5+ Years overall hospital Revenue Cycle, accounts receivable background, and medical billing
Experience with Human Resource services including long and short term disability, and child support orders
Excellent organizational and communication skills as recognized by others
Sharp, quick learner, exceptional attention to detail. A reputation for excellence.
An organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking entry-level opportunities to enhance abilities while contributing to company growth.
Overview
11
years of professional experience
Work History
Savista
Phoenix, AZ
Medical Insurance Accounts Receivable Representative 1
07.2019 - 03.2024
Job overview
Follow up and resolve outstanding accounts with no payments, partial payments, or denials in a timely manner for all insurance carriers
Track patterns of denials and rejections
Institute corrective action for the future
Resolve and resubmit rejected and unpaid insurance claims
Resolve returned mail
Work with medical staff to resolve coding issues and associated problems
Follow up on patient accounts receivable
Place calls to insurance companies or patients verifying the status of account
File reconsiderations and appeals when necessary
Navigate through payer portals
Eligibility verification
Collect payments from insurances, and patients for processing
Work with coder, credentialing, and cash posting to fix account issues
Communicated effectively with clients to ensure timely collections.
nThrive
Phoenix, AZ
Support Services Representative
07.2019 - 03.2024
Job overview
Assist with primary & secondary billing for EDI and paper claims that include attaching medical records, itemized statements, and EOB's
Clerical support that includes uploading, printing, & mailing out medical records requested from the database queue
Sort through documentation on a daily basis for appeals/reconsiderations to aid in the research and processing of refunds
Responsible for scanning and indexing daily correspondence received
Provided exceptional service and support to guests, customers and employees.
Dignity Health HRSC Corporate Office
Phoenix, AZ
EDD Specialist
10.2018 - 07.2019
Job overview
Administering LTD-STD/PFL claims by verifying LDW and RTW dates using Team, Matrix, and Lawson software
Assist with QMCSO and QDRO child support orders
Assist with short term disability claims for Manhattan Life
Conifer Health Solutions
Phoenix, AZ
Support Services Representative
11.2015 - 07.2018
Job overview
Assist with primary & secondary billing for EDI and paper claims that include attaching medical records, itemized statements, and EOB's
Clerical support that includes prepping & processing vendor invoices, ordering supplies, uploading, printing, & mailing out medical records requested from the database queue
Sort through documentation on a daily basis for appeals/reconsiderations to aid in the research and processing of refunds
Responsible for scanning and indexing daily correspondence received via Wells Fargo Lockbox processing
Support other areas within the department to complete any backlog on an as needed basis
Destination Maternity
Scottsdale, AZ
Merchandise & Sales Coordinator
09.2013 - 11.2015
Job overview
Ensured the brand integrity of the lease location followed company and/or leased partner standards regarding visual and marketing directives
Confirmed all promotional sign changes were executed in a timely fashion
Validated all transfers, price changes, damages, and/or mark downs, and made sure they were completed within the required time frame and met the business standards
Optimized product presentation on the sales floor to attract clients to new items, and increase sales quota
Provided outstanding Customer Service to enhance the clients shopping experience overall
CVS Pharmacy
Glendale, AZ
Pharmacy Tech Trainee
11.2014 - 02.2015
Job overview
Managed all assigned pharmacy workstations & tasks to support the team's ability to promptly, safely, and accurately fill patient prescriptions
Provided significant customer service that surpassed the customer expectations, while expressing patience, and empathy when needed
Took important steps to ensure all medication and regulatory compliance standards were met
Additionally, demonstrated ethical conduct and maintained patient confidentiality at all times while abiding by HIPAA & PHI laws
Peoria, AZ
Full Time Homemaker
03.2013 - 11.2013
Education
Brookline College
Phoenix, AZ
General Education Diploma
01.2012
Skills
Office Management
Admin/clerical support
Long/Short term disability claims
Child support orders
Hospital Billing
UB-04 forms
1500 professional forms
Medical records
Appeals documentation
Scanning
Indexing
Sorting
Filing
Mailing certified/priority
Report/Document preparation
Invoice processing
Records management
Payroll
Advanced Computer skills
Microsoft Office
Outlook
Excel
Word
PowerPoint
Access
Apple/Mac OS
10-key
Meditech
Cerner Works
Kronos
SSI
Team
Matrix
Lawson
Service Matters
Image Now
Epic
Collections Management
PCH Global
Pre-bill Explorer
Pre-bill Explorer 1500
Teams
Ultipro
Claims management
Workday
Next Gen
Contract manager
References
Available on request
Timeline
Medical Insurance Accounts Receivable Representative 1