Wallesia Coger
Ashburn,VA
Summary
Highly motivated Emergency Department Registration Patient Access Manager with excellent leadership abilities. Organized individual with the ability to readily adapt to changing environments and demands.
Overview
17
17
years of professional experience
Work History
Patient Access Manager
Inova Health Systems
Leesburg, VA
09.2019 - Current
- Promoted from Team Lead to Supervisor to Manager.
- Devise a monthly schedule in W2W employee scheduling system, adapted the schedule to handle call outs and late arrivals and coverage for open shifts.
- Delegates daily tasks to team leads to optimize group productivity.
- Monitored team progress and gives feedback and suggestions .
- Fostered positive employee relationships through communication, training and development coaching.
- Collaborates with Clinical staff, Clinical Management and Patient Access Management about multiple departmental issues and implement new work procedures or polices.
- Manages 36 employees time & attendance and approves/denies PTO and shift swap request.
- Participates in administering disciplinary actions.
- Conducted performance reviews for all direct reports.
- Recruit, interview, trained and supervised team members in accordance with Inova's established core values and departmental objectives.
- Oversee the operations of 3 Emergency Room locations.
- Coordinated, monitored and evaluated the daily operations of the department.
- Competent in completing payroll via Kronos.
- Order supplies such as forms, wristbands etc.
Billing Specialist
Reston Radiology Consultants
01.2019 - 09.2019
- Received calls, emails, faxes from patients, insurance companies, law offices making payments, giving insurance billing information and HIPAA forms
- Reviewed medical records via SMS (EHR) to verify what CPT modifier was needed
- Completed all claim edits to ensure claims would bill out correctly
- Identified any denial trends and brought to the attention of management
- Please see experience under Inova and Medstar for additional duties that were done as an Insurance Analyst and Billing Specialist.
Physician Insurance Analyst, Up Rep
Inova HealthCare Systems
09.2015 - 07.2018
- Met expected productivity and quality standards on a weekly basis
- Understands EOB'S and assists the Payment posting department with obtaining missing EOB'S and/or payments from insurances companies
- Trained new hire's on Insurance follow-up using Epic claims management system
- Assured all claims met clearinghouse and/or payer processing criteria.
Tech Support
Trapollo Remote Health Monitoring Co
02.2015 - 07.2015
- Interacted directly with nurses and patients via telephone and home health monitoring equipment
- Resolved tech support inquiries from nurses and patients about equipment failure issues
- Installed Phillips home health monitoring equipment via the phone to monitor patient's blood pressure, pulse and weight vitals and health screening surveys.
Physician, Physician Insurance Analyst III / Insurance Follow
MedStar Georgetown University Hospital
Washington, DC
09.2007 - 02.2015
- Billing
- Medicaid, Anthem and Carefirst (BCBS), (UHC), Aetna
- Performed AR follow/up collection procedures to decrease outstanding AR
- Checked claim status, submitted corrected claims and appeals via phone and multiple medical insurance company's provider portals such as Medicare (CMS), Medicaid, Anthem and Carefirst (BCBS), Kaiser, United Health Care (UHC), Aetna, Managed Care, Commercial (Workers comp and Veterans Affairs), etc
- Obtain reimbursement from Medical insurance Carriers by accurately and timely working insurance company's denials and correspondence
- Communicate with other departments in identifying issues with provider credentialing, CPT modifiers and coding errors (CPT & DX errors).
Education
High School Diploma -
IC Norcom High School
Portsmouth, VA06.1988
Devry University
Skills
- Claims
- Collections
- Accounts Receivable
- Billing
- Outlook
- Medical Terminology
- McKesson
- Managed Care
- Hipaa
- Insurance verification
- Hospital Emergency room Patients
- Medical Records
- EMR Systems
- Proficient with systems such as EPIC, IDX, McKesson, SMS, Passport/Onesource and Medical insurance companies provider portals
Timeline
Patient Access Manager
Inova Health Systems
09.2019 - Current
Billing Specialist
Reston Radiology Consultants
01.2019 - 09.2019
Physician Insurance Analyst, Up Rep
Inova HealthCare Systems
09.2015 - 07.2018
Tech Support
Trapollo Remote Health Monitoring Co
02.2015 - 07.2015
Physician, Physician Insurance Analyst III / Insurance Follow
MedStar Georgetown University Hospital
09.2007 - 02.2015
High School Diploma -
IC Norcom High School
Devry University
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