Paul Buzbee
Newberry ,FL
Summary
With a proven track record at Shands UF, I adeptly navigated financial processes, ensuring optimal reimbursement through meticulous demographic and billing data collection. My leadership skills, honed as a Squad Leader in the US Army National Guard, foster team cohesion and discipline. Expert in obtaining pre-certifications and verifying insurance benefits, I excel in fast-paced environments, driving efficiency and accuracy.
Overview
28
28
years of professional experience
Work History
Outpatient Financial Specialist
Shands UF
03.2000 - Current
- Via telephone or in person, collect demographic and billing information in a courteous and professional manner to ensure financial reimbursement.
- Conducts benefit inquiries with payers to determine eligibility and benefit levels for service(s). Account note of inquiries is fully documented and outside vendor documentation is scanned within the patient record.
- Obtain Pre-Certification, Authorization and/or Referral for facility, ancillary services. This includes Payer Specific Agreements (PSA), required for reimbursement from non-contracted payers.
- Contributes to the Point of Service (POS) collections for the facility. Negotiates, accepts, posts and deposits payments on behalf of the facility and certain professional services. Create estimates using the system tool based on procedure and insurance benefits.
Squad Leader
US Army National Guard
11.1996 - 12.2015
- Conducted thorough after-action reviews following each operation to identify areas for improvement and implement necessary changes.
- Operated heavy equipment, and fire equipment
- Enhanced team cohesion with regular debriefings, feedback sessions, and team-building exercises.
- Deployed to Afghanistan 2005-06 and again to Kuwait 2010.
Education
Leadership
US Army NCO Academy
Ft Jackson, South Carolina10-2000
Associate of Arts - General
St Johns Community College
Orange Park, FL06-1992
Skills
- Obtain Pre-Certifications
Availity, UHC, ACHA
- Collect demographic and billing information
- Data entry
- Verify insurance benefits prior to patient receiving services, including but not limited to:
a Limitations of coverage
b Determination of in/out-of-network benefits
c Out of pocket
d Deductible amount
e Co-pay or co-insurance amount
Timeline
Outpatient Financial Specialist
Shands UF
03.2000 - Current
Squad Leader
US Army National Guard
11.1996 - 12.2015
Leadership
US Army NCO Academy
Associate of Arts - General
St Johns Community College
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