I am a loyal and honest worker who is highly motivated, organized and dependable. I work fast paced and stay patient focused. I have experience working with OWCP, Federal Workers Comp, Orthopedic Specialists, Hypertension, and PCP patients. Claims management, payment posting, accounting entries and research. Experience with month end closing, cash management, payroll and tax knowledge.
Work History
Insurance Collections Specialist
North Atlanta Primary Care / South East Medical Group
Knowledgeable in front end claims along with medical policies
Resolve any/all patient billing issues such as correcting claims, calling the payer’s for follow up and explaining outstanding balances to the patient’s
Posting payments and working insurance correspondence.
Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
Negotiated to collect balance in full.
Medical Billing Specialist
Eastside Internal Medicine
Medical Billing and Coding
Properly coding services, procedures, diagnoses and treatments in our EPIC system
Preparing and sending invoices and/or claims for payments
Reviewing and correcting charge errors, submitting corrected claims and appealing when needed
Track payments from insurance companies
Follow up with patients and insurance companies about outstanding bills.
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Payroll Specialist
Regional Medical Group
Calculated payable hours, commissions, bonuses, tax withholdings and deductions
Managed electronic timekeeping systems and reviewing timesheets
Provided information and answered employee questions about payroll-related matters
Responsible for processing, balancing and reconciling payroll data with the accounting systems, as well as processing taxes and other deductions.
Resolved payroll discrepancies quickly and successfully.
Performed calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing database.
Maintained strict confidentiality of all payroll information and records.
Medical Billing and Coding
Kidney Hypertension Clinic
Provided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes, entered diagnosis codes and patient information into our ECW system
Updated and managed diagnosis list, coding audits and executed qualitative analyses of discharged charges
Reviewed and validated accuracy of charges, including dates of service, service provider, location and patient identification
Demonstrated leadership skills that enabled the processing of high volumes to achieve revenue generation goals.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Administrative Assistant
GA Rehab Clinic LLC
Schedule appointments and complete intake paperwork
Print schedules for each
doctor, call patients for appointment reminders, check in each patient, verify insurance,
answer phone calls, take each patient into the exam room, speak to their doctor to
interpret what the patient needs, complete all incoming fax requests and referrals.
Administrative Assistant
Bender Orthopedic & Spine Specialist
Get all patients charts ready for the day before, make all reminder calls, respond to
emails, print schedule for each doctor, turn in all patients OWCP paperwork as well as
Federal Workers Compensation paperwork, send out medical records to responsible
parties, send referrals, medical narratives and DOL responses must be sent to the
claims department before the end of the day, answer all calls, schedule appointments
for each doctor, complete CA17 Form CA20 Form and incap letters as needed.
Education
GED -
Gwinnett Technical College
2013
CPR Certified
Billing & Coding Certified -
Skills
Credit and Collections
Billing Practices
Team Oriented
New Hire Training
Check Writing
Managing Commission Structures
Daily Payroll Activities
Payroll Processing
Research Support
Office Systems Management
Payroll Administration
Payroll Reconciliation
Timeline
Insurance Collections Specialist
North Atlanta Primary Care / South East Medical Group
Director of Clinical Operations at North Atlanta Primary Care/Southeast Medical GroupDirector of Clinical Operations at North Atlanta Primary Care/Southeast Medical Group