Hope Garvin
Temple,GA
Summary
*Dedicated Account Resolution Specialist adept at working in fast-paced environments. Knowledgeable about research strategies, claims handling and payment plans. Desiring to bring 29 years' experience in the medical field to a dynamic new position.
*Extensive knowledge of Government insurance plans. (15+ years of experience with Medicare)
*Accomplished in achieving accuracy, productivity and quality standards on a consistent basis. Well-versed in account monitoring, investigations and documentation. Collaborative and organized team player familiar with successful account resolution strategies.
Overview
29
29
years of professional experience
Work History
Account Resolution Specialist 2
Wellstar MGBO- Remote
12.2020 - Current
- Review accounts with aging balances and contact patients/insurance carriers to resolve denials
- Perform full research to check claims and possible solutions to individual payer issues
- Complete documentation for all interactions and activity
- Meet demands of busy healthcare group by performing high volume of daily calls/interactions while still maintaining high Q&A scores
- Provide training for new team members
- Provide refresher courses for existing team members/ Individual review sessions for difficult accounts
- Work alongside leadership to report/resolve any payer/process issues that affect the team.
Account Resolution Specialist 1
Wellstar MGBO – Remote
08.2017 - 11.2020
- Review Medicare accounts with aging balances to resolve denials
- Evaluate each invoice with a fresh eye in order to develop effective solutions
- Remain calm and professional while working with difficult patients and payers to resolve billing issues
- Meet high demands of busy healthcare facility by maintaining an excellent level of productivity and Q&A scores.
Wellstar Cardiovascular Medicine- Patient Access Representative
Wellstar Cardiovascular Medicine -Douglasville & Acworth Offices
09.2014 - 08.2017
- Obtained necessary signatures and other documentation required for privacy laws and treatment
- Verified demographics and insurance information to register patients in computer system
- Processed patient responsibility estimate determined by insurance at preregistration
- Collected copays and past due balances
- Scheduled and confirmed patient appointments.
Multiple Titles
Cardiovascular Medicine, PC
Marietta, GA
03.1995 - 08.2014
- Medical Record Clerk - March, 1995 to December, 1996
- Front Desk Coordinator - January, 1997 to January, 1999
- Referral and Precert Coordinator - February 1999 to January, 2000
- Patient Accounts Representative - February, 2000 to September, 2001
- Account Resolution Specialist – October 2001 to August, 2014 (Medicare, Medicaid, Humana, Cigna & Aetna)
Education
High School Diploma -
South Cobb Comprehensive High School
Austell, GA06-1987
Skills
- Organization
- Customer Service
- Critical Thinker
- Works Independently
- Efficient in Problem Resolution
- Relationship Development
Timeline
Account Resolution Specialist 2
Wellstar MGBO- Remote
12.2020 - Current
Account Resolution Specialist 1
Wellstar MGBO – Remote
08.2017 - 11.2020
Wellstar Cardiovascular Medicine- Patient Access Representative
Wellstar Cardiovascular Medicine -Douglasville & Acworth Offices
09.2014 - 08.2017
Multiple Titles
Cardiovascular Medicine, PC
03.1995 - 08.2014
High School Diploma -
South Cobb Comprehensive High School
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