Temple Peavy
Asbury Park,NJ
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
23
23
years of professional experience
Work History
Accounts Receivable Flow Up Coordinator
Allied Digestive Health
West Long Branch, NJ
02.2015 - 11.2023
- Supporting back-end revenue cycle operations through data collection, validation, analysis, and reporting.
- Apply statistical analysis and modeling skills to assist management with strategic decisions making development, and execution of goals.
- Recognize trends and help in the implementation of the appropriate KPI measurements.
- Knowledge of Medicare Medicaid and all commercial insurances claims denials.
- Knowledge of all carrier’s medical & reimbursement policies.
- Understanding of systems, clinical department coding and billing guidelines to proactively identify opportunities for revenue cycle improvement and developing and executing these plans.
Medical Admin Asst./ Medical Billing Manager
Advanced Wellness Center
Marlboro, NJ
08.2007 - 01.2015
- Greeted patients and visitors in a professional and friendly manner.
- Scheduled patient appointments, answered incoming calls, and assisted with inquiries.
- Collected payments from patients for services rendered.
- Verified insurance coverage for each patient visit.
- Managed medical records using an electronic health record system.
- Prepared patient charts prior to each appointment.
- Performed basic clerical duties such as filing documents, entering data into the computer system, photocopying forms and documents.
- Maintained medical supply inventory levels and ordered additional supplies when needed.
- Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
- Developed training programs for new hires and existing staff in order to improve performance and efficiency.
- Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
- Identified areas of improvement within the medical billing process, implemented changes accordingly.
- Resolved issues related to denied or rejected payments from insurance companies.
- Created reports outlining trends in revenue cycle management, such as denials and rejections.
Case Coordinator
Horizon Staffing Resources
Manalapan Township, NJ
03.2005 - 07.2007
- Developed and implemented case plans to meet the needs of clients.
- Reviewed client records and documents for accuracy and completeness.
- Assessed client needs and developed individualized treatment plans accordingly.
- Review medical records for the RN on the case for approval of treatment
Provider Relations Customer Service Rep
Health Net
Neptune City, NJ
08.2000 - 07.2004
- Update member information and provide customer satisfaction while informing patients of medical benefits and reprocessing deny medical claims
- Provide unbias assistance to Medicaid providers with questions regarding Medicaid patient eligibility, medical claims statuses, and other program questions.
- Reviewed medical claims for accuracy and completeness, verifying patient eligibility and coding.
- Ensured compliance with insurance company policies and procedures related to the processing of claims.
- Investigated discrepancies in medical billing information such as incorrect codes or amounts due.
- Processed a high volume of claims on a daily basis using established time frames.
- Researched claim denials and appeals to determine appropriate resolution.
Education
High School Diploma -
Red Bank Regional High School
Little Silver, NJ06.1990
Skills
- CRM Software
- Medical Billing
- Patient Scheduling
- Medical Terminology
- MS Office
- Correspondence and Reports
- Patient Registration
- Discretion and Confidentiality
- Presenting Ideas and Plans
- Best Practices Implementation
- Administrative Leadership
- Information Collection
- Document Management
- Recordkeeping
- Project Support
- Insurance Verification
- Customer Service
- Schedule Coordination
Timeline
Accounts Receivable Flow Up Coordinator
Allied Digestive Health
02.2015 - 11.2023
Medical Admin Asst./ Medical Billing Manager
Advanced Wellness Center
08.2007 - 01.2015
Case Coordinator
Horizon Staffing Resources
03.2005 - 07.2007
Provider Relations Customer Service Rep
Health Net
08.2000 - 07.2004
High School Diploma -
Red Bank Regional High School
Similar Profiles
Taylor KerwinTaylor Kerwin
Medical Assistant at Allied Digestive HealthMedical Assistant at Allied Digestive Health
Stacey PearlStacey Pearl
Director, Cycle at Allied Digestive HealthDirector, Cycle at Allied Digestive Health
Jazmine Cooper IrvinJazmine Cooper Irvin
Asthma Health Educator at Hackensack Meridian Health Jersey ShoreAsthma Health Educator at Hackensack Meridian Health Jersey Shore
Adam J. VincentAdam J. Vincent
Dancer & Choreographer at Alyssa Lemay LLCDancer & Choreographer at Alyssa Lemay LLC
Axel CruzAxel Cruz
Class I Police Officer at Asbury Park Police DepartmentClass I Police Officer at Asbury Park Police Department