Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Teresa Green

Oklahoma City,OK

Summary

16+ years, detail oriented claims analyst with excellent customer service and organizational skills as well as maintaining and accurately documenting patient information while also being a friendly and personable patient advocate focused on efficient and accurate record keeping of patient details.

Highly motivated in filing medical claims promptly and with successful resolution while also being compassionate, caring and comfortable working with people of all backgrounds and committed to providing best-in-class in patient advocacy and claims analysis.

Also highly motivated in Data Entry and provider enrollment while working with other team members to meet deadlines on specific projects.

Overview

21
21
years of professional experience

Work History

Provider Enrollment Rep/Data Entry Clerk

R1RCM
04.2020 - 07.2024
  • Streamlined provider enrollment processes by implementing efficient data management systems.
  • Assisted providers with navigating online portal systems, enhancing user experience and expediting application submissions.
  • Reviewed contracts thoroughly to ensure adherence to organizational policies and guidelines before finalizing provider agreements.
  • Contacted insurance carriers to obtain information regarding denials.
  • Collaborated with cross-functional teams for timely resolution of enrollment issues, improving overall customer satisfaction.
  • Coordinated closely with credentialing teams to verify provider qualifications, maintaining high standards of care within the organization.
  • Established strong relationships with providers through clear communication and prompt assistance during the enrollment process.
  • Maintained up-to-date knowledge on regulatory changes, ensuring compliance in all provider enrollments.
  • Implemented quality control measures to identify areas for improvement in the enrollment process, resulting in reduced processing time.
  • Reduced errors in provider applications with meticulous attention to detail and thorough review procedures.
  • Prepared and processed provider enrollments with Medicare and Medicaid in multiple states.
  • Monitored credentials and contacted practitioners when expiration dates were nearing.
  • Used CredentialStreaming software to enter provider effective dates into enrollment database.
  • Increased data accuracy by meticulously entering and updating information in company databases.
  • Reduced errors with thorough review and verification of data before submission.
  • Delivered high-quality work consistently by maintaining focus on detail-oriented tasks for long periods of time.
  • Adapted quickly to various computer systems and software applications used for different projects.
  • Maintained confidentiality, ensuring secure storage of sensitive information and documents.
  • Expedited completion of urgent projects through effective time management and prioritization skills.
  • Utilized specialized software programs to efficiently enter, update, and maintain company records.
  • Streamlined data entry processes for enhanced efficiency and productivity.
  • Collaborated with team members to complete large-scale data entry projects on time.
  • Completed data entry tasks with accuracy and efficiency.
  • Maintained files, records, and chronologies of entry activities.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Managed and organized documents for data entry tasks.
  • Checked for accuracy by verifying data and records.
  • Created spreadsheets for more efficient recordkeeping.
  • Followed data entry protocols, rules and regulations.

Medical Claims Analyst/Patient Service Advocate

Innovative Healthcare Systems, Inc.
11.2003 - 04.2020
  • Reviewed claims for accuracy by verifying correct insurance information has been recorded, including secondary insurance.
  • Entered details into computer systems and managed database information.
  • Collected and reviewed patient information to verify eligibility on insurance websites, including Medicare, Medicaid, Veterans Administration and Workers Compensation for multiple states - Arkansas, Oklahoma, Georgia, Louisiana, Missouri, New Hampshire, Illinois, Texas and California.
  • Responded to patient concerns and questions with compassionate and knowledgeable service.
  • Filed appeals to insurance companies to bring medical claims to resolution.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Reviewed medical records for updated patient information.
  • Generated current and past due billing statements at patients request by mail, secure email or fax.
  • Generated attorney requests for billing records through Chartswap.
  • Reviewed daily correspondence for updated information including bankruptcies, motor vehicle accidents, workers compensation, return mail, name changes and address changes.
  • Managed database of patient information and frequently used computerized systems to track details.
  • Accessed patient information through a variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations,
  • Checked claims for errors, corrected issues and mailed out in a timely manner.
  • Earned good attendance record and built reputation for being on time and ready to work.
  • Processed a minimum of 250 claims per week.
  • Answered 75 to 100 incoming calls per day.

Education

High School Diploma -

Moore High School
Moore, OK
05.1981

Skills

  • Customer billing, claims adjustment and follow through
  • Quality assurance
  • Verbal and written communication
  • Insurance verification
  • Document filing
  • Data entry - Microsoft spreadsheets
  • Medical insurance
  • Resource utilization
  • Compassion
  • Faxing, scanning, copying
  • Administrative support
  • Incoming and out-going call center rep

Additional Information

I very much enjoy being a Christian.

I love going to Wednesday night Bible study.

I very much look forward to going to church every Sunday morning and love to sing the praise and worship songs.

My highlight of each month is attending our Women's Prayer Breakfast every third Saturday, with my daughter - Deborah's Army.

Timeline

Provider Enrollment Rep/Data Entry Clerk

R1RCM
04.2020 - 07.2024

Medical Claims Analyst/Patient Service Advocate

Innovative Healthcare Systems, Inc.
11.2003 - 04.2020

High School Diploma -

Moore High School

Similar Profiles

CREATE PROFILE
Teresa Green