Malena Walters
Louisville,KY
Summary
Dependable Patient Account Representative with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
24
24
years of professional experience
1
1
Certification
Work History
PT ACCT REP
CONIFER HEALTH SOLUTIONS
12.2021 - Current
- Worked in Epic, Ace
- Onesource
- Availity
- Updates plan IDs
- Update patient or payor demographic/insurance information
- Help denials team with PDR to get appeal mailed
- Helped support with medical records, itemized statement and appeal
- Help billing team clear edits
- Help eligibility team for a month
- The whole team had mandated 5 hours a week OT for 8 months to help the denials
- Billing and eligibility get caught up
- Participate and attend meetings, training seminars and in-services to develop job knowledge
- Respond timely to emails and telephone messages as appropriate
- Researches each account using company patient accounting applications and internet resources that are made available
- Problem solves issues and creates resolution
- Notate accts in detail
- Identify payer issues and trends
- Escalate payment delays
- Review eob to identify billing and coding issues, request rebills
- Request additional information from patients
- Cob letters
- Etc
- Take appropriate action to bring accts to resolution.
A/r Follow up Trinity Health Facility
Cognizant Technologies Solutions
01.2020 - 12.2021
- Calling insurance to verify claim status.
- Requested rebills
- Updated coding on the claim per coders request and rebilled corrected claims.
- Verified elig.
- Updated insurance.
- Brought accts to resolution.
Worked Physician Claims
Cognizant Technologies Solutions
08.2020 - 12.2021
- Worked in Allscripts.
- Started in eligibility and medical records.
- Moved to Mgd Mcd team and was responsible for ABH.
EOB Review (Jewish facilities and lexington facilities)
Conifer health solutions
03.2017 - 12.2020
- Access Payer Websites
- Reviewed EOB for Denied charges
- Processed CA adjustments
- Directed the acct to Billing or Denials
- Brought accts to resolution
- Trained and mentored new employees
- Responsible for 375 accts a week.
Customer Service Associate
JP Morgan Chase
01.2002 - 01.2006
- Responsible for allocating $250.000 in vault funds.
- Provided exceptional customer service to over 250 people weekly.
- Training and mentored new employees.
- Reviewed and audited co workers work.
- Responsible for ATM.
- Engage clients as they enter the branch.
- Welcoming them.
- Helped clients with every day transactions, deposit, withdraws.
- Build relationship with clients and introducing them to licensed bankers for loans, etc.
Loan Representative
Bank one
01.2000 - 01.2002
- Filed liens on pledged collateral for a territory of 15 states
- Verified lien placement through researching Dept
- Of motor vehicles
- Transferred leased vehicles into loans and creating profit for the company.
PATIENT ACCOUNT REPRESENTATIIVE
10.2018
- Worked aged Inventory
- Small balance Denials
- Quarterly and Annually performance evaluation
- Perform appropriate billing functions
- Letter content to Patients to request addition information
- Verify claim adjudication
- Member of the Ambassador Team
- Member of the Hospitality Team
- Responsible for 250 accts a week.
Education
Degree Title -
Spencerian College
01.2005
Lexington Community College
Diploma -
Breathitt County High School
Skills
- Trained and mentored new employees
- Knowledge of INS collections and INS terminology
- Knowledge and interpretation of EOB
- MS Outlook, Excel, Word
- AR SOFTWARE: Eprimis, ACE,VI Web, Meditech, Allscripts 2 year of Epic experience
- Access Payer Websites: One Source, PNC,
- MYCGS,Availity KYMISS, and Passport) Onesource UHC
Profile Overview
Organized, adaptable and highly motivated with proven ability to work in unison with Managers, Supervisors and Staff with years of healthcare experience doing EOB review and Patient Account Representative.
Certification
Previous CNA certification. CPR.
Languages
English
Professional
References
References available upon request.
Timeline
PT ACCT REP
CONIFER HEALTH SOLUTIONS
12.2021 - Current
Worked Physician Claims
Cognizant Technologies Solutions
08.2020 - 12.2021
A/r Follow up Trinity Health Facility
Cognizant Technologies Solutions
01.2020 - 12.2021
PATIENT ACCOUNT REPRESENTATIIVE
10.2018
EOB Review (Jewish facilities and lexington facilities)
Conifer health solutions
03.2017 - 12.2020
Customer Service Associate
JP Morgan Chase
01.2002 - 01.2006
Loan Representative
Bank one
01.2000 - 01.2002
Degree Title -
Spencerian College
Lexington Community College
Diploma -
Breathitt County High School
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