Nakeya Addison
Roebuck,SC
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Dedicated Patient Account Representative bringing five years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.
Overview
5
5
years of professional experience
Work History
Patient Account Representative
Conifer Health Solutions LLC
Bedford, NH
11.2022 - Current
- Provided customer service to patients regarding billing inquiries and account information.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
- Recorded information about status of collection efforts.
Billing Specialist
RGL Associates
Brunswick, GA
10.2021 - 08.2022
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Sent medical records/claims/consent forms by fax or email when needed
- Sent claims for adjustment when insurance responded
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Reaching out to other coworkers to resolve trending denials
- Sending coding request when claim denies invalid procedure or modifiers.
Billing Specialist
Paradigm Labs
St Simons Island, GA
07.2019 - 08.2021
- Entering in correct diagnosis codes to match demos
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Adhering to HIPPA guidelines in regards to patient's info
- Correctly placing samples with discrepancies on hold for the lab to look into
- Detailed checks on statements ensuring address, name, and insurance is correct
- Fill in other positions (answering phones) as needed.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Performed data entry to update customer accounts with payment details.
- Adhered to all applicable laws, regulations, and standards pertaining to billing practices.
- Monitored customer accounts regularly for potential problems or discrepancies.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Education
Associate of Science - Health Science
Ultimate Medical Academy
01.2019
High school diploma -
Brunswick High School
05.2007
Skills
- CPT Knowledge
- Denial Management
- Quality-oriented team player
- Files and records management
- Insurance Verification
- Multitasking and Organization
- Accounts Payable
- Claims review
- HIPAA Compliance Certification
- Account Reconciliation
- Claims Processing
- Billing and Collection Procedures
- Electronic Health Record Software
- Medical Terminology
- Medicaid and Medicare Knowledge
- Word Processing
Timeline
Patient Account Representative
Conifer Health Solutions LLC
11.2022 - Current
Billing Specialist
RGL Associates
10.2021 - 08.2022
Billing Specialist
Paradigm Labs
07.2019 - 08.2021
Associate of Science - Health Science
Ultimate Medical Academy
High school diploma -
Brunswick High School
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