Holly Cowart
Hamilton,TX
Summary
Highly organized, efficient and communicative team member with strong background coordinating business operations with internal and external stakeholders. Effective in serving as middle person in streamlining processes, resolving issues and improving communications.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Revenue Specialist II
DaVita
08.2021 - Current
- Identify trends and perform root cause analysis on unpaid and underclaimed claims through the American Kidney Fund (AKF) on the Grant Management System (GMS)
- Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor
- Develop and maintain positive working relationships with clinical personnel, social workers, teammates, and insurance counselors
- Create and present PowerPoint informational decks for regional Social Workers (SW’s) that implement updates and new requirements for the American Kidney Fund application process.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
Patient Service Representative
Riverside Medical Clinic
03.2021 - 08.2021
- Responsible for following and keeping both primary care and specialty schedules accurate and current
- Verified and updated patient information following patient registration criteria via the Electronic Health Record via EPIC
- Collected payments and informed patients of payment responsibility according to Business Office guidelines
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Resolved patient billing issues in line with established guidelines.
Appointment Clerk
Beaver Medical Group
06.2020 - 12.2020
- Schedule patient requests for appointments in accordance with physician and/or department requirements, and coordinate these appointments with applicable departments as required
- Identify and apply changes in patient information, including patient address, phone number, name, insurance company, etc
- Identify insurance plans that require referrals and engage the necessary process on behalf of the patient or EPIC
- Assist in recording and processing referrals, web appointments, and other departmental paperwork as required
- Documented all calls and inquiries in computer system.
- Set appointments with customers based on individual convenience.
- Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Followed up with patients to reschedule missed appointments.
Internship Student
Riverside County Office Of Public Health
01.2017 - 06.2020
- Reported back to instructor to receive day-to-day tasks and responsibilities
- Participated in workshops and presentations related to projects to gain knowledge.
- Completed research, compiled data, updated spreadsheets, and produced timely reports.
- Prepared project presentations and reports to assist senior staff.
- Maintained accurate records and documentation of projects to inform stakeholders of progress and updates.
- Supported with creating project marketing materials to promote services.
- Facilitated successful completion of projects from concept to launch.
- Developed and maintained relationships with key internal stakeholders.
- Collected, arranged, and input information into database system.
- Gathered, organized and input information into digital database.
- Sorted, organized, and maintained files.
Revenue Cycle Admitting Clerk
Kaiser Permanente
01.2020 - 06.2020
- Interviews patients prior to hospitalization and reviews and completes standard admission forms w/required information
- Explains hospital regulations and policies to patients
- Receives information from medical staff and other personnel regarding requests for admissions
- Obtains proper signatures on Conditions of Admission and all other required hospital admission forms
- Completes admission packet and documents all pertinent information
- Directs surgery patients to the proper department for services
- Assists Medicare patients in filling out Medicare Questionnaire as completely as possible at time of admission
- Establishes and maintains courteous, cooperative relations w/patients, the public, and other personnel
- Collects co-pays from patients when appropriate.
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Education
No Degree - Medical Coding And Billing
DeVry University
Chicago, Illinois 12.2022
Master of Science - Public Health
Los Angeles Pacific University
San Dimas, CA05.2021
Bachelor of Science - Public Health
California Baptist University
Riverside, CA12.2018
Skills
- Researching Abilities
- Account Balancing
- Account Monitoring
- Interpersonal Communication Skills
- Account Discrepancies
- EMR
- Insurance Verification
- Medical Terminology
- Fee Collection
- Patient Education
- HIPAA Compliance
- Team Collaboration
- Problem-Solving
Certification
- Certified Coding Associate (CCA), 12/2022, American Health Information Management Association (AHIMA)
- ICD-10-CM
- ICD-10-PCS
- CPT
Timeline
Revenue Specialist II
DaVita
08.2021 - Current
Patient Service Representative
Riverside Medical Clinic
03.2021 - 08.2021
Appointment Clerk
Beaver Medical Group
06.2020 - 12.2020
Revenue Cycle Admitting Clerk
Kaiser Permanente
01.2020 - 06.2020
Internship Student
Riverside County Office Of Public Health
01.2017 - 06.2020
No Degree - Medical Coding And Billing
DeVry University
Master of Science - Public Health
Los Angeles Pacific University
Bachelor of Science - Public Health
California Baptist University
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