I am currently looking for a full time position in an environment that offers a greater challenge, increased benefits for myself, and the opportunity to help the company advance efficiently, productively and maintain and excellent reputation.
Overview
11
11
years of professional experience
Work History
Credentialing Assistant
Washington University School Of Medicine
St. Louis, MO
04.2022 - Current
Received and evaluated applications to look for missing and inaccurate information.
Conducted primary source verifications such as background checks and board certifications.
Enrolled providers and Medicaid, Medicare and private insurance plans.
Obtained NPI numbers for providers and facilities and updated existing profiles.
Prepared records for site visits and file audits.
Processed documentation for employee actions such as new hires, grievance resolutions and terminations.
Helped employees register for benefits programs using online portals.
Compiled employee records from individual departments to maintain central files.
Converted employee status from temporary to permanent.
Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Medical Billing and Collections Specialist
Washington University School Of Medicine
St. Louis, MO
04.2021 - 04.2022
Logged charges and payments within Epic.
Gathered information from multiple sources to simplify billing and organize accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Adhered to established standards to safeguard patients' health information.
Filed and updated patient information and medical records.
Communicated with insurance providers to resolve denied claims and resubmitted.
Prepared billing statements for patients and verified correct diagnostic coding.
Executed billing tasks and recorded information in company databases.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Collected payments and applied to patient accounts.
Orchestrated medical coding, payment posting, accounts receivables and collections.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Customer Service Representative
Blue Cross Blue Shield
St. Louis, MO
08.2020 - 03.2021
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered customer telephone calls promptly to avoid on-hold wait times.
Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
Cultivated customer loyalty, promoted repeat business and improved sales.
Provided information regarding charge accounts and loyalty programs.
Consulted with outside parties to resolve discrepancies and create expert solutions.
Evaluated account and service histories to identify trends, using data to mitigate future issues.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
Sought ways to improve processes and services provided.
Effective liaison between customers and internal departments.
Educated customers about billing, payment processing and support policies and procedures.
Scheduler / Sales
ALL SOLUTIONS PEST CONTROL
St. Charles, MO
03.2020 - 07.2020
Managed large volumes of calls daily
Satisfied clients’ inquiries and reduced complaints
Maintained accurate notes on all clients
Handled all billing, invoices, calls, etc
Scheduled several technicians’ routes daily to ensure that they have the most efficient flow possible
Scheduled, rescheduled, and cancelled appointments based on patient's and staff's availability
Entering payment info via bank account, credit card, or check
Worked on sales – procured concrete business appointments and scheduled them on a widely shared database
Provide information regarding the service in question with full knowledge
Data entry via phone calls and e-mails
Excellent computer, communication, problem-solving and time management skills
Medical Billing & Collections Representative
DRAYER PHYSICAL THERAPY
Columbus, MS
01.2019 - 03.2020
Receive and sort mail
Upload daily deposit and checks
Work with customers on explaining explain their bills, benefits and payment options
Properly completed processes for MVA and workman's compensation related cases and communicated effectively with patient's attorneys
Utilize all aspects of Microsoft Office software, Raintree, Waystar/Zirmed, Laserfiche, etc
Work with insurances to correct and reprocess claims
Insurance benefits verification and obtaining authorizations
All things AR /AP
Submit all types of insurance claims
Distribute and investigate all aspects of insurance refunds
Keeping important and confidential files organized and up to date
Supervised all Oklahoma clinics, assuring new patient initial evaluations were complete andcorrect
HR Staffing Recruiter / Customer Service Representative
WISE STAFFING GROUP
Columbus, MS
07.2017 - 01.2019
Researched prospective and identified potential candidates and clients
Acted a liaison between client and the candidate articulating needs as well as providing innovativesolutions
Provided recommendations for and assisted in implementing improvements on training
Prepared branch for complete payroll system change and troubleshot problems along the way to ensure employees be
paid on time
Fast learner to new software and programs, computer savvy
Demonstrated use of professional judgment and critical thinking skills by identifying potential issues and discussing
possible resolutions regarding various client needs
Prepared communication for client meetings as well as conducting presentations
Developed solid relationships with clients and effectively communicated with team members with in various functions
Developed a job-fair program and participated in several and hosted one
Organized client after hours holiday celebration
Consistently met and exceeded our monthly sales goals of the office by filling openpositions
Instrumental in keeping our office running smooth on a day to day basis
Performed payroll and invoice duties when needed
Worked directly under Office Manager and VP of Sales for the whole company.
Cashier / Waitress
SWEET PEPPER'S DELI
Columbus, MS
09.2016 - 01.2017
Happily aided customers in the restaurant with any needs
Served as cashier for Smacker's, running the entire store for a shift on my own
Sharpened communication skills by resolving customer complaints and creating a healthy environment
Learned to thrive in fast-paced work environments
Provided individualized customer service to restaurant patrons
Took food orders, stocked items, provided conflict resolution
Data entered orders into POS system, provided service tickets
Handled cash / card transactions and maintanined a balanced drawer
Waitress / Host
Cracker Barrell
Columbus, MS
03.2016 - 09.2016
Provided individualized customer service to restaurant patrons
Took food orders, prepared items, provided conflict resolution
Data entered orders into POS system, provided service tickets.
Waitress / Host and Cashier / Trainer
STEAK N SHAKE
Saint Charles, MO
06.2015 - 01.2016
Collaborated with management in training new employees once being promoted
Multi-tasked by seating guests as they arrived while continuously assisting already seated clientele
Happily aided customers in the restaurant with any needs
Served as cashier for departing customers
Sharpened communication skills by resolving customer complaints and creating a healthy environment
Learned to thrive in fast-paced work environments
Provided individualized customer service to restaurant patrons
Took food orders, prepared items, provided conflict resolution
Data entered orders into POS system, provided service tickets
Handled cash / card transactions and maintanined a balanced drawer
Education
EAST MISSISSIPPI COMMUNITY COLLEGE
High School Diploma -
New Hope High School
Columbus, MS
2016
Skills
Human Resources Management Systems
Employment Recordkeeping
Provider Enrollment
Problem Resolution
Customer Service
Credentialing Policies
Benefits Explanations
Computer Literacy
Clerical Support
Billing Statements
Timeline
Credentialing Assistant
Washington University School Of Medicine
04.2022 - Current
Medical Billing and Collections Specialist
Washington University School Of Medicine
04.2021 - 04.2022
Customer Service Representative
Blue Cross Blue Shield
08.2020 - 03.2021
Scheduler / Sales
ALL SOLUTIONS PEST CONTROL
03.2020 - 07.2020
Medical Billing & Collections Representative
DRAYER PHYSICAL THERAPY
01.2019 - 03.2020
HR Staffing Recruiter / Customer Service Representative