Shakeita Davis
Gardena,CA
Summary
Experienced Collector bringing a competitive mentality and desire to exceed expectations. Knowledgeable about account reviews, follow-up procedures and problem solving.
Overview
24
24
years of professional experience
2
2
years of post-secondary education
Work History
Collector
PRIME HEALTH CARE CENTINELA HOSPITAL
Inglewood, CA
02.2018 - Current
- Prepare and submit cumulative payer report for stop loss reimbursement
- Monitor and resolve high dollar non-government accounts
- Review accounts for proper payment and adjustments
- Identity and address payment discrepancies. Per Medi-Cal fee schedule
- Submit necessary appeals regarding underpayments, DOFR, retro-authorization, medical necessity, etc.
Collector
MEDASSETS/ NTHRIVE
El Segundo, CA
11.2014 - 02.2018
- Analyzing and Applying terms to account.
- Identifying and reconciling payment variances on AR
- Update plan codes and financial classes to the app private payers to net accounts to the correct expected reimbursement.
- Prepare and submit appeals on all underpayments and retro reviews within the assigned aging report.
- Verifying eligibility and authorizations
- Review various reports to identify denials, correct claims, and suggest action plans to eliminate future denials to determine appropriateness.
Dental Assistant
Hermosa Smile
Hermosa Beach, CA
12.2001 - 11.2014
- Organize a high volume of charts by pertinent dates in order to complete older dates first and list each chart the department received that day for digital upload
- Retrieve work from appointed hospital system and distribute it amongst staff
- Verify patient’s information and date of service is correct on various facility forms.
- Relocate electronic images that are incorrectly filed within another document.
- Replace electronic images that have unacceptable image quality or have been updated.
- Code various forms, appointed code names that were given by the hospital facility
Education
Associate of Arts - Psychology
University of Phoenix
Tempe, AZ 08.2007 - 11.2009
Skills
- Account reconciliation
- Appeals submission
- Eligibility verification
- Conflict resolution
- Attention to detail
- Effective communication
- Problem solving
Timeline
Collector
PRIME HEALTH CARE CENTINELA HOSPITAL
02.2018 - Current
Collector
MEDASSETS/ NTHRIVE
11.2014 - 02.2018
Associate of Arts - Psychology
University of Phoenix
08.2007 - 11.2009
Dental Assistant
Hermosa Smile
12.2001 - 11.2014