Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Lead Billing Specialist | Patient Accounting
Mt. Graham Regional Medical Center
Safford, AZ
08.2015 - Current
Facilitated credentialing of 40 new Providers.
Assisted in re-negotiating insurance contracts.
Used data entry skills to accurately document and input statements.
Generated monthly billing and posting reports for management review.
Developed and maintained billing procedures to make timely payments.
Researched and resolved billing discrepancies to enable accurate billing.
Reviewed and reconciled customer accounts to manage accuracy of payments.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Responded to customer concerns and questions on daily basis.
Handled account payments and provided information regarding outstanding balances.
Audited and corrected billing and posting documents for accuracy.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Monitored outstanding invoices and performed collections duties.
Generated monthly invoices for customers in multiple formats to provide transparency.
Provided excellent customer service, developing and maintaining client relationships.
Worked with multiple departments to check proper billing information.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Utilized various software programs to process customer payments.
Created improved filing system to maintain secure client data.
Processed and verified invoices to secure accuracy of billing information.
Knowledgeable in all Microsoft Office products.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
Located errors and promptly refiled rejected claims
Communicated with insurance providers to resolve denied claims and resubmitted
Precisely evaluated and verified benefits and eligibility
Identified and resolved patient billing and payment issues
Precisely completed appropriate claims paperwork, documentation and system entry
Liaised between patients, insurance companies, and billing office
Communicated effectively and extensively with other departments to resolve claims issues
Filed and updated patient information and medical records
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts
Swing Manager
McDonalds
Safford
05.2011 - 05.2015
Supervised crew of 8-15 people.
Maintained kitchen cleanliness and sanitation through correct procedures and scheduled cleaning of surfaces and equipment.
Reduced health risks and safety hazards by preparing beverage products consistently while creating cleaning schedules, restocking items and sanitizing equipment to adhere to health department standards.
Set and enforced performance and service standards to keep consistent, high-quality environment devoted to customer satisfaction.
Maximized quality assurance by completing frequent line checks.
Enhanced financial controls to minimize theft and loss risks, continuously maintaining accurate accounts and cash drawers.
Trained staff on proper cooking procedures as well as safety regulations and productivity strategies.
Motivated staff to perform at peak efficiency and quality.
Organized and oversaw food service training to educate employees on cleaning tables, relaying orders to cooks and upselling food and beverages.
Oversaw food preparation and monitored safety protocols.
Kept facility compliant with health codes, sanitation requirements and license regulations, alleviating potentially heavy fines.
Implemented effective inventory control systems to reduce food spoilage and waste.
Verified prepared food met standards for quality and quantity before serving to customers.
Inspected equipment and machinery for proper working condition and directed staff to clean and repair as needed.
Oversaw balancing of cash registers, reconciled transactions, and deposited establishment's earnings to bank.
Handled escalated customer concerns with speed and knowledgeable support to achieve optimal satisfaction and maintain long-term loyalty.
Reduced inaccuracies by carefully counting cash and keeping meticulous records of transactions.
Patient Care Technician/Emergency Room Unit Clerk at Mt. Graham Regional Medical CenterPatient Care Technician/Emergency Room Unit Clerk at Mt. Graham Regional Medical Center