Evelyn McCartney
Miami Gardens,Florida
Overview
14
14
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Radiology Associates of Venice and Englewood
06.2020 - 01.2023
- Take insurance information from clients and will determine if authorization is necessary for the services that are needed.
Collections Specialist II
Shared Services Center
12.2019 - 06.2020
- Researched all contracted/non-contracted carriers and self-pay accounts
- Check eligibility and benefits for MRI and CAT SCANS and get Authorizations.
HHA/Caregiver
Summit @Venice
09.2019 - 11.2019
- Take care of patients needs and assist them in showering and everyday activities.
Customer Service Representative
Path Medical PIP insurance
07.2017 - 06.2019
- Maintains data entry requirements by following data program techniques and procedures
- Display excellent phone etiquette in a professional manner
- Work independently or in a group setting
- Prioritize task list effectively
- Comply with HIPAA, State and Federal laws
- Adhere to all company policies and procedures Duties required Following up with insurance companies regarding status of payments and comply with any pending items/documents as requested
- Communicate effectively with insurance carriers, attorneys, patients and other departments/ employees within the organization
- Sort and file documents Prepare data for computer entry by compiling and sorting information, establishing entry priorities
- Verify Insurance to see when the insurance was effective and expires.
Customer Service Representative
Sheridan
11.2016 - 07.2017
- Researched all contracted/non-contracted carriers and self-pay accounts
- Reviewed and monitors the reimbursements due from different insurance companies, and determines appropriate collection methods and account follow-up per departmental guidelines
- Processed claims for Medicare, Medicaid and Commercial Insurance Companies.
Customer Service Representative
American Ambulance
12.2014 - 11.2016
- Responsible for all billing duties, and rebilling as needed to insurance companies
- Works the monthly report for the accounts receivable for the billing areas, as well as the items compiled/added to the assigned PCS Work Files.
Specimen Tech I
Quest Diagnostics
11.2013 - 09.2014
- Responsible for all responsibilities of the Specimen Preparation Assistant
- Demonstrates an ability to learn the job duties assigned to the SPT I, and develops an understanding of how all the functions in Specimen Processing fit together
- Identifies problems with specimen types, missing information etc
- And assigns the appropriate TIQ, and in some cases resolves them.
Customer Service Representative
Processed claims for Commercial Insurance Companies
03.2009 - 06.2011
- Coordinates the resolution of patient accounts, including the verification of demographic and insurance information, when needed
- Reviews and monitors the reimbursements due from different insurance companies, and determines appropriate collection methods and account follow-up according to the departmental guidelines
- Utilized 1500 billing forms
- Experience using AS400
- Works the monthly report for the accounts receivable for the billing areas, as well as the items compiled/added to the assigned PCS Work Files
- Prepare the necessary corrections for diagnosis and CPT codes for resubmission of claims
- Responsible for informing patients of fees, co-pays, coinsurance, deductibles and balances due at time of service.
Education
High school or equivalent in Medical Billing and Coding -
Concorde Career Institute
Miramar, FLSkills
- Medical Billing (5 years)
- Medical Insurance (5 years)
- Medical Coding (5 years)
- CPC
- CNA
- Insurance Verification
- ICD-9
- ICD-10
- Patient Care
- EMR Systems
- Medical Records
- CPT Coding
- Data Entry
- Laboratory Experience
- English
- Customer Service
- Driving
- Cashiering
- Caregiving
- Cleaning
- Clerical experience
- Typing
- Communication skills
- Senior care
Certification
CPR, 11/01/19, 11/01/21
Timeline
Authorization Specialist
Radiology Associates of Venice and Englewood
06.2020 - 01.2023
Collections Specialist II
Shared Services Center
12.2019 - 06.2020
HHA/Caregiver
Summit @Venice
09.2019 - 11.2019
Customer Service Representative
Path Medical PIP insurance
07.2017 - 06.2019
Customer Service Representative
Sheridan
11.2016 - 07.2017
Customer Service Representative
American Ambulance
12.2014 - 11.2016
Specimen Tech I
Quest Diagnostics
11.2013 - 09.2014
Customer Service Representative
Processed claims for Commercial Insurance Companies
03.2009 - 06.2011
High school or equivalent in Medical Billing and Coding -
Concorde Career Institute
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