Explored remote positions in fields that utilize and enhance professional skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Account Associate II, CRCR
Penn State Health
02.2018 - Current
Achieved timely preparation of high-value reports for Medical Assistance, Medical Assistance HMO, and commercial payers. Delivered comprehensive analysis of medical claims denials for Medical Assistance and Medical Assistance HMO, resulting in improved resolution rates. Maintained up-to-date and accurate patient information, enhancing data integrity. Corrected critical errors on patient accounts, leading to increased compliance. Produced denial letters that facilitated effective communication with stakeholders. Implemented adjustments on accurate patient medical claims, optimizing claims processing. Leveraged external resources such as Promise, Emdeon, Navinet, Availity, and provider portals to analyze medical denials, contributing to enhanced operational efficiency. Trained new employees, resulting in a more competent workforce. Investigated denial trends to develop proactive measures for reducing future denials. Resolved credit issues through detailed analysis of credit reports. Processed overpayment and refund request letters for Medical Assistance and Medical Assistance HMO, ensuring accuracy and compliance.
Patient Account Associate
Penn State Health
11.2013 - 02.2018
Assisted in preparing high-value reports for Medical Assistance, Medical Assistance HMO, and commercial payers. Supported analysis of medical claims denials for Medical Assistance and Medical Assistance HMO using available resources. Updated patient information accurately. Corrected critical errors on patient accounts. Prepared denial letters for communication with stakeholders. Applied adjustments to accurate patient medical claims. Utilized external resources such as Promise, Emdeon, Navinet, Availity, and provider portals to analyze medical denials. Trained new employees on processes and procedures. Studied denial trends to identify opportunities for reducing future denials. Analyzed credit reports to resolve credit issues. Processed overpayment and refund request letters for Medical Assistance and Medical Assistance HMO.
Temp Agent
JFC Staffing
10.2012 - 11.2013
Hershey Medical Center/Penn State Health
Education
High School Diploma -
Central Dauphin East High
Harrisburg, Pa
Associate of Science - Business Administration
Harrisburg Area Community College
Harrisburg, PA
Skills
Assisted in document creation using Microsoft Word Supported data analysis and reporting with Excel Aided in presentation development through PowerPoint Typed at a speed of 50 wpm Applied ICD-9/CPT coding for accurate billing Utilized Medisoft for patient management Facilitated computerized billing processes Operated fax machines for document transmission Contributed to revenue cycle management with Cerner Navigated Power Chart for electronic health records Engaged with EPremis for claims processing Leveraged Emdeon for electronic billing Managed Promise for patient payment plans Accessed Navinet for insurance verification Utilized DocFinity for document management Supported NThrive for revenue cycle solutions
Certification
Healthcare Financial Management Association Hershey, Pa February, 2018
Certified Revenue Cycle Representative
Keystone Technical Institute Harrisburg, Pa August, 2011