Keena Hosey
Mize,MS
Summary
Seeking a position in the medical/clerical field that utilizes my extensive computer and medical knowledge, and strong organizational abilities, that will allow me to demonstrate my quality of communication skills in client/patient services. Working Remote Authorized to work in the US for any employer
Overview
18
18
years of professional experience
1
1
Certification
Work History
Billing Follow Up Specialist
Trilogy Health Services RCS
08.2024 - Current
- Worked Remotely
- Timely filing denials
- Adjustments
- Special projects
- Availity
- Change Health care
- MedHost
- Different provider portals
- A/R spreadsheets
- AdvancedMD
- GEHRIMED
- Novitasphere
- UHC provider portal
- MyBlue
- Azalea Health
- Athena One
- Researched billing errors and discrepancies to initiate corrective action.
- Analyzed customer financial records to determine appropriate payment plan.
- Generated and distributed monthly customer statements.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Established relationships with customers to encourage payment of delinquent accounts.
- Entered client details and notes into system for interdepartmental access and review.
- Maintained accurate records of customer accounts, payments and payment plans.
- Processed debtor payments and updated accounts to reflect new balance.
Denial follow up Representative
CorroHealth
09.2023 - 07.2025
- Denial follow up, disputing appeals, follow up calls on multiple insurance payers, obtaining authorizations, checking claim status and appeal status. Working with different portals
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Communicated with clients and customers to gather, provide and share updated information on products and services.
- Generated reports detailing findings and recommendations.
- Educated staff on organizational mission and goals to help employees achieve success.
- Created and managed project plans, timelines and budgets.
- Gathered, organized and input information into digital database.
- Worked Remotely
Medical Billing Specialist/ Follow up specialist
TruBridge, Inc. CPSI LLC
08.2021 - 09.2023
- Worked Remotely
- Primary biller of all Commercial payers, making sure all claims are clean and correct for the clearing house.
- Submitted claims by fax, provider portals, email and through Revenue Management.
- Obtaining Prior Authorization
- Submitted claims in a timely manner
- Follow up
- Adjustments for non covered charges
- Verification of correct insurance information
- Billing claims through RCM
- Workman comp claims
- MVC claims
- RCM
- Cerner
- Working remotely from home
Commercial/Medicaid biller
Kanopy Healthcare Partners
04.2020 - 08.2021
- Secondary's
- Workman comp
- VA claims
- Primary Commercial biller
- Medicaid Secondary's
- Process all in a timely manner
- Medical records for workman comp and all VA claims.
- Cerner, Revenue Manager etc..
Medicare, Medicaid Biller/Collector
South Central Regional Medical Center
07.2018 - 03.2020
- Medicare biller
- Checking Eligibility
- Filing secondary claims
- Follow up
- Filing Medicaid inpatient crossovers
- Outpatient Medicaid crossovers
- Charity assistance
- Payroll deductions
- Collection calls
- Working collections on past due accounts after insurance has paid
- Self pay collections
- Advance MD
Inpatient/Outpatient/ ER Administration Clerk
Covington County Hospital-Outpatient Department
01.2015 - 06.2018
- Cross trained
- Responsible for daily operations of whichever department you were scheduled with
- Admitting patients according to outpatient doctors orders
- Fast pace with admitting ambulance patients and emergent and non-emergent patients
- Verifying insurance eligibility
- Collections of any and all copays, deductibles due upon entry
- Setting up payment arrangements and financial aid packets
- Admitting of patients to Inpatient stay and obtaining all legal signatures
- Reprice VA claims
- Review of Medicare/Medicaid bad debt reports monthly
Payday & Title Loan Manager
Magee Cash
09.2011 - 06.2014
- Responsible for daily collections on customer accounts
- Setting up payment plans and working accounts receivable
- Processing of loans, repos, title liens, judgements, & garnishments
- Processing of payday advance loans
- Keeping office organized
- Daily soliciting to recruit customers
Biller
Hattiesburg Clinic
04.2010 - 09.2011
- Medicaid/Medicare follow up
- Checking daily invoices for payment from various insurance agencies
- Contacting various insurance companies to verify patient coverage
- Pulling patient files and medical documents for review
- Taking phone calls from insurance agencies
- Updating patient information
- Processing of various EOB's for correct filing of claims
- Working daily rejections
Medical Claims Specialist
Pioneer Health Services
07.2007 - 04.2010
- Meeting weekly and monthly deadlines
- Assisting of patient phone calls
- Contacting insurance agencies to verify patient information on payment of claims
- Updating of patient information
- Reviewing of data entry, charges, payments, posting, and adjustments
Education
High school or equivalent - General
Magee High School
Magee, MS01.2002
Skills
- Anatomy Knowledge
- Anatomy knowledge
- Telehealth
- FMLA
- Organizational skills
- Medical Office Experience
- Clerical experience
- ICD-10 (7 years)
- Workers' compensation (5 years)
- ICD-9
- Live chat
- Office management (10 years)
- Customer service
- Typing
- Medical Records (10 years)
- Skilled nursing facility
- Patient interaction
- Insurance Verification (10 years)
- HIPAA
- RCM (2 years)
- Medical terminology
- Cold calling (3 years)
- Accounts receivable
- Microsoft Outlook
- Leadership
- Medical billing
- Medical Terminology
- Web services
- Cash handling
- HCPCS
- Salesforce
- Customer service (10 years)
- Data management
- ICD-10
- Computer skills
- Medicare (8 years)
- CPT coding
- Hospitality
- Cerner (4 years)
- Medical Receptionist
- Microsoft Word
- Insurance prior authorization
- Documentation review
- Accounts Receivable
- Google Workspace
- Medical Scheduling
- EMR systems
- Phone etiquette
- Clinic
- Computer networking
- Time management
- Hospital experience
- Loan processing
- Acute care
- Revenue cycle management
- MVC
- Epic
- Data analysis skills
- Web Services
- AS400
- Analysis skills
- Hospital Experience
- Medical records
- Medical Billing
- Medical coding
- Revenue management
- Microsoft Powerpoint
- Contracts (5 years)
- Microsoft Excel
- Customer support
- DRG
- Writing skills
- Patient care
- EMR Systems
- Cash register
- Windows
- Email management
- Adjustment posting
- Teamwork
- Customer relationship management
- Time management abilities
- Account management
- Verbal and written communication
- Pleasant telephone demeanor
- Telephone etiquette
- Account investigation
- Payment management
- Decision-making
- Professional ethics
- Teamwork and collaboration
- Excellent communication
- Billing dispute resolution
- Debt recovery
- Computer literacy
- Payment scheduling
- Organization skills
- Managing delinquent accounts
- Data analysis
- Team collaboration
- Adaptability and flexibility
- Credit and collections
- Bill processing
- Paperwork processing
- Debt collection
- Documentation and recordkeeping
- Account monitoring
- Insurance company communication
- Payment plan development
- Client relationship management
- Process payments
- Written communication
- Automated account review
Certification
- Driver's License
- Medical Billing Certification
Languages
English
Additional Information
- KEY QUALIFICATIONS
- Patient billing collections
- Experience in Microsoft Word, Excel, Access, and Outlook
- Type 45 WPM
- Professional telephone skills and Etiquette
- Proficient in AS400 Billing Software
- Passport
- Proficient in CPSI
- Proficient in Magnolia Health Plan, MS Envision, Mscan Health Plan
- Proficient in BlueCross Blue Shield
- Collections, loans, and setting up payment plans
Timeline
Billing Follow Up Specialist
Trilogy Health Services RCS
08.2024 - Current
Denial follow up Representative
CorroHealth
09.2023 - 07.2025
Medical Billing Specialist/ Follow up specialist
TruBridge, Inc. CPSI LLC
08.2021 - 09.2023
Commercial/Medicaid biller
Kanopy Healthcare Partners
04.2020 - 08.2021
Medicare, Medicaid Biller/Collector
South Central Regional Medical Center
07.2018 - 03.2020
Inpatient/Outpatient/ ER Administration Clerk
Covington County Hospital-Outpatient Department
01.2015 - 06.2018
Payday & Title Loan Manager
Magee Cash
09.2011 - 06.2014
Biller
Hattiesburg Clinic
04.2010 - 09.2011
Medical Claims Specialist
Pioneer Health Services
07.2007 - 04.2010
High school or equivalent - General
Magee High School
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