To obtain a position at a company where I can maximize my management skills and quality assurance and training experience. To utilize creativity, leadership, and teamwork to design and execute solutions that creates customer value. I have phenomenal customer relations skills, I'm great at multitasking and technically inclined to increase organizational productivity.
- Consult with patients regarding their benefits, coverage, and financial options
- Maintain patient accounts by obtaining, recording, and updating person financial and Insurance information.
- Multitasking multiple patients accounts
-Maintain quality score of 99% and above to ensure accurate processing of patients accounts
- Daily review process includes but not limited to review of ICD codes, patient consents, and financials
_ Reviewed quarantor accounts an ensures correct grarantors are assigned. Review service date to ensure past, present and future service dates are updated according to the effective coverage service dates.
-Assist the clinic and Emergency Center whenever they needed assistance.
-Ensure that all data is entered correctly and timely in the coverage with right insurance plan.
- Ensures that effective and dates were entered correctly and accordingly to the verification received.
-Ensures that claim-mailing addresses are entered in coverage and that the policy, group social security number, and subscriber name, DOB, and policy number has been accurately entered in the system.
- Notated accounts of any confirmation of eligibility and benefits received from any outside source Medicare, HMO, Commercial Insurance, Worker's Compensation.
- Reviewed quarantor accounts and ensure correct guarantors are assigned. Review service date to ensure past, present and future service dates are updated according to the effective coverage service dates.
- Assist the clinic and Emergency Center when needed.
- Responsible in consistently and accurately input patient demographic information
- Verify Insurance and perform self-pay follow-up as needed for Outpatient service for patients to ensure timely and accurate billing and optimal reimbursement for services rendered.
_ Office duty procedures, mulitasking, faxing, photo copying, answering and transferring phone calls, and answering emails.
- Responded to consumer complaints and comments
- Cash Handling and Balancing
- Assist in the training/development of new employess
- Work with Programs such as EPIC, TMHP, Chassis, Emdeon, Availity, Molina, and CHC
_ Provided supervisory assistance and guidance for complex problems accounts.
_ Ensures that all accounts contain comprehensive and accurate data to provide for timely billing and optimal reimbursement.
_ Worked as Person In Charge (PIC) at least 2-3 times a week.
- Maintained the work structure by updating job requirements and job descriptions for all positions.
-Organized staff by establishing a recruiting testing and interview program.
- Maintained pay plan, schedules and conducted job evaluations
- Ensured legal compliance by monitoring and implementing applicable human resource state requirements.
- Maintaining Monthly Reports/ A/R
- Maintaining payments for Child Support for employees deductions.
- Supervised and determined priorities for support staff
- Set schedules, distributed daily work assignments and monitors employee workflow and performance.
-Set up and maintained filing systems for records, correspondence, work orders, vouchers and invoicing
- Identified deficient areas and provided training and development opportunities to improve efficiency and performance of staff.
- Worked with the A/R department when workload became high