Summary
Work History
Education
Skills
Timeline
Generic

Janet Evans

Warner Robins,GA

Summary

Experienced medical office professional with a proven track record in billing follow-up and appeals at Atrium Health Navicent, achieving a high success rate. Skilled in customer service and team collaboration, with a strong focus on operational efficiency and regulatory compliance. Continual education enhances expertise and attention to detail in all tasks.

Work History

Medical Office Staff/Administration Office/OB GYN

Atrium Health Navicent
2022 - 2023
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Corrected billing software edits requested by my director, Asst. VP of Operations for AHN.
  • Verified insurance eligibility and coverage for patients on Soarian Software.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Managed patient registration process, confirming data accuracy and completeness.
  • Used Soarian Software to schedule appointments.
  • Handled customer service inquiries in person, via telephone and through email.
  • Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
  • Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
  • Supported new Patient Service Representatives'' orientation process by sharing expertise on office procedures.
  • Verified insurance eligibility and coverage for patients.
  • Self-motivated, with a strong sense of personal responsibility.

Medical Office Staff

Atrium Health Navicent
2020 - 2022

COVID Virtual Call Center and Swab Center

Customer Service; set up virtual doctor’s appointments and swab appointments on Soarian Software; Verified patient information and verification of insurance; called insurance if necessary to verify; corrected system edits; training of new system and train new office reps if they needed assistance. When we changed systems to Soarian. transferred appointments from old system to Soarian.

In charge of providing correct Visit and Swab Counts to my Director.

Medical Billing Rep Follow-up/Customer Service

Atrium Health Navicent
2012 - 2018

Specialized in the optimal reimbursement of patient accounts including investigative research, collection duties, and basic account follow-up. Position has a major impact on converting accounts receivables into cash and accurately recording contractual adjustments impacting financial statements. May communicate extensively with management in other departments, insurance companies, governmental agencies, patients, physician offices and co-workers to collect and process information relative to claims payment. Performs account reconciliations and analysis requiring calculation of: per diems, percent of charge arrangements, insurance accounts receivables (IAR's), fee schedules and patient liability. Uses a variety of resources and information systems to extract, enter, and analyze data. Responsible for all other duties as may be necessary to ensure timely payments of accounts receivable. Appeals to insurance.

Customer Service; Patient phone calls for billing; payments; insurance verification.

Continued education of Insurances and insurances.

Customer Service/Ticket Sales

Busch Gardens Tampa Bay
2011 - 2012
  • Assisting customers will buying, paying for Busch Garden Tickets and trouble shooting if patient lost tickets at ticket office or outside kiosks or Military ticket office.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Worked well in a team setting, providing support and guidance.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Worked flexible hours across night, weekend, and holiday shifts.
  • Paid attention to detail while completing assignments.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Adaptable and proficient in learning new concepts quickly and efficiently.

Education

Continued Insurance, Medical Office And System

Employee Continued Education
Macon, GA
11.2023

Medical Terminology

Medical Terminology
Erie, PA
12.1999

Business

Northwestern High School
Albion, PA
06.1973

Certificate of Technical Studies - Accounting, Business Office

Erie County Vocational Technical
Erie
06.1973

Skills

  • Medical Office/Customer Service/ Medical System Edits/Outpt Referrals
  • Team Oriented
  • Willing to train and provide my contacts to resolve problems
  • Very detailed work
  • Billing follow and appeals - had very high results with appeals
  • Continued educations in all aspects of each position I held

Timeline

Medical Office Staff/Administration Office/OB GYN

Atrium Health Navicent
2022 - 2023

Medical Office Staff

Atrium Health Navicent
2020 - 2022

Medical Billing Rep Follow-up/Customer Service

Atrium Health Navicent
2012 - 2018

Customer Service/Ticket Sales

Busch Gardens Tampa Bay
2011 - 2012

Continued Insurance, Medical Office And System

Employee Continued Education

Medical Terminology

Medical Terminology

Business

Northwestern High School

Certificate of Technical Studies - Accounting, Business Office

Erie County Vocational Technical
Janet Evans