Crystal Tompkins
Lake Park,GA
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. Also to become associated with a company where I can utilize my skills and gain further experience while enhancing the company’s productivity and reputation.
Overview
19
19
years of professional experience
Work History
Medical Biller
South Georgia Medical Center
Valdosota, GA
09.2023 - Current
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Submitted electronic claims to various insurance carriers.
- Researched discrepancies between billed charges and payments received 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.
- Collaborated with managers to develop strategies for improving revenue cycle processes.
- Completed and submitted appeals for denied claims.
- Processed refunds requests timely and accurately according to established protocols.
Technical Denials Coordinator
South Georgia Medical Center
01.2016 - Current
- Responsible for evaluating why medical claims are being denied, determining best practices for reducing this number, and attempting to put strategies in place to increase the percentage of billing instances in which our organization will get paid promptly the first time
- Responsible for receiving all correspondence for our department and distributing it accordingly
- In charge of submitting Medical Records to insurance companies upon requests as well as follow up on any DRG audits
- Responsibilities also included submitting appeals on denials in a timely manner.
Surgery Coordinator/Benefits Coordinator
ENT and Allergy Associates of South
Valdosta, GA
01.2021 - 09.2023
Valdosta
- Responsible for the keeping of 5 provider schedules and scheduling surgeries for the ASC, SGMC and in office procedures
- Responsible for precerting all surgeries and orders sent to SGMC via EPIC
- Duties also included calling and informing and collecting surgery deposits from patients prior to surgeries
- Responsible for Medical Record Requests
- Daily patient contact in regard to billing and benefits
- Answering phones for front office and surgery center
- Working professional and facility denials and aging
- Floater anywhere that is needed in the office.
Ager
Azalea Health
01.2019 - 01.2020
- Responsible for clients coding, billing and reimbursement on claims
- Responsible for Medical Record Requests and all recoupment of payments.
CSR/Team Lead
American HomePatient
01.2014 - 01.2016
- Received orders via fax
- Verified insurance, keyed orders and contacted patients
- Managed Team
- Management included answering questions and being a professional role model
- Held daily conference calls with branches out of state to ensure patients were properly taken care of.
Server/Bartender/Certified Trainer
Olive Garden Italian Restaurant
Valdosta, GA
01.2012 - 01.2014
- Greeted guests with a warm, welcoming smile and assisted them with being seated and being well taken care of
- Answered phones and took in large orders and made sure all went out as promised and done so in a timely manner
- Trained new employees for at least a week at a time when hired on with the restaurant
- Assisted managers in making sure the restaurant was run on the values and core that Olive Garden was based on.
Secretary
Rhonda’s Golden Comb Salon and Spa
Lake Park, GA
01.2012 - 01.2013
- Scheduled daily appointments for various employees
- Handled all word processing and typing
- Entered data for reports, production items, shipping, and inventory
- Maintained computerized inventory of all parts, supplies, and products
- Helped plan and organize company functions
- Answered the telephone and represented the company in a professional and businesslike manner.
Sales Associate
Salon Centric
Valdosta, GA
01.2010 - 01.2011
- Answered phones and took in big orders and gathered them for salon owners as needed
- Worked with the computer throughout the day and insured that all customers were well taken care of and got all products as needed and on a timely manner
- Sat through conference calls in the absence of the manager and took very thorough notes on ensuring our store was the best it could be
- Worked daily to ensure inventory was accurate
- Unloaded trucks as shipments came in as well as organizing any new shipment that was available to the store.
Hostess/Server
The Fish Net Restaurant
Lake Park, GA
01.2005 - 01.2010
- Greeted customers upon arrival and seated them
- Assisted them in all they needed while seated as well as run their food when it was ready
- Checked out customers when finished, handling all money that came through the register
- Answered phones taking orders as well as reservations for customers.
Camp Counselor
Valdosta, Lowndes Parks and Recreation
Valdosta, GA
01.2008 - 01.2009
- Met children at the door with a fun, lively attitude and gave parents ease that their kids were well taken care of during the duration of their stay with our program
- Developed a relationship with the children and kept them busy with games and arts and crafts
- Answered phones to take in new children as needed
- Filed all paperwork on all children
- Wrote up statements at the end of the month for parents.
Education
Microsoft 2010 Certification -
Wiregrass Technical College
01.2013
Technical Certificate, Cosmetic Esthetics -
HomePatientWiregrass Technical College
01.2010
Dual Seal Diploma -
Lowndes High School
01.2007
Skills
- Excellent Organizational Skills
- Strong Customer Relations Skills
- Computer Proficiency
- Data Entry
- Proficient in Azalea EHR
- Proficient in EPIC
- CPAR certification
- Telephone Answering, 12-Line System
- Word Processing and Typing
- 10-Key Calculator
- Filing
- Knowledge in billing, follow up and denials of Hospital, Professional and DME claims
- Knowledge in ICD-10, HCPS codes and CPT codes
- Proficient in reading Remittances and understanding remittance and remark codes
- Denial Management
- ICD-10 Proficiency
- Multitasking and Organization
- Records Management
- Hospitality and Professionalism
References
Furnished on request.
Timeline
Medical Biller
South Georgia Medical Center
09.2023 - Current
Surgery Coordinator/Benefits Coordinator
ENT and Allergy Associates of South
01.2021 - 09.2023
Ager
Azalea Health
01.2019 - 01.2020
Technical Denials Coordinator
South Georgia Medical Center
01.2016 - Current
CSR/Team Lead
American HomePatient
01.2014 - 01.2016
Server/Bartender/Certified Trainer
Olive Garden Italian Restaurant
01.2012 - 01.2014
Secretary
Rhonda’s Golden Comb Salon and Spa
01.2012 - 01.2013
Sales Associate
Salon Centric
01.2010 - 01.2011
Camp Counselor
Valdosta, Lowndes Parks and Recreation
01.2008 - 01.2009
Hostess/Server
The Fish Net Restaurant
01.2005 - 01.2010
Microsoft 2010 Certification -
Wiregrass Technical College
Technical Certificate, Cosmetic Esthetics -
HomePatientWiregrass Technical College
Dual Seal Diploma -
Lowndes High School
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