Seasoned Account Representative II with over two decades at Conway Regional Health System, adept in electronic payment posting and claims processing for major insurances including Medicare and Medicaid. Demonstrates exceptional computer proficiency in Meditech and Microsoft Office, alongside a proven track record in improving payment workflows and reducing credit balances.
2020-2023
Account Rep II/Poster
Posted electronic and manual insurance payments. Worked closely with our provider based clinic's to insure they received the correct payments from all insurances. Help with Medicare bad debt reports and credit balances.
2000-2020
Account Rep II/ Claims Analyst
Responsible for processing claims for Medicare, Medicare Advantage, Medicaid, Blue Cross and other commercial insurances. Review and resolve claims edits using multiple systems. Following up with insurance for payment and appeals if needed.
1999
Account Rep II?Collector
Performed in depth review of accounts to determine payer coverage requirements. Contacted patients and insurances to obtain payments. Submit appeals and reconsiderations. Processed all refunds on patient accounts.
1998
Admission Outpatient
Checked patient in for all procedures. Adding insurance and payment information into the system and verifying insurance information.
1997-1998
Emergency Room Clerk
Added patient into the computer system. Put in order from the nursed and physicians. Broke down the records and took to Medical Records. Answered the phone and called specialists in.
Computer Skills:
Meditech, Medicaid Pes, Medicare Remote/DDE, Ahin, Microsoft Outlook, Excel, Microsoft Word, SSI,
10 key by touch