Fajah Ford
Minneapolis,MN
Summary
Seasoned Patient Registrar with administrative expertise of 12 years of experience in a healthcare and Referral Schedule office. In Conjointly with 16 Years of Customer Service, Years of Field Coordination; including Billing and Auditing. Very Competent in using EPIC, MICROSOFT WORD, OUTLOOK and EXCEL for patient scheduling and information management. Demonstrated history of facilitating patient flow through excellent organization and communication skills.
Overview
18
18
years of professional experience
Work History
Senior Billing and Enrollment Rep
UCare Of Minnesota
REMOTE
09.2022 - Current
- Processed documents and payments to complete enrollment procedures.
- Assisted applicants with filling out necessary paperwork and checked all documents for completion.
- Documented all communication with applicants and inputted information into Health Care systems.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Verified cash flow and electronic transactions from credit card system to balance registers.
- Managed Service Forms and Member correspondence. Support billing and invoicing processes, including, validate cash posting balances, complete error reports.
- Executed billing tasks and recorded information in company databases.
- Kept all patient information secure and confidential.
- Managed over 50 Service Forms Per day.
- Worked effectively in fast-paced environments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Medicare Associate
Tactile Medical
St Louis Park, Minnesota
09.2019 - 09.2022
- Utilized File Maker (One note) to get information from various sources.
- Review Internal Medicare Documents.
- Performed Medicare audits efficiently to prevent asset risks.
- Communicated audit findings by preparing and disseminating final findings to Proper department.
- Collaborated with Internal Teammates to complete audits.
- Maintain Audit goals and process related regulations in order to complete in-depth audits accordingly to Company need of Service.
- Collaborated with Team Mates to address all major risks.
- Prepared special audits in timely matter.
- Handled all delegated tasks, including CMN's (Certification of Medical Necessity), MC Shipment Audits (Reviewing Medicare Documents, such as CMN's Prescriptions, and other In house documents.)
- Implemented New Audit Process for company, which Lessen Red Flags by 10%.
Scheduler
Allina Health System ( Aerotek)
12.2018 - 07.2019
- Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
- Acted as first point of contact and set appointments for prospective clients.
- Scheduled consultations for multiple of potential new customers.
- Made daily phone calls daily to establish first contact with potential patients through referrals.
- Entered daily data in computer systems and documented office activities.
- Balanced employee availability, customer schedules and maximum load levels when scheduling appointments.
- Consistently achieved top % lead conversion rate.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Managed over 50 customer calls per day.
- Received in-bound calls and initiated out-bound daily calls to introduce customers to products and services offered.
- Entered daily data in computer systems and documented office activities.
Referral Coordinator /Scheduler M Health
U Of M
08.2017 - 12.2018
- Worked with nurses and other clinical staff to process patients and direct to appropriate departments.
- Mailed Pre- Surgery, Packets.
- Completing and submitting documents and discussing with providers.
- Instructed patients and family members on proper discharge care.
- Kept operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments.
- Maintained patient charts and confidential files.
- Schedule and confirm patient diagnostic appointments, Surgeries and medical consultations.
- Reporting Updated Schedules. If Patient or Provider Canceled.
- Maintained up-to-date department organizational chart.
- Directed incoming calls, faxes and mail to appropriate recipients to manage and disperse business communication.
- Created and maintained all absentee calendars, agency nurse schedules and staff meetings daily.
- Ensured accuracy of public information and materials.
- Verified documents and associated records to catch and resolve discrepancies.
- Developed productive working relationships with numerous insurance company representatives.
- Commended for timeliness and accuracy in all documentation, from initial contact to Patient Completing care.
- Managed up to 20 patient referrals daily through multi-line telephone system.
- Selected by supervisor to train new hires on departmental processes and software.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Prepared all required treatment records and reports.
- Improved customer satisfaction by finding creative solutions to problems.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Worked with medical teams, patients and families to implement effective treatment plans.
Patient Coordinator
MHealth, University Of Minnesota
07.2016 - 04.2017
- Provided respectful assistance to all parties, including patients, staff members and insurance company representatives.
- Evaluated nursing notes to confirm accuracy of described care provided as well as responding to patient responses if applicable through My- Chart.
- Maintained patient flow.
- Worked effectively with fellow team members in fast-paced, dangerous and intense environments.
- Maintained high level of professionalism and calmness with all personnel, even in hi protocol situations.
- List referring customers comments responded appropriately and forwarded issues to appropriate department.
- Gathered current medical information and reviewed histories to gather details for surgeons.
- Managed patient check-in and check-out procedures and processed Co- Payments and/or Prescriptions ( Nutrition Meal Prep, Drinks, Box Food for Bariatric or nutrition Patients.
- Supported and assisted patients in completion of daily living activities, including Pushing Patient to door, Offering Coffee/ Snacks and distributing if needed.
- Checked in over 100 Patients, in course of 9 different Clinics and Specialties.
Customer Service Representative
CarHop
08.2014 - 02.2016
- Reaching out to patients / Businesses For collections of outstanding balances as well as calling repo and scheduling times for owners to retrieve their vehicles.
- Checking credit scores.
- Handling Disputes over reasons for collection or balance.
- Data entry of each collection being processed, Including Payment Plans.
- Answer any billing questions they might have towards information, In which they need help with understanding.
- Reviewed Finance applications against established parameters to determine approval, rejection or modification requirements.
- Advised Qualified clients and addressed specific needs to determine financial capabilities.
- Reviewed and analyzed client credit to determine interest rates and loan terms.
- Located debtors by utilizing skip tracking and other strategies.
- Reached out to customers to pursue payments and also to remind individuals of obligations and discuss default procedures.
- Assisted with Modifications
- Processed payments over phone and set up recurring payments through Auto Pay.
- Repo over 10 Cars Per day.
- Implemented including set up plans for numerous of customers to receive their vehicle back in timely manner.
- Answered constant flow of customer calls with minimal wait times
Vender Relations Representative
Rels Valuation
04.2012 - 07.2014
- Responsible for registering new clients and adding new information into complex systems.
- Followed up with internal including outside field to ensure, they are on schedule, within time frame of appraisal.
- Checking Follow up task, to advise Appraiser what is needed, or what we are Following up on and if new Follow up is required.
- Checking status of appraisal with vendor over customers purchase agreement to make sure that we handled communication between customer and appraiser.
- Obtaining appraisal quotes and sending this information from appraiser to customer.
- Verifying insurance for customers based on which insurance company they worked through as well as connecting with their banks.
- Answering any billing question or concerns.
- Successfully handled increased high caseload on strict schedule.
- Followed up with potential clients regarding online information requests.
- Submitted up-to-date activity and production logs to agency management for review.
- Send Task messages internally if Provider is not available.
- Assigned crew members to specific job assignments, carefully matched job complexity with crew member's ability and experience and followed up to verify right fit. (Making Sure appraiser is not driving hours to appraise Home/Business).
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Followed up with over 10 Appraisers at time.
- Proved successful working within tight deadlines and fast-paced environment.
Collector
Allied Interstate IQOR
10.2008 - 12.2010
- Responsible for maintaining complete debt collection portfolio using support framework designed.
- I.e.: learning policy and procedure for accessing letters, sources of needed information and scheduling requirements to achieve successful recovery.
- Accurate documentation.
- General office duties.
- Conveyed current account information and obtained payments by using pre-scripted statements.
- Met demands of busy collections group by performing high volume of daily calls.
- Followed fair debt practices and regulatory guidelines when managing collections process.
- Remained calm, stayed professional and provided exceptional service on all calls, even when interacting with difficult individuals.
- Reached out to over 25 accounts Per day for payment.
- Maintained high volume of calls and met demands of busy and productive group.
- Monitored accounts for compliance with established payment plans and flagged non-compliances.
Shoe Associate/Cashier/Customer Service Representative
Sears
09.2006 - 09.2008
- Ensure that each customer receives outstanding service by providing friendly environment.
- Maintain awareness of all promotions and advertisements.
- Assist in processing and replenishing merchandise and monitoring floor stock.
- Assist in completing price changes within department.
- Assist in ringing up sales at registers and/or bagging merchandise.
- Greet and acknowledging every customer, maintaining solid product knowledge and all other aspects of customer service.
- Recommended merchandise to customers based on needs and preferences.
- Helped customers sign up for loyalty programs and submitted completed paperwork.
- Performed floor moves, merchandising, display maintenance and housekeeping to keep sales areas well-stocked, organized and current.
- Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items.
- Recognized by management for providing exceptional customer service.
- Improved customer satisfaction by finding creative solutions to problems.
- Helped in over 5 different Departments when needed assistance.
- Recommended complementary purchases to customers, increasing revenue.
Office Assistant
Cityview Community School
09.2005 - 06.2006
- Answer phones and transfer to appropriate staff member.
- Take and distribute messages.
- Receive, sort and distribute incoming mail and prepare outgoing mail for distribution.
- Faxing, scanning and copying of documents.
- Update and maintain databases such as mailing lists, contact lists and client information.
- Type documents, reports and correspondence.
- Ensure office equipment is properly maintained and serviced.
- Keep office area clean and tidy.
- Maintained office supplies inventory by checking stock and ordering new supplies as needed.
- Pleasantly welcomed visitors to office.
- Managed building access by supplying key cards to employees and visitors.
- Managed over 10 Children at one time.
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
- Interacted with customers by phone, email, or in-person to provide information.
- Managed daily data entry and kept clerical information accurate and up-to-date
Education
Some College (No Degree) - Business Management And Accounting
Minneapolis Community Technical College
MNHigh School Diploma -
Fridley High School
06.2008
Skills
- Collaboration
- Self Management
- Good listener
- Medical Terminology
- PC Skills
- Prioritize
- Well Constructive Criticism
- Organization
- Time management
- Problem Solving
- Wiliness to learn
- Team Player
- Positive Attitude
- Surgery Scheduler
- Multi -Tasking
- Balance
- Referrals
- Billing
- Copying
- Credit
- Clients
- Customer service
- Data entry
- Databases
- Documentation
- Faxing
- General office duties
- Insurance
- Letters
- Mailing
- Office equipment
- Sales
- Scanning
- Scheduling
- Answer phones/ Making Outbound Calls to Various of business that's needed
- Typing Minimum of 55 WPM
- Verbal and written communication
- Customer satisfaction
- Relationship building
- Medicare/Medicaid
- Equipment installation and repair
References
References are Upon Request.
Timeline
Senior Billing and Enrollment Rep
UCare Of Minnesota
09.2022 - Current
Medicare Associate
Tactile Medical
09.2019 - 09.2022
Scheduler
Allina Health System ( Aerotek)
12.2018 - 07.2019
Referral Coordinator /Scheduler M Health
U Of M
08.2017 - 12.2018
Patient Coordinator
MHealth, University Of Minnesota
07.2016 - 04.2017
Customer Service Representative
CarHop
08.2014 - 02.2016
Vender Relations Representative
Rels Valuation
04.2012 - 07.2014
Collector
Allied Interstate IQOR
10.2008 - 12.2010
Shoe Associate/Cashier/Customer Service Representative
Sears
09.2006 - 09.2008
Office Assistant
Cityview Community School
09.2005 - 06.2006
Some College (No Degree) - Business Management And Accounting
Minneapolis Community Technical College
High School Diploma -
Fridley High School