Paula Taylor

• Prepared and processed provider enrollments with Medicare and Medicaid in multiple states.
• Monitored credentials and contacted practitioners when expiration dates were nearing.
• Created and implemented provider acquisition initiative with focus on high-margin services.
• Conversed effectively with various parties on daily basis using polished interpersonal and active listening skills
• Finalized and processed enrollment applications.
• Met or exceeded enrollment and retention goals consistently.

• Prepared and processed provider enrollments with Medicare and Medicaid in multiple states.
• Used OneView to enter provider effective dates into enrollment database.
• Created and implemented provider acquisition initiative with focus on high-margin services.
• Conversed effectively with various parties on daily basis using polished interpersonal and active listening skills
• Finalized and processed enrollment applications.
• Met or exceeded enrollment and retention goals consistently.
• Provided policy information and maintained enforcement.

• Handled all patient concerns, questions, accounts, and escalations.
• Provided excellent customer service to patients and medical staff.
• Answered incoming calls, scheduled appointments, and filed medical records.
• Facilitated communication between patients and various departments and staff.
• Followed document protocols to safeguard the confidentiality of patient records.
• Trained new staff on filing, phone etiquette, and other office duties.
• Resolved customer complaints using established follow-up procedures.
• Verified patient insurance eligibility and entered patient information into the system as needed.
• Processed payments using credit cards, maintaining accurate records of transactions.

• Used Cerner to record and organize patient insurance and medical information.
• Collected demographic and insurance information from patients.
• Verified insurance benefits, processed payments, and issued receipts.
• Organized, checked, and submitted all related paperwork.
• Provided thorough information about admissions policies, financial requirements, and check-in procedures.
• Determined appropriate appointment type and scheduled each in system.
• Scheduled patient appointments, collected copays and verified insurance coverage to complete check-ins.
• Confirmed patient demographics and updated practice management software for accuracy.
• Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
• AUsed Cerner to record and organize patient insurance and medical information.ssisted in processing patient payments via cash, checks, and credit cards.
• Safeguarded patient privacy with strict adherence to data security protocols related to electronic health records.
• Entered patient information into the payment system accurately for billing purposes.

• Compiled and tracked outstanding balances owed to medical facilities.
• Processed billing calls and answered questions from patients and third-party carriers.
• Corrected, completed, and processed claims for multiple payer codes.
• Processed online and paper appeal submissions and refund requests.
• Assisted in reconciling deposit and patient collections.
• Logged charges and payments within Greenway.
• Handled account payments and provided information regarding outstanding balances.
• Responded to customer concerns and questions on daily basis.
• Monitored outstanding invoices and performed collections duties.
• Used data entry skills to accurately document and input statements.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Developed strong working relationships with management and executive team through effective scheduling and communication skills.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Verified insurance coverage and obtained pre-authorizations.
• Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
• Followed up with patients to reschedule missed appointments.

• Completed registration paperwork, verifying accurate patient information.
• Updated patient contact information to support accurate electronic medical records.
• Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
• Answered patient questions and inquiries regarding registration process and documentation.
• Assisted in processing patient payments via cash, checks and credit cards.
• Entered patient information into payment system accurately for billing purposes.

• Prepared and processed provider enrollments with Medicare and Medicaid.
• Verified insurance of patients to determine eligibility.
• Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
• Posted payments and collections on regular basis.
• Collected payments and applied to patient accounts.
• Reviewed patient records, identified medical codes, and created invoices for billing purposes.
• Reviewed patient diagnosis codes to verify accuracy and completeness.

Kept track of and handled all day-to-day office duties including but not limited to:

• Billing for four hospitals; newborns and NICU patients
• Billing for all commercial carriers, and Medicaid's
• Coding of all claims by doctor's hospital medical records
• Posting and reconciling insurance and patient payments
• Creating organized spreadsheets using Microsoft Excel for tracking all accounts
• Appealing any and all denied claims to insurance within the filing deadline
• Sent secondary claims upon processing of primary claims
• Kept up doctor's credentialing applications.
• Executed billing tasks and recorded information in company databases.
• Kept all patient information secure and confidential.
• Followed up with appropriate parties to obtain prompt payments.