Dedicated, hardworking individual with a variety of unique skills who is ready to become an important contributor to your organization, mission, and team.
Overview
14
14
years of professional experience
Work History
Eligibility Specialist
State Of Utah DWS
Clearfield, UT
01/11/21 - Current
Analyzed financial information provided by applicants to verify income levels.
Assisted clients with completing forms required for processing applications.
Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
Prepared detailed reports outlining the reasons why an individual was denied benefits.
Collaborated with other departments within the organization to ensure accurate processing of applications.
Researched case histories, court decisions, legal articles, statutes, codes, and other data pertinent to determination of eligibility.
Assessed potential fraud cases by conducting investigations into suspicious activities.
Processed client applications in accordance with established guidelines.
Ensured compliance with all applicable laws and regulations governing benefit programs.
Monitored client accounts for any changes that could impact eligibility requirements.
Provided guidance on how to apply for benefits and answered questions related to the process.
Maintained comprehensive knowledge of program regulations, policies, and procedures.
Schedule Coordinator
United States - UT United States - UT, Ivy Ventures LLC
Richmond, United States, United States
09.2018 - 12.2020
Assigns work by defining objectives, priorities, and deadlines to myself and co-workers.
Screen and transfer incoming calls, take down messages and transmit information and documents to internal personnel as the main point of contact for office.
Responsible for document processing and verification of the quantity of work load and logging daily work for tracking.
Resolve problems that arise in accordance with agency requirements or local standards.
Completes accurately and thorough screenings, maintaining accuracy rate in accordance with departmental quality goals, as well as ensuring proper identification checks are adhered to at all times.
Thoroughly completes the insurance verification process to ensure the accuracy of all documentation.
Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
Creates, maintains and monitors daily logs and procedures scheduled for assigned physician practices.
Cross-trained existing employees to maximize team agility and performance.
Trained new employees in specific job requirements.
Billing/Customer Service Representative
R1 RCM Communications
Chicago, IL
10.2010 - 08.2018
Participated in meetings with physicians and other healthcare providers regarding coding compliance standards.
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Researched denied claims to determine the cause of denial and corrected errors as needed.
Performed data entry into electronic health record system for all relevant patient information including diagnoses, procedures performed, medications prescribed .
Adhered to HIPAA regulations when handling confidential patient information.
Submitted claims electronically to insurance companies in accordance with regulations.
Trained new employees on medical coding practices.
Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
Maintained detailed accounts receivable aging reports on a daily basis to ensure timely payments from patients and insurance companies.
Education
Technical or Occupational Certificate - Medical Office Management
Vista College
Layton, UT, United States
9 2010
Associate of Applied Science - General Studies
Weber State University
Ogden, UT
Skills
Management of State and Federal Funding
Implements and ensures compliance with State and Federal Laws
Effective Leadership and mentoring abilities
Workflow optimization to meet deadlines
Experienced in working in grant-based entities; budgeting, compliance, community outreach
Confidential documentation and reporting
Office procedures understanding
Understanding of medical terminology
Healthcare coding
Multitasking and Organization
Inbound and Outbound Calling
Customer Service
Timeline
Schedule Coordinator
United States - UT United States - UT, Ivy Ventures LLC
09.2018 - 12.2020
Billing/Customer Service Representative
R1 RCM Communications
10.2010 - 08.2018
Eligibility Specialist
State Of Utah DWS
01/11/21 - Current
Technical or Occupational Certificate - Medical Office Management
Vista College
Associate of Applied Science - General Studies
Weber State University
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