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
19
19
years of professional experience
Work History
Payer Response Analyst
HCA Healthcare Inc.
Richmond, VA
08.2016 - Current
watch for rejection trends and work with management to resolve issue
work rejections in clearinghouse
verify eligibility and demographics with insurance company
followup with insurance companies for claim status
Medical Insurance Biller
Mountain Lakes Medical Ctr
Clayton, GA
02.2013 - 08.2016
Filed and submitted insurance claims.
Investigated and responded to inquiries from providers regarding claim status, payments, denials.
Participated in special projects related to developing more efficient methods of processing medical claims.
Resolved denied or rejected claims by submitting appeals to the appropriate payer.
Assisted in training new staff members on proper coding techniques and billing procedures.
Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
Identified opportunities for improving processes related to medical billing activities.
Worked T Status is MCR FISS system.
Spoke with patient regarding accounts.
Medical Insurance Biller
Angel Medical Center Inc.
Franklin, NC
11.2011 - 02.2013
Filed and submitted insurance claims.
Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
Reviewed and processed medical claims for accuracy according to insurance guidelines.
Completed and submitted appeals for denied claims.
Monitored past due accounts and pursued collections on outstanding invoices.
Bank Teller
United Community Bank
Franklin, NC
07.2005 - 11.2011
Processed customer deposits and withdrawals accurately, balancing cash drawer daily.
Maintained confidentiality of bank records, transactions and customer information.
Educated customers about different types of banking services available at the branch.