Christina Turrentine
Hampton,United States
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
Work History
Reimbursement Specialist
United BioSource Corporation (UBC)
Philadelphia, PA
02.2022 - Current
- Coded patient care records to provide accurate information for billing.
- Researched rejections, investigating problems to appeal claims.
- Reviewed uninsured accounts, verifying medical assistance application process, charity care application and drug replacement program availability.
- Entered procedure codes, diagnosis codes, and patient information into billing software to facilitate invoicing and account management.
- Reviewed and processed reimbursement requests in accordance with company policies and procedures.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Identified potential areas of cost savings through proactive analysis of billing practices.
- Ensured compliance with applicable laws and regulations when processing reimbursement requests.
- Verified that all necessary documents were included in each request before submitting it for payment.
Patient Account Representative
Change Healthcare
Atlanta, GA
01.2020 - 02.2022
- Completed and submitted appeals for denied claims.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Checked claims coding for accuracy with ICD-10 standards.
- Performed insurance verification, pre-certification and pre-authorization on Medicaid portal.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Submitted claims to insurance companies.
- Worked claims edits in the clearance house.
- Follow-up on denied and rejected claims.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Cashier
Shoppers World
Fayetteville, GA
08.2018 - 09.2019
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Accepted cash and credit card payments, issued receipts and provided change.
- Answered customer questions and provided store information.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
Education
High School Diploma -
Lovejoy High School
Hampton, GA03.2020
Some College (No Degree) -
Southern Crescent Technical College
Griffin, GASkills
- Epic Systems
- Data Entry
- Government Portals
- ICD-10 Coding
- EMR Systems
- Microsoft Excel
- Knowledge of HMOs, Medicare, and Medi-Cal
- Organizational Skills
- Problem Resolution
- Availity Portal
Timeline
Reimbursement Specialist
United BioSource Corporation (UBC)
02.2022 - Current
Patient Account Representative
Change Healthcare
01.2020 - 02.2022
Cashier
Shoppers World
08.2018 - 09.2019
High School Diploma -
Lovejoy High School
Some College (No Degree) -
Southern Crescent Technical College
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