Summary
Overview
Work History
Education
Skills
Timeline
Generic
Michelle Golob

Michelle Golob

Portland,Tn

Summary

32 years experience in the Healthcare Medical Billing. Working knowledge of Physician, hospital, free standing facilities, Ambulance billing and collections. Obtained referrals for Physicians. Worked with various billing and collection systems such as Florida Shared, Amicas, AS400, TDH Connect and SSI, Relay Health, MERTS/CWF, RCM, Epic, Novitasphere, Integrity. VA specialist using the Availity, Passport and Optum systems to obtain eligibility for VA.

Overview

25
25
years of professional experience

Work History

Manager

LegalShield
06.2024 - Current
  • Responsible for recruiting clients for sales position.
  • Marketing Legal plans and ID theft protection to individuals, small businesses and large group benefits.
  • Responsible for preparing and sending nightly reports of activities performed daily.
  • Calling lead prospects and setting up interviews.
  • Conducting interviews.

Owner/ CEO

Puckett Travel Agency
01.2024 - Current
  • Responsible for ensuring clients get the best travel possible.
  • Researching travel destinations.
  • Sending itineraries to clients and sending reports to the host agency through Excel Spreadsheets.

Senior claims analyst III

Aspirion
04.2023 - Current
  • Responsible for Billing, coding, ensuring proper reimbursement on physician and facility based claims with a high rate of resolution.
  • Working with senior management and resolving payer issues.
  • Working various systems including EPIC, RCM, Availity, DDE, Novita sphere, OHID, Medicaid and working various payers to ensure correct reimbursement.

Medicare Specialist

HCA Medicare Service Center
09.2007 - 04.2023
  • Executed data entry, billing, and coding tasks with precision.
  • Followed up on Medicare claims to ensure high resolution rates.
  • Utilized multiple systems including DET/CRT, Artiva, SSI, Onbase, Optum, Availity.
  • Collaborated with management to enhance workplace diversity and inclusion initiatives over five years.
  • Served on employee Advisory Group to gather suggestions and address workplace concerns.
  • Reviewed policies and resolved employee complaints to maintain an effective work environment.

Reimbursement Specialist

Radiology Alliance, P.C.
01.2006 - 12.2007
  • Reimbursement Specialist for various health insurance companies including BCBS, Medicare and commercial insurance.
  • Obtaining retro Authorizations for Physicians and working appeals for authorizations.

Hair Stylist

Hello Gorgeous
01.2003 - 12.2006
  • Duties included managing a high volume of clientele and ensuring quality customer service.

Claims analyst

Sumner Medical Group
01.2002 - 12.2003
  • Responsibilities included posting charges, follow up for all health insurance companies.
  • Posting payments.
  • Worked denied claims with high rate of resolution.
  • Responsible for running reports and charts for A/R.

Claims analyst

Advance Receivables Strategy
01.2001 - 12.2002
  • Responsible for reimbursement of all health insurance companies.
  • Electronic billing through Florida Shared, TDH Connect, and SSI.

Education

Skills Life College -

New Skills Life College
01.2021

Medical Career -

Nashville College of Medical Career
Nashville
01.2002

Beauty College -

Ann's Beauty College
01.1990

High School -

Portland High School
Portland, Tn
01.1989

Skills

  • Client recruitment
  • Legal marketing
  • Activity reporting
  • Claims resolution
  • Billing accuracy
  • Customer relationship management

Timeline

Manager

LegalShield
06.2024 - Current

Owner/ CEO

Puckett Travel Agency
01.2024 - Current

Senior claims analyst III

Aspirion
04.2023 - Current

Medicare Specialist

HCA Medicare Service Center
09.2007 - 04.2023

Reimbursement Specialist

Radiology Alliance, P.C.
01.2006 - 12.2007

Hair Stylist

Hello Gorgeous
01.2003 - 12.2006

Claims analyst

Sumner Medical Group
01.2002 - 12.2003

Claims analyst

Advance Receivables Strategy
01.2001 - 12.2002

Skills Life College -

New Skills Life College

Medical Career -

Nashville College of Medical Career

Beauty College -

Ann's Beauty College

High School -

Portland High School

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