Doris Beckman-Reed
HEALTHCARE
Georgetown,SC
Summary
A seasoned professional from Tidelands Health, I excel in revenue cycle management and demonstrate exceptional team leadership. With expertise in HIPAA compliance and a proven track record in enhancing operational efficiencies, my analytical skills and ability to thrive under pressure set me apart.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Patient Access Team Lead
Tidelands Health
Georgetown, SC
08.1996 - 02.2025
- Greet patients and visitors, and verify patient information.
- Collect, post and manage patient account payments.
- Maintain confidentiality of patient information at all times in compliance with HIPAA regulations.
- Assist in training new Patient Registration Specialists on various duties related to the job role.
- Schedule appointments for patients using an electronic medical record system.
- Perform clerical tasks such as filing, faxing, copying, etc.
- Prepare documents for scanning into the electronic health record system.
- Answer incoming calls from patients or providers seeking assistance or provide updates.
- Assist patients with questions regarding their accounts or billing issues.
- Resolve discrepancies between patient accounts receivable balances and third-party payers' remittance advice reports.
- Perform insurance verification, pre-certification and pre-authorization for care, via phone, fax, or payer websites.
Credit Specialist
Tidelands Health
Georgetown, SC
08.1996 - 02.2025
- Validate and track credits due to insurance companies, patients, and other payers.
- Research, analyze and resolve Undistributed/Overposted credit transactions within the EPIC system.
- Process transactions needed for resolution such as Transfers, Posting, Offsets, Refunds, etc.
- Manage Medicare and Medicaid credit balance Work Queue (WQ) in EPIC.
- Analyze customer accounts to determine eligibility for refunds or credits.
Claims Processor
Tidelands Health
Georgetown, SC
08.1996 - 02.2025
- Resolve discrepancies between customers' remittances and invoices received.
- Reconcile codes against services rendered.
- Maintain accurate records of collections, adjustments and denials in EPIC system.
- Review medical records to ensure accuracy of billing information and patient data.
- Submit electronic claims through clearinghouse (Quadax).
- Evaluate pending claims to identify and resolve problems blocking auto-adjudication.
- Research claim denials and appeals to determine appropriate resolution.
- Follow up with insurance companies regarding denials of claims or incorrect reimbursements amounts.
Special Projects Representative
Tidelands Health
Georgetown, SC
08.1996 - 02.2025
- Complete Medicare cost report according to federal (CMS) guidelines.
- Generate Reports.
- Complete Medicare and Medicaid quarterly credit balance reports according to federal (CMS) guidelines.
- Manage Client Billing.
- Reconcile invoices ensuring timely and accurate reimbursements.
Unit Secretary
Roper St. Francis Hospital
Mount Pleasant, South Carolina
05.2015 - Current
- Organize and maintain patient chart filing system to promote quick data finding for staff.
- Manage incoming calls and direct to appropriate department.
- Process patient admissions and discharges in a timely manner.
- Receive and route laboratory results to correct clinical staff members.
- Initiate mayday and rapid response calls accurately and quickly during emergency crisis.
- Patient sitter for psychiatric patients.
- Answer nurse call bell.
- Coordinate transportation for patients being transferred to a facility such as Rehab, SNF, or Inpatient Acute Care.
- Work under direction of charge nurse and nurse manager.
- Complete physician consults in EPIC.
- Communicate with Food and Nutrition Service department of inpatient diet order change.
Education
Lean Six Sigma Yellow Belt Certificate -
Tidelands Health
Georgetown, SC05-2020
Certified Revenue Cycle Associate -
Healthcare Financial Management Association
Columbia, SC01-2015
Certified Medical Administrative Assistant -
National Healthcareer Association
Conway, SC01-2014
Bachelor of Arts - Ministry
All Nations Bible College
Myrtle Beach, SC12-1999
Medical Terminology, Insurance Billing and Coding Certificate -
Horry Georgetown-Technical College
Georgetown, SC03-1996
High School Diploma -
Andrews High School
Andrews, SC08-1986
Skills
- HIPAA compliance
- Proficient in Outlook, Word, Adobe, Excel, EPIC, Meditech, ECW, McKesson, Cerner, STAR and Quadax
- Revenue cycle management
- Knowledge of third party reimbursement processes
- Team leadership
- Multitasking and organization
- Strong analytical skills and attention to detail
- Expand knowledge of insurance Explanation of Benefits (EOB)
- Problem-solving skills
- Knowledge and understanding of coding and CMS regulations, medical insurance billing concepts: UB/1500
- Ability to present ideas and concepts effectively
- Ability to handle shifting priorities and multiple projects simultaneously
- Ability to work under pressure
Accomplishments
- Receive appreciation letter from many patients and mangers for excellent customer service profided
Certification
- Lean Six Sigma Yellow Belt Certificate
- Certified Revenue Cycle Associate
- Certified Medical Administrative Assistant
- Medical Terminology, Insurance Billing, and Coding Certificate
Languages
English
Professional
Timeline
Unit Secretary
Roper St. Francis Hospital
05.2015 - Current
Patient Access Team Lead
Tidelands Health
08.1996 - 02.2025
Credit Specialist
Tidelands Health
08.1996 - 02.2025
Claims Processor
Tidelands Health
08.1996 - 02.2025
Special Projects Representative
Tidelands Health
08.1996 - 02.2025
Lean Six Sigma Yellow Belt Certificate -
Tidelands Health
Certified Revenue Cycle Associate -
Healthcare Financial Management Association
Certified Medical Administrative Assistant -
National Healthcareer Association
Bachelor of Arts - Ministry
All Nations Bible College
Medical Terminology, Insurance Billing and Coding Certificate -
Horry Georgetown-Technical College
High School Diploma -
Andrews High School
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