Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

EXES HANKERSON

Dunwoody,GA

Summary

Dynamic Billing Analyst with extensive experience at WellStar Health Systems, proficient in medical coding and revenue cycle management. Proven track record of resolving discrepancies and enhancing billing accuracy, contributing to a significant reduction in denial rates. Exceptional attention to detail and strong interpersonal communication skills drive successful collaboration across teams.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Billing Analyst/Charge Entry Specialist

Medix Staffing
NASHVILLE, TN
10.2024 - Current
  • Accurately and efficiently enter patient encounter information, including diagnoses, procedures, and services, into the billing system
  • Ensure all patient-related charges are entered correctly and promptly
  • Verify the accuracy and completeness of medical records and billing information
  • Understand and apply relevant coding guidelines (e.g., CPT, ICD-10) to ensure accurate charge entry
  • Identify and resolve discrepancies or errors in charge entry data
  • Respond to inquiries from other departments regarding coding, billing, and reimbursement issues
  • Maintain accurate and organized records of patient encounters and charges
  • Become proficient in using billing software and other relevant systems
  • Maintain a high level of accuracy and attention to detail in all aspects of the job
  • Ensure that all charges are entered in a timely manner to facilitate prompt billing and payment
  • Processed invoice payments and recorded information in account database.
  • Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
  • Executed account updates and noted account information in company data systems.
  • Analyzed data from customer accounts to identify discrepancies.
  • Prepared weekly, monthly, quarterly, and annual reports on billing activity.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.

AR Specialist II

WellStar Health Systems
Atlanta, GA
03.2023 - Current
  • Review and analyze healthcare facility claims to identify issues and trends, enhancing overall revenue flow
  • Collaborate with cross-functional teams to address payment, coding, and editing discrepancies
  • Reconcile and resolved specific payor accounts, identifying and reporting inefficiencies
  • Process insurance denials and appeals, tracking denial trends to reduce future occurrences
  • Maintain compliance with government regulations and contractual obligations, ensuring accurate billing practices
  • Consistently meet or exceeded departmental productivity standards
  • Assisted in developing and updating accounts receivable procedures.
  • Established new accounts in accordance with company policies and procedures.
  • Ensured compliance with financial policies and regulations.
  • Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Handled accounts payable and receivable, including invoicing and payment processing.
  • Prepared aging reports to identify past due accounts.
  • Managed timely invoicing of clients and ensured accurate billing details.

AR Specialist II

Children's Healthcare of Atlanta
ATLANTA, GA
01.2016 - 03.2023
  • Perform daily billing of claims to third-party insurance following the guidelines of the UB04 and HCFA 1500 manual
  • Ensure that special billing needs by payor are performed to prevent denial of claims and delay in payment
  • Prepare and submit all final bill claims, secondary claims, rebills, and late charges on a daily, maintaining claim status
  • Perform routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement
  • Verify insurance Eligibility
  • Bill and correct Medical Claims
  • Analyze and interpret medical documents, contracts, receipts, notes, and other correspondence
  • Research Medical EOB'S/Remittances for manager care for Managed Care Payers
  • Research claims denials, Initiate appeals, review, and correct provider contractual adjustments
  • Work correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts
  • Take appropriate action to resolve all insurance, bad debt, and/or self-pay unpaid balances
  • Submit reconsiderations & administrative review requests to payers to dispute claim denials
  • Assisted in developing and updating accounts receivable procedures.
  • Received and recorded cash, checks and transfers.
  • Wrote and submitted reports on industry trends, prompting managers to develop business plans.
  • Assisted in developing strategies to increase customer satisfaction levels.
  • Assessed company operations for compliance with safety standards.
  • Created training materials for new hires on the company's procedures and policies.
  • Coordinated with other departments to ensure efficient workflow processes.
  • Maintained positive working relationship with fellow staff and management.
  • Set specific goals for projects to measure progress and evaluate end results.
  • Utilized various software and tools to streamline processes and optimize performance.

Billing & Collection Specialist

Expeditive Healthcare
01.2015 - 12.2016
  • Company Overview: Contractor
  • Slash Denial resolution time by 85% returned over6.5 million dollars in profitable revenue
  • Processed claims for third party, commercial and government payers for coordination of benefits from assigned work ques and tasks lists
  • Effectively documented claim status and next steps in the Practice Management System (PMS) to expedite timely and accurate claims processing
  • Processed and corrected medical insurance claims
  • Resolved coding trends and billing issues
  • Contact insurance entities for payment issues and follow-ups
  • Initiate appeals for denial aged accounts beyond 90 days
  • Contractor

Patient Account Representative

Promise Healthcare
01.2011 - 12.2015
  • Company Overview: Contractor
  • Follow up on Insurance and patient aging
  • Re-submit insurance claims, as necessary
  • Responsible for accurate and timely claims follow-up by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize timely filing write-offs
  • Effectively documented claim status and next steps in the Practice Management System (PMS) to expedite timely and accurate claims processing
  • Worked with payer to determine reasons for denials corrects and reprocesses claims for payment in a timely manner
  • Proceeds with appeals process as needed
  • Contractor

Education

Surgical Technician - Medical Physics

MedCerts
Livonia, MI
09.2025

DIPLOMA - General Studies

Dillard High School
Fort Lauderdale, FL
06-1982

Skills

  • EPIC
  • Data analysis
  • Surgical procedures
  • Patient care
  • Quality assurance
  • Team collaboration
  • Cash application
  • Accounts receivable
  • Payment posting
  • Revenue recognition
  • Billing systems
  • Special projects
  • Interpersonal and verbal communication
  • Telephone etiquette
  • Dispute resolution
  • Claims review
  • Team building
  • Medical billing and collections
  • Claim submission
  • Claims processing
  • Problem-solving
  • Customer service
  • Accounts receivable expertise
  • Patient billing
  • Insurance verification
  • Revenue cycle
  • Problem solving
  • Attention to detail
  • Effective communication
  • Multitasking Abilities
  • Organization
  • Decision-making
  • Teamwork and collaboration
  • Interpersonal communication
  • Recordkeeping
  • Conflict resolution
  • Flexible and adaptable
  • Good Telephone Etiquette
  • Data entry
  • Insurance Follow-up/Denials
  • Medisoft
  • Team Building
  • N-Thrive
  • Clearinghouse
  • Advanced MD
  • Knowledge of medical terminology
  • Telehealth, Charge Entry

Certification

CPAR Certified

Timeline

Billing Analyst/Charge Entry Specialist

Medix Staffing
10.2024 - Current

AR Specialist II

WellStar Health Systems
03.2023 - Current

AR Specialist II

Children's Healthcare of Atlanta
01.2016 - 03.2023

Billing & Collection Specialist

Expeditive Healthcare
01.2015 - 12.2016

Patient Account Representative

Promise Healthcare
01.2011 - 12.2015

Surgical Technician - Medical Physics

MedCerts

DIPLOMA - General Studies

Dillard High School
EXES HANKERSON