Talented Team Leader experienced and dedicated to enhancing employee satisfaction and business success. Diplomatic and friendly with proven commitment to employee training. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand.
Overview
10
10
years of professional experience
Work History
Payer Dispute Senior
TeamHealth
06.2022 - Current
Assist with processing incoming invoices from vendors, code and submit for approval in a timely manner
Follow up on invoices as required
Interact collaboratively with various team members to support activities and workflows
Assign and monitor Open Negotiation batches and Arbitration batches
Assist with training of new employees
Assist team with questions regarding processes and workflow
Meet deadlines in a timely manner
Complete special projects and other duties.
Patient Account Specialist
University of Tennessee
04.2021 - 06.2022
Reviews late charges to determine if adjusted claims need to be sent or charge(s) adjusted.
Submits adjusted claims for updated diagnostic charging, coding, or insurance data to the payer.
Evaluates held claims for deletion or resubmission within established time frames.
Places appropriate claims on hold for review.
Daily, weekly and monthly scheduled reports worked as instructed and kept current. Reconciled statements with patient records.
Administrative Assistant
ALLMEDS EHR & Practice Management
08.2014 - 04.2021
Schedule and coordinate meetings, appointments for manager
Open, sort, and distribute incoming messages and correspondence
Greet and directing visitors and new staff to the organization
Purchase and maintain office supply inventory, and being careful to adhere to budgeting practices
Answer incoming calls directing to relevant staff
Work monthly reports for management
Maintain utmost discretion when dealing with sensitive topics
Assist Client Managers in providing excellent client service through proactive communication, prompt follow up and follow through
Provide training and guidance to clients in order to improve the flow of information
Actively manage client A/R with diligent and timely follow up
Handle Collections reports, monthly statements and month-end close
Assist with other reports and projects as requested
Serves as a core resource to support revenue cycle training
Presents training on all new updates to the system
Identifies the training needs of each employee to best receive information for effectiveness
Create cases for technical issue
Work closely with the IT department when needed
Maintain current credentials for all providers and clients utilizing forms, inline portals and PECOS for Medicare
Set up EFT/EDI enrollments for the clients
Work closely with the implementation department to make sure each new client is set up correctly
Maintained Monthly Collections Report, Patient Statements and Month-End close reports
Performed as the liaison for the outsource vender
Maintain strict confidentiality.
Education
High School Diploma -
Austin-East High School
Knoxville, TN
Skills
Communication
Attention to detail
Time Management
Organizational skills
Knowledge of HIPPA
Ability to Multi-task
Ability to work in a team
MS Office including Word, Outlook, Excel
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid programs
Timeline
Payer Dispute Senior
TeamHealth
06.2022 - Current
Patient Account Specialist
University of Tennessee
04.2021 - 06.2022
Administrative Assistant
ALLMEDS EHR & Practice Management
08.2014 - 04.2021
High School Diploma -
Austin-East High School
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