S. Rachel Saunders
Lithonia,United States
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Health Plan Specialist
Kaiser Permanente
Atlanta , GA
05.2017 - 09.2023
- Maintained accurate records of accounts receivable and payable transactions.
- Assisted in month-end closing activities such as preparing journal entries, reconciling accounts, and creating financial reports.
- Processed invoices, credit memos, and other documents related to accounts receivable.
- Compiled and submitted claims forms, medical reports, and other supporting documents to insurance companies.
- Maintained detailed records of all activities related to claims processing.
- Advised patients regarding billing issues, payment options, and reimbursement procedures.
- Strong motivation in billing, claims, and document management.
- Coordinated logistics for ordering, shipping, receiving, stocking, and delivering DME supplies.
ROI Specialist
CIOX HEALTH, Health Information Managment
Alpharetta, GA
02.2014 - 05.2017
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Scanned and validated medical records for upload.
- Organized patient charts, gathering medical histories, lab results and consents.
- Managed release of information requests and identified requestors as patient, insurance providers, lawyers medical providers
- Processed and invoiced records requests from patients, providers and third parties.
- Handled incoming calls and directed callers to appropriate department or employee.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Released information to persons or agencies according to regulations.
Education
Associate of Science - Healthcare Management
DeVry University
Villa Park, IL05-2024
High School Diploma -
Stone Mountain High School
Stone Mountain, GA05.2010
Skills
- Critical Thinking
- Organizational Skills
- Epic and CMS Knowledge
- Medical Terminology
- Proficient in using computers and Microsoft products (Excel and Word)
- Provider Relations
- Insurance Claim Regulations
- Average typing speed of 45 WPM
- Excellent oral and written communication skills
Achievements
Employee of the Month 2015
Salutatorian of Training Class (2017)
Timeline
Health Plan Specialist
Kaiser Permanente
05.2017 - 09.2023
ROI Specialist
CIOX HEALTH, Health Information Managment
02.2014 - 05.2017
Associate of Science - Healthcare Management
DeVry University
High School Diploma -
Stone Mountain High School
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