Devoted healthcare professional with several years of experience in the billing and revenue cycle. Seeking to obtain a position that will allow me to expand my skills and knowledge. Hardworking and prepared to contribute towards the success of the organization.
Overview
12
12
years of professional experience
Work History
A/R Representative
Baptist Health Medical Group
Elizabethtown, KY
04.2018 - Current
Research denied medical claims with complete understanding of an EOB.
Access online payor websites to verify eligibility, claim status, authorizations, etc.
File reconsiderations and/or appeals with insurance and follow up in a timely manner to retrieve contract reimbursement.
Identify reoccurring payor issues with incorrectly processed claims.
Appropriately apply payor or organization adjustments and write offs according to organization processes.
Communicate with insurance companies and other departments to effectively resolve denied claims and/or account issues/corrections.
Meet deadlines and productivity standards assigned by management.
Refund/Payment Posting Specialist
Hardin Memorial Hospital
Elizabethtown, KY
04.2013 - 04.2018
Reconciled and reported financial data in ledgers in preparation for finance review.
Responded in timely manner to inbound inquiries regarding payments and accounts.
Investigate conflicts to resolve account and ledger errors.
Accurately post self-pay, insurance payments and denial codes with EOB comprehension.
Prepare and calculate deposits from outside offices and received mail.
Create reports to identify any overpayments on accounts.
Collect information and documents needed to verify patient and/or insurance refunds.
Medical Records Clerk
Hardin Memorial Hospital
Elizabethtown, KY
03.2012 - 04.2013
Process medical records request from outside providers, patients, lawyers and insurance companies in accordance to facility, state, and federal laws.
Obtain necessary signatures for release of information.
Communicate effectively with staff, patients and companies by telephone and email.
Prepare patient charts and records for upcoming appointments the day prior.
Obtain records by mail, daily hospital pick up, fax, and courier and file accurately in patient chart prior to visit.
Environmental Services
Hardin Memorial Hospital
Elizabethtown, KY
08.2010 - 03.2012
Cleaned and disinfected patient rooms, offices, bathroom's, and nursing stations to promote a safe and sanitary environment.
Organized and sanitized patient rooms and beds immediately following patient discharge.
Followed safety protocols and procedures to avoid mishap and injury to myself and others.
Trained new employees on procedures and standards within job duties.
Maintained professional and friendly relationships with all staff, visitors and patients.
PAC Lead/Medical Records Clerk at Baptist Health Medical Group OB/GYN, Elizabethtown, KYPAC Lead/Medical Records Clerk at Baptist Health Medical Group OB/GYN, Elizabethtown, KY