Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Discrepancy Analyst
Parallon Business Solutions LLC
Nashville, TN
05.2014 - Current
Collaborated with other departments to resolve any issues related to discrepancies.
Interpreted accounting policies and procedures when investigating discrepancies.
Participated in regular meetings with cross-functional teams to discuss outstanding items or areas needing improvement in the process flow.
Identified, researched and resolved discrepancies in financial data.
Developed strategies for resolving recurring or complex discrepancies.
Reviewed transaction data from various sources including bank statements, vendor invoices.
Performed data entry tasks as needed such as entering corrections into the system.
Conducted daily reconciliation of accounts to ensure accuracy of records.
Maintained accurate and up-to-date documentation of all discrepancies discovered.
Assisted in the preparation of audit reports related to discrepancy issues.
Medicaid Collector
Northside Hospital Atlanta
Atlanta, GA
05.2013 - 05.2014
Corresponded with healthcare providers regarding billing issues and discrepancies.
Processed appeals and requests for reconsideration of denied claims.
Researched patient records to determine eligibility for Medicaid benefits.
Analyzed financial data to determine appropriate payment amounts according to established guidelines.
Developed strategies for collecting delinquent payments from difficult debtors.
Monitored client accounts for any changes that may affect their eligibility status.
Ensured timely submission of required documentation for processing of claims.
Performed quality assurance reviews on completed cases prior to filing them away.
Worked closely with other departments within the organization to resolve complex cases.
Reviewed Medicaid applications to ensure accuracy of information and compliance with state regulations.
Investigated discrepancies in insurance claims, payments and benefits.
Electronic Biller
Dekalb Medical Center (Temp)
Decatur, GA
07.2011 - 11.2012
Generated reports in order to track payments due from insurance companies or other third party payers.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Maintained accurate records of all billing activity in accordance with departmental standards.
Submitted electronic claims to various insurance carriers.
Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Education
High School Diploma -
Thomas Walter Josey
Augusta
06-2001
Some College (No Degree) - Medical Billing
Savannah River College
Augusta, GA
Bachelor of Arts - Business Administration/Healthcare Admin
Southern New Hampshire University
Hooksett, NH
Skills
Quantitative skills
Invoice Verification
Comparative analysis
Impact Assessment
Securities Valuation
Business Planning
Claims Processing
Healthcare regulations
Provider Relations
Contract compliance
Regulatory knowledge
Adaptability and Flexibility
Legal Compliance
Interpersonal Communication
Organizational Skills
Multitasking
Decision-Making
Problem-solving abilities
Documentation requirements
Reliability
Attention to Detail
Written Communication
Team Collaboration
Analytical Thinking
Analytical Skills
Documentation skills
Effective Communication
Timeline
Discrepancy Analyst
Parallon Business Solutions LLC
05.2014 - Current
Medicaid Collector
Northside Hospital Atlanta
05.2013 - 05.2014
Electronic Biller
Dekalb Medical Center (Temp)
07.2011 - 11.2012
High School Diploma -
Thomas Walter Josey
Some College (No Degree) - Medical Billing
Savannah River College
Bachelor of Arts - Business Administration/Healthcare Admin
Southern New Hampshire University
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