To continue to grow within a stable corporation, where commitment and hard work will be rewarded, as well as possible career advancement.
Overview
24
24
years of professional experience
Work History
Billing Representative
Comcast/Xfinity
11.2018 - Current
Outbound call center, made outbound calls to current Xfinity customers to first verify all the customer’s needs are met as well introduce the customers to new products and services that can give the customer more services to meet all the customer’s needs. 11/2018-current. Also taking inbound calls, setting up new services, changing old packages and creating new ones. Resolved any billing issues as needed. Able to use critical thinking skills to resolve and troubleshoot issues pertaining to customer's needs. Able to use time management effectively at a fast pace to add problem solving.
AR Representative
Benevis/Koolsmiles
01.2017 - 10.2018
My duties were as follows, verified all demographics information updates including all insurance data and verified eligibility requirements.
Updated all edit codes to determine if the PCP or/and Affiliates have received the referral or authorization from UM nurse.
Determined if the claim is adjudicated and paid or denied and at times pending for further research. Upon check out, set upcoming appointments, along with verifying consent form for upcoming surgeries if needed.
Processed claims for the states Virginia and the District of Columbia Medicare and Medicaid users of Kool smile facilities, set up all payment arrangements and collected required payments before service was provided.
Front Office / Patient Accounts
National Pain Care
11.2014 - 12.2016
Prepared patients billing statements for Georgia and Kentucky pain clinic physicians.
Review all schedules daily. Collect and run all incoming credit cards for GPP, KPC, to be forward to the Cash Posting Team, set all payment arrangements if need be. Received all calls from clinics for GA & KY.
Troubleshooting any problems from the clinic as well as the patients and clinic manager, played the role of “POINT OF CONTACT” for patients and clinics.
Assisted in evaluating the patient's financial status and devised a payment plan per account. Follow up on delinquent accounts.
Cash Posting / AR Follow-Up
Fresenius Medical Billing Group
10.2013 - 11.2014
Received the electronic deposit via email from the bank downloads and images of pages of Explanation of Benefits (EOB’s) to print the Remittance Advice (RA) reposts from the electronic database.
Applied the batch transactions to the appropriate accounts in the appropriate medical billing software application (Medical Manager or Imagine).
Generate payment application report and attach to the batches posted for the day. Close all medical billing application batches on a daily basis, making sure all payments total, if payment exceeds the government publish fee schedule.
Send the payment poster a voluntary refund request to Medicare/Medicaid via mail, fax mail or telephone, as the specific Intermediary or State Agency requires.
Surgical Scheduler
Wellstar Health System
01.2002 - 01.2013
Schedules office and hospital based medical procedures, for patients with appropriate provider and time/location slot, utilizing appropriate scheduling code.
Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.
Confirms patient’s insurance provider and either obtains prior authorization or communicates need for prior authorization to appropriate parties as needed.
Ensures patients have proper medical clearance and pre-surgical testing as needed.
Completes pre-procedure phone calls and confirms appointment times with patients via telephone.
Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider.
Completes accurate documentation of informed consent with patients for procedures and surgeries as needed.