Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
26
26
years of professional experience
Work History
Front Desk/Billing Specialist
Troy Regional Medical Center
Troy, AL
10.2011 - Current
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Posted and adjusted payments from insurance companies.
Located errors and promptly refiled rejected claims.
Precisely evaluated and verified benefits and eligibility.
Identified and resolved patient billing and payment issues.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Communicated effectively and extensively with other departments to resolve claims issues.
Precisely completed appropriate claims paperwork, documentation and system entry.
Determined prior authorizations for medication and outpatient procedures.
Evaluated patients' financial status and established appropriate payment plans.
Pre-certified medical and radiology procedures, surgeries.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Prepared billing statements for patients and verified correct diagnostic coding.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Prepared accounts with past due balances and transferred those cases to collection agency.
Posted surgical charges for practice providers.
Alabama Real Estate Agent
Coldwell Banker, First Ozark Realty
Ozark, AL
01.1996 - 01.2011
Advised and informed prospective clients on current market activities and conditions
Handled day-to-day happenings of real estate office to consistently grow client base and increase revenue
Compared recently sold area properties to determine competitive market prices
Wrote contracts to outline sales and purchases of properties
Worked flexible hours across night, weekend and holiday shifts.
Developed and maintained courteous and effective working relationships.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Offered friendly and efficient service to customers, handled challenging situations with ease
Education
Associate of Arts - Business Administration
George C Wallace Community College - Dothan
Dothan, AL
06.1997
Skills
Posting Charges
Credit and Cash Payments
Insurance Plan Verification
Account Balancing
Revenue Reviews
Data Entry and Database Software
Patient Data Management Systems
Patient Data Privacy
Medical Records Requests
Electronic Medical Records Management
Information Updates
Positive Attitude and Energetic
Timeline
Front Desk/Billing Specialist
Troy Regional Medical Center
10.2011 - Current
Alabama Real Estate Agent
Coldwell Banker, First Ozark Realty
01.1996 - 01.2011
Associate of Arts - Business Administration
George C Wallace Community College - Dothan
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