EPIC
Hanna Peoples
Ridgeland,MS
Summary
Enthusiastic and personable professional offering a strong work ethic, an eye for detail, and superior customer service skills with 9+ years of experience and 8+ years of experience in medical billing, clerical, & financial work with a background in hospitality and medical administration
Overview
10
10
years of professional experience
Work History
Patient Access Representative
FMOLHS-Franciscan Missionaries of Our Lady of the Lake
03.2023 - Current
- Obtain patient's insurance information and determined eligibility for benefits for Mastectomy DMEs provided in Hands of Hope Breast Cancer Center for Women.
- Collect and enter up to 20 patient demographics into EPIC with rate of 100% accuracy to establish patient's medical chart daily.
- Responsible for filing patient information and confidential medical charts in alphabetical order while maintaining compliance with HIPAA privacy rule standards to protect patient's privacy.
- Prints required documents and obtained signatures for financial responsibility and fitting procedures from patients then scanned into EPIC for billing and auditing purposes
- Provides excellent customer service by promptly answering patient inquiries remaining calm under pressure to successfully deal with difficult situations.
Provider Services Advocate
Novitas Solutions Inc-Pearl Interactive
10.2022 - 01.2023
- Analyze claim denials and billing procedures using Medicare guidelines, and processes into reportable information to effectively answer provider inquires
- Meet daily quota of 72 provider inquires daily and maintain 100% customer satisfaction
- Identify provider billing issues and interface with providers to ensure integrity and accuracy of relevant information
- Utilize medicare systems such as Novitasphere and provide guided assistance to providers to review claim status, eligibility, enrollment and other provider related inquiries
- Research coding procedures, detailed remittance information, appeal letters, and billing best practices to guide providers in correcting uncommon claim denials and obtaining 100% claim reimbursement
Appeals Coordinator
Parallon
08.2019 - 05.2021
- Pursues outstanding balances on open appeals for aging A/R accounts through various means of communication, mainly via phone , for commercial, government, and Medicare/Medicaid health insurance payors
- Handles and makes 100+ calls per week to complete payor inquiries on behalf of clinical appeal staff resolving over 120+ appeals, reconsiderations, and prior authorization requests
- Escalated minimum of 8 accounts daily including accounts with lack of timely payer response in order to increase resolved accounts by 25% and improve revenue to via SSC management
- Responsible for obtaining DOR and AOR forms for out of network insurances for appealing denied claims in behalf of patient and placing follow up calls to ensure timely submissions with signatures
- Requested up to 50+ patient medical records to submit to variety of insurance companies such as, Humana, UHC, Medicare, Medicaid, BCBS etc to resolve medical record denials
- Documented 100% of calls and related correspondence such as follow-up calls, voicemails, and payor correspondence daily i.e denial & approval letters, remittance advices etc.
Accounts Receivable Specialist
Baptist Memorial Health Care Corporation
09.2018 - 09.2019
- Manages status of aging accounts for critical access hospitals for PPO/HMO, Commercial, VA, Tricare, and Medicare Advantage payors.
- Balances EOBs/Remits for billing purposes and adjusts incorrect contractual adjustments.
- Researches denials and identifies inconsistencies while finding solutions to lower aging A/R, and reach fiscal monthly goals
- Familiar with proper billing procedures for Inpatient claims, Observation claims, SNF, hospitalist, secondary payors and corrected claims such as correct TOB, REV codes, Modifiers and HCPCS to be used
- Resolves credit and debit balances
- Submitted various types of write-offs, i.e. timely filing, exhausted benefits, billing setup errors, medical necessity, no authorizations and contractual adjustments
- Corrected and cleaned claims for billing purposes such as adding ICN numbers, modifiers, missing REV codes, adding POS codes, reviewing CPT and DX codes
Accounts Receivable Specialist
Frazee Recruiting Consultants
09.2016 - 09.2017
- Navigated health information systems such as HCHB and Epremis
- Utilized Excel to preform daily duties
- Prepared medical record correspondence letters for review
- Preformed manual claim entry online for insurances such as BCBS and preformed electronic billing through Relay/Epremis
- Completed assigned spreadsheets/projects within timely manner while meeting daily quota to process 100 claims daily
- Researched, corrected, and cleaned claims for billing purposes for all home health commercial payors by being familiar with diagnostic & billing coding, keeping up to date with payor contract changes
Patient Access Representative II
Our Lady Of The Lake Regional Medical Centre
07.2014 - 02.2016
- Collected and entered patient demographic and insurance data into computer database via 35+ outbound calls daily to establish patient's medical record maintaining accuracy of 95%
- Point of contact for patients and their families for payment collection process, by collecting copays, patient deductibles, coinsurance and remaining patient balances
- Corresponded with physicians, clinic personal staff such as front desk clerk, scheduling, and nurses to resolve billing and reimbursement accuracy along with patient information to rectify medical record inaccuracies for insurance verification purposes and respond to patient needs before hospital admission
- Performed variety of routine clerical duties (e.g., mailing patient statements/receipts, and printing, faxing, filing, and retrieving medical records/files) utilizing Microsoft Word tools, such as excel with GWAM of 32
Education
Medical Administration -
Delta School of Business And Technology
Lake Charles, LA12.2013
High School Diploma -
American School of Correspondence
Lansing, IL12.2012
Skills
- Direct sales
- Systems and software programs
- Database Management
- Extensive personal network
- Analytical problem solver
- Coaching and mentoring
- Solution selling
- Business development and planning
- Complaint resolution
- Professional telephone demeanor
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Every problem is a gift—without problems we would not grow.
Tony Robbins
Software
CERNER
FOSSE
Timeline
Patient Access Representative
FMOLHS-Franciscan Missionaries of Our Lady of the Lake
03.2023 - Current
Provider Services Advocate
Novitas Solutions Inc-Pearl Interactive
10.2022 - 01.2023
Appeals Coordinator
Parallon
08.2019 - 05.2021
Accounts Receivable Specialist
Baptist Memorial Health Care Corporation
09.2018 - 09.2019
Accounts Receivable Specialist
Frazee Recruiting Consultants
09.2016 - 09.2017
Patient Access Representative II
Our Lady Of The Lake Regional Medical Centre
07.2014 - 02.2016
Medical Administration -
Delta School of Business And Technology
High School Diploma -
American School of Correspondence
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