports, and financial statements
Assist with financial reporting and analysis as needed
Collaborate with other departments to ensure smooth financial operations
Take calls from patients who have questions regarding their bill
Assist patient by resolving their inquiry by answering their question either verbally or in writing
Initiate telephone contact with patients to collect on outstanding balances prior to their next appointment
Update patient demographics
Structure payment plans for patients
Ensure timely receipt of payments
Interpret patients benefits in order to answer billing questions accurately
Place eligible accounts with the collection agency
Update patients charts with valid insurance and/or contact information
Ensure eligible claims are refiled for payment consideration in a timely manner if patient bill is erroneous
Periodically contact insurance carriers to obtain the status of payment of a claim and/or challenge the processing of a claim
Take phone calls from various physicians answering questions regarding a patient
Other duties as assigned
Adaptable and proficient in learning new concepts quickly and efficiently.
Self-motivated, with a strong sense of personal responsibility.
Insurance Specialist / Receptionist
FOX PARK DENTAL
08.2015 - 12.2016
Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
Followed up on denials, late payments, extensions and other special circumstances.
Maintained confidentiality of patient finances, records, and health statuses.
Maintained high standards of customer service by building relationships with clients.
I verify the patients insurance by contacting the insurance companies via phone and online.
help patients with all insurance questions.
Also complete weekly reports, I follow up on all claims, make sure we received correct claim and all payments.
also worked closely with many insurance companies to maintain communication on all claims and insurance request.
help manage the schedule, I appointed appointments to patient who call in, I handle all payments and billing statements, I did all the orders for the office, I worked closely with the doctor and staff, I handle all new patient information, and including entering all information into the Dentrex's System.
interact with each patient that comes in for an appointment and provide them with customer service.
Human Resource Department/Human Resource Assistant
MACY'S LOGISTIC & FULFILLMENT CENTER
08.2014 - 03.2015
Delivered friendly assistance with new hires throughout interviewing and hiring process.
Organized new employee orientation schedules for new hires.
Screened applicant resumes and coordinated both phone and in-person interviews.
Filed paperwork, sorted, and delivered mail and maintained office organization.
I prepare employees for assignments by establishing and conducting orientation and training, complete the onboarding templates with input from supervisor or executive, schedule meetings with the participants of the onboarding.
Complete and administer monthly performance evaluations, resolve escalated customer complaints.
Provide timely and accurate completion of Maintain employee benefits programs and inform employees of benefits by studying and assessing benefit needs and trends
Directing the processing of benefit claims; served as document control and maintained compliance for weekly audits.
I conducted all purchasing for office.
I worked closely with a team of 10, including all warehouse managers, supervisors, trainers and general associates.
Proficiency or ability to learn quickly, Macy's systems and software applications: PeopleSoft, Kronos, LotusNotes, Lotus Calendar and Macy's Portal.
Customer Service Representative/Support Trainer
AETNA HEALTH CARE
02.2011 - 10.2013
Responded to customer requests for products, services, and company information.
Educated customers about billing, payment processing and support policies and procedures.
Investigated and resolved accounting, service and delivery concerns.
Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces.
Administered Self-Funded medical, dental, and vision insurance policies; assisting members, providers, and employers with benefit allowance, limitations, and coordination.
Advised of claim status to include payments, denials, pending condition and resolution.
Aiding to Supervisors with new-hire training; Providing knowledge to new employees in regard to customer service etiquette, medical terminology, coordination of benefits, System navigation
Customer Service Representative
IASIS HEATHCARE
07.2010 - 10.2010
I assisted with inbound calls from both patients and other customers to provide information and assistance about billing and claims
Responsible to perform incoming and outgoing collection correspondence while maintaining the use of professional and persuasive communication skills and continued to keep the goodwill of the customers.
Researched account issues, resulting in account resolution.
Performed accounts receivable on assigned accounts to obtain prompt payment from patients
Recorded information about financial status of customers and the status of accounts.
Administrative Assistant
AEROTEK STAFFING
07.2008 - 12.2009
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Maintained inventory of office supplies and placed orders.
Continually sought methods for improving daily operations, communications with clients, recordkeeping, and data entry for increased efficiency.
Liaised between clients and vendors and maintained effective lines of communication.
Designated as primary administrative support for Sales and Recruiting Staff including consultations with qualified applicants
recording and processing all new hire documentation, verifying employment and validating drug-screenings
Corresponded with Employer Clients posting up-coming employment opportunities
nominating suitable applicants and organizing individual interviews with the signing client
Customer Service Representative
Franklin Capital
04.2007 - 07.2008
Responded to customer requests for products, services, and company information.
Reduced process inconsistencies and effectively trained team members on best practices and protocols.
Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.
Identified and resolved discrepancies and errors in customer accounts.
Received inbound calls from established customers inquiring information in regard to their administrated and applied credit card and electronic check payments
reviewed and directed incoming mail forwarding correspondence to the appropriate departments
performed customer relations through website portals and email links
reviewed contracts, payment history and quoted payoffs for dealers and borrowers
Education
High School -
Kearns High School
Kearns, UT
Skills
Insurance verification
HIPAA compliance
Accurate data entry
Claims processing
Medical billing procedures
Teamwork and collaboration
Time management abilities
Adaptability and flexibility
Analytical thinking
Spreadsheets
Follow-up skills
Medical terminology
Microsoft Excel
Information security
Call center experience
Account updating
Account management
Human resources administration
Personnel records maintenance
Administrative assistance
Report generation
Recruitment management
Administrative support
Office administration
Payroll administration
Computer literacy
Background checks
Employee onboarding
Benefits administration
Business administration
Timeline
Charge Entry Specialist
Utah Gastroenterology
09.2021 - Current
Medical Receptionist
Northern Wyoming Mental Health
01.2020 - 01.2021
Charge Entry Specialist
Utah Gastroenterology
09.2017 - 12.2019
Insurance Specialist / Receptionist
FOX PARK DENTAL
08.2015 - 12.2016
Human Resource Department/Human Resource Assistant
Outpatient Service Specialist at University of Utah – Department of Obstetrics & Gynecology, Utah Center for Reproductive MedicineOutpatient Service Specialist at University of Utah – Department of Obstetrics & Gynecology, Utah Center for Reproductive Medicine