Carl "Troy" Sanders
Gahanna
Summary
Business professional with many years of medical customer service experience. Highly skilled in performing both clerical and medical support tasks. . Tech-savvy and smart professional equipped with experience in medical environments and top-notch administrative skills. Works great with colleagues and maintains strong patient relations. Excels at following procedures and independently handling common questions and concerns. Schooled in medical terminology, ICD-9 compliance, obtaining pre-authorizations, and medical coding and billing.
Overview
12
12
years of professional experience
Work History
Personal Banker
PNC Bank
Columbus
12.2021 - Current
- Review consumer and business accounts for optimization of financials services.
- Resolve issues and demonstrate tools to maximize cash flow and earnings.
- NMLS certified loan officer, investment referral agent, and State of Ohio Notary Public.
- Consistently exceed all metrics and goals, as well as being a leader in regional financial referrals.
Financial Analyst; Cancer Research
OHIO STATE UNIVERSITY COMPREHENSIVE CANCER CENTER
Columbus
10.2014 - 12.2021
- Manage finances of industry sponsored clinical cancer studies.
- Create Budgets for new studies and negotiate with industry sponsors.
- Coordinate all other contract negotiations, including additional scans and procedures requiring preapproval by study sponsors.
- Perform monthly detailed reconciliation of project costs, billing, AR, and manage approvals of shared resource costs.
- Met with the treatment team to manage the protocol, initiate budget and contract amendments as needed, gather and perform preapprovals for treatment options, and approve billing codes for Medicare/Medicaid.
- Perform final reconciliation of project ledgers, final billing, and ensure contract completion is met.
Billing Specialist
PCA CHOICE PHARMACY
Columbus
07.2013 - 09.2014
- Compiled data for invoicing, managing postings, and creating billing statements for healthcare facilities and patients.
- Reviewed insurance eligibility and benefits for patient prescriptions accurately.
- Communicated with healthcare providers to resolve billing discrepancies promptly.
- Prepare and complete pre-authorizations, clean claims to insurance, Medicare and Medicaid, and reconcile rejected claims.
- Create and manage monthly patient and facility ledgers for payments and variances.
Education
AAPC PROGRAM CERTIFICATION - MEDICAL CODING AND BILLING
Southeastern Community College
West Burlington, Iowa01.2011
ASSOCIATE OF ARTS - HEALTH INFORMATION TECHNOLOGY
Southeastern Community College
West Burlington, Iowa01.2010
Skills
- MS Excel
- MS Word
- PowerPoint
- Tableau
- Epic/ IHIS Hospital HER and Billing
- Workday
- Workfront
- Power BI
- Forte
- OnCore Financials and Protocol Management
- PeopleSoft Financial
- Cisco
- Citrix
- MS Teams
References
References available upon request.
Timeline
Personal Banker
PNC Bank
12.2021 - Current
Financial Analyst; Cancer Research
OHIO STATE UNIVERSITY COMPREHENSIVE CANCER CENTER
10.2014 - 12.2021
Billing Specialist
PCA CHOICE PHARMACY
07.2013 - 09.2014
AAPC PROGRAM CERTIFICATION - MEDICAL CODING AND BILLING
Southeastern Community College
ASSOCIATE OF ARTS - HEALTH INFORMATION TECHNOLOGY
Southeastern Community College
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