Claudia Foye
Fredericksburg,VA.
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
Medical Billing Analyst II
George Washington-Medical Facility Associates
11.2016 - Current
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Delivered timely and accurate charge submissions.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Liaised between patients, insurance companies, and billing office.
- Evaluated patients' financial status and established appropriate payment plans.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Payroll and Benefits Coordinator
Regency Care of Arlington
07.2013 - 04.2016
- Managed payroll data entry and processing for 300 employees to comply with predetermined company guidelines.
- Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
- Updated and maintained employee attendance records.
- Delivered friendly assistance with new hires throughout interviewing and hiring process.
- Responded to employee inquiries regarding benefits and other HR topics.
- Developed and maintained HR policies and procedures.
- Created and completed personnel action forms for hires, terminations, title changes and terminations.
- Organized new employee orientation schedules for new hires.
- Scheduled and coordinated interviews between hiring managers and potential candidates.
- Resolved payroll discrepancies quickly and successfully.
- Provided customer service to employees regarding payroll inquiries and issues.
- Confirmed compliance with all applicable federal, state and local payroll laws and regulations.
- Reviewed time records for 300 employees to verify accuracy of information.
- Verified and submitted timekeeping information for accurate and efficient payroll processing.
Education
Master of Science - Criminal Justice Research, Leadership and Executive Management
Kaplan University
Bachelor of Science - Criminal Justice
Liberty University
Skills
- Legal Standards
- Petty Cash Disbursement
- Time Management
- Auditing Proficiency
- CMS-1500 Billing Forms
- Critical Thinking
- Medical Billing Technology
- Benefits Verifications
- Medicare and Medicaid Processes
Timeline
Medical Billing Analyst II
George Washington-Medical Facility Associates
11.2016 - Current
Payroll and Benefits Coordinator
Regency Care of Arlington
07.2013 - 04.2016
Master of Science - Criminal Justice Research, Leadership and Executive Management
Kaplan University
Bachelor of Science - Criminal Justice
Liberty University
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