CHANELLE N. COLLINS
NORCROSS,GA.
Summary
Highly motivated and detail-oriented professional with over 15 years of experience in Healthcare Medical Billing/Patient Services, seeking an administrative healthcare position. Aiming to utilize my experience in the healthcare industry to enhance your company
Overview
16
16
years of professional experience
Work History
Implantable Provider Group, IPG
10.2017 - Current
- Patient Services Coordination/ Entry Level II Paralegal to Patient Services team, provides itemized statements, medical records and billing charges to attorney’s offices to settle patient’s medical bills
- Sending weekly cash received reports to the team to ensure that they reach their monthly goals
- Works with management to obtain corporate financial goals and objectives Work within the Zirmed system (processes credit cards and sends patient statements) to address declined credit cards or bad addresses (contact patient, research correct information, etc.) Process incoming patient website inquiries, attach incoming consents to patient accounts, update accounts with web updates from patients, etc.
Team Lead/ EP (Error Processing) Representative
Bako Pathology
11.2013 - 05.2017
- Managing production of employees as well as providing daily EP worksheets Contacting provider’s office to obtain patient information Data entry of patient’s demographics into the system Working with podiatrists to provide great customer service to our patients Using best collection knowledge to resolve claims or missing information Enter/Update patient demographics, medical testing, and insurance information into laboratory software
Patient Financial Services Representative
Fairview Health Services
07.2012 - 09.2013
- Use provider websites to verify patient eligibility and claim status
- Working with provider enrollment on provider credentialing issues
- Follow up on insurances from 120+ days with no payment or denial
- Making outgoing calls to insurance companies and receiving inbound calls via transfer from customer service based on payer split
- Clear claim edit errors on payers: Ucare, Medicaid, Blue Cross Blue Shield, HealthPartners, Champus/ChampVA, Medicare, Commercial, Preferred One and Work Comp claims.
Data Entry Specialist IV
Coram Healthcare
04.2010 - 07.2012
- Investigates data entry issues to ensure accurate reporting and billing
- Ensure that patient entries are accurate with ICD-9 codes, chart information, payer information and demographic information
- Reading patient’s charts to ensure correct diagnosis codes and procedure (CPT) codes went out on claims
- Printing claims on CMS 1500 forms as well as HCFAs if necessary
- Pricing charges based on insurance contracts.
Insurance Processing Specialist
AmplifonUSA
06.2009 - 04.2010
- Billing for all of the CA clinics to various medical insurances, workman comp cases, and to the Dept
- Of Rehab
- Answering phone calls from California clinics and responding to request from clinics via email
- Working denials received from insurance companies, filing appeals and reconsiderations, and making calls to insurance companies to resolve denial issues.
A/R Specialist II
BioScrip Pharmacy
06.2007 - 01.2009
- Following up with insurance companies on pharmacy claims that were 30-120 days delinquent
- Answering incoming phone calls from patients with pharmacy billing questions
- Billing injectable drugs to DME insurance companies
- Printing off claims on CMS 1500 forms.
Education
Apparel Technology Diploma -
Minneapolis Community & Technical College
Minneapolis, MNHigh School Diploma Received - undefined
Edison Sr. High School
Minneapolis, MNSkills
- ICD-9 & 10 knowledge, diagnosis codes, CPT and HCPC codes, adding modifiers, knowledge of denial codes and reason codes, coding experience, filing claims electronically, CMS-1500 billing experience, HCFA claims, government billing, knowledge of all Medicaid programs including PMAP plans, Medicare billing experience both traditional and Medicare Railroad, other health care plan knowledge includes Blue Cross Blue Shield, Health Partners, Cigna, Tricare (all regions), United Healthcare, GHI, Commercial billing as well as Workman comp and Auto insurance billing
- Epic experience (Hospital and Physician billing) Medical Terminology course taken Xifin (MARS), Availity, NaviNet, Instamed, Provider Hub for verification and claim status MS Office (Word, Excel, PowerPoint and Outlook), Rycan, OnBase, Lotus Notes, TYSYS, IDX (Groupcast), 3rd Mill, iSuite, Crehan, JE Edwards, KEA, Legacy, HcN, Savvion (RPM), Insight, Surge Pro, TLO, Availity, Silicon Valley Bank and Sales Force
Additional Information
System Knowledge/Experience:
ICD-9 & 10 knowledge, diagnosis codes, CPT and HCPC codes, adding modifiers, knowledge of denial codes and reason codes, coding experience, filing claims electronically, CMS-1500 billing experience, HCFA claims, government billing, knowledge of all Medicaid programs including PMAP plans, Medicare billing experience both traditional and Medicare Railroad, other health care plan knowledge includes Blue Cross Blue Shield, Health Partners, Cigna, Tricare (all regions), United Healthcare, GHI, Commercial billing as well as Workman comp and Auto insurance billing.
Epic experience (Hospital and Physician billing) Medical Terminology course taken. Xifin (MARS), Availity, NaviNet, Instamed, Provider Hub for verification and claim status. MS Office (Word, Excel, PowerPoint and Outlook), Rycan, OnBase, Lotus Notes, TYSYS, IDX (Groupcast), 3rd Mill, iSuite, Crehan, JE Edwards, KEA, Legacy, HcN, Savvion (RPM) and Sales Force.
Timeline
Implantable Provider Group, IPG
10.2017 - Current
Team Lead/ EP (Error Processing) Representative
Bako Pathology
11.2013 - 05.2017
Patient Financial Services Representative
Fairview Health Services
07.2012 - 09.2013
Data Entry Specialist IV
Coram Healthcare
04.2010 - 07.2012
Insurance Processing Specialist
AmplifonUSA
06.2009 - 04.2010
A/R Specialist II
BioScrip Pharmacy
06.2007 - 01.2009
Apparel Technology Diploma -
Minneapolis Community & Technical College
High School Diploma Received - undefined
Edison Sr. High School
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