RAYSHAWN PETTUS
Medical Billing Specialist/Customer Service Representative
Birmingham,Alabama
Summary
Competent Medical Billing with 9 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
11
11
years of professional experience
Work History
Medical Billing Specialist
HealthCare Support Staffing
Maitland, Florida
08.2015 - 07.2016
- Effectively maintaining outstanding receivables within specific department set parameters and collaborate with Specialty Pharmacy to provide feedback promoting collection of outstanding monies.
- Manage set of payors and report to Supervisor any issues of why A/R is not collected.
- Identified account discrepancies and issues inhibiting claim payments.
- Investigated and resolved denials and rejections within standard billing cycle timeframe.
- Identified and resolved patient billing and payment issues.
- Precisely evaluated and verified benefits and eligibility
- Prepared billing correspondence and maintained database to organize billing information
Medical Billing Specialist
Pathology Associates of Alabama, P.C
Birmingham, Alabama
10.2005 - 11.2014
- Uploading patients' demographic data from hospital interface.
- Effectively maintaining outstanding receivables within specific department set parameters and collaborate.
- Manage set of payors and report to Supervisor any issues of why A/R is not collected.
- Identified account discrepancies and issues inhibiting claim payments.
- Investigated and resolved denials and rejections within standard billing cycle timeframe.
- Reviewed claim denials and payer requirements for corrective action
- Used electronic charges capture practices such as billing and account receivable system and medical billing clear-house accounts to submit codes and invoices on time.
- Calculate CPT code in amount of $10,000 daily on path reports for inpatient's, outpatient's and outreach patient's my percentage average at end of day 10%.
- Researched and replied to insurance, patient, and internal customer inquiries.
- Investigated and resolved denials and rejections within standard billing cycle time frame.
- Revised patient bills for accuracy and completeness and obtained missing information.
- Maintained and updated information on insurance coverage of diagnosis, procedures, and fees.
- Oversaw and ran necessary reports for monthly and quarterly reporting.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Printed and reviewed monthly patient aging report and solicited overdue payments
- Located errors and promptly refiled rejected claims.
Sales Consultant
Brannon Honda
Birmingham, Alabama
02.2005 - 09.2005
- Cold called and conducted face-to-face sales calls with C-level executives and directors in assigned sales territory.
- Created detailed sales presentations to communicate product features and market data.
- Improved sales by managing sales lifecycle from lead generation through contract negotiations and closings.
- Stayed knowledgeable on latest product innovations and technological advancements through continuous training.
- Managed and maintained personal sales funnel through effective networking and partnership development.
- Overcame objections with successful product demonstrations and persuasive communication skills.
- Supported sales plans by building strategies, proposals, and forecasts.
- Greeting drop-ins, responding to inquiries, recommending.
- Developed positive and productive customer relationships as part of robust referral pipeline.
Education
High School Diploma -
Ensley Magnet High School
Birmingham, AlabamaSkills
- Pathology billing knowledge
- Medical claims submission
- Medical coding knowledge
- Collection calls
- Customer service support
- Billing statement review
- Complaint resolution
- Professional telephone demeanor
- Creative problem solving
- Customer connect
- Customer service operation
- Customer service interface
Timeline
Medical Billing Specialist
HealthCare Support Staffing
08.2015 - 07.2016
Medical Billing Specialist
Pathology Associates of Alabama, P.C
10.2005 - 11.2014
Sales Consultant
Brannon Honda
02.2005 - 09.2005
High School Diploma -
Ensley Magnet High School
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