We provide IT Staff Augmentation Services!

Account Receivable/cash Application Resume

SKILLS:

  • SMS, Med iSOFT, Medical Manager, Cisco Finesse, QuickBooks, Outlook, Lync
  • CPT, ICD - 9 Codes, Billing/Posting, SAP, Phreesia EMR, AS400 Systems, Citrix. PeopleSoft
  • Microsoft Office XP
  • Alpha and Numeric Filings
  • Switchboard Operator, Multi Line Phone System
  • Data Entry 10,000 ksph
  • 44-45 wpm

PROFESSIONAL EXPERIENCE:

Confidential

Account Receivable/Cash Application

Responsibilities:

  • Apply cash remittances, consisting of lockbox deposits, credit cards, and Confidential / wires, accurately and in a timely manner
  • Perform cash reconciliation on disputed applications, as necessary.
  • Post customer remittances and research unapplied cash in a timely and efficient manner.
  • Processed returned payments
  • Verify EOB s
  • Processing of lockbox uploads
  • Audits patient accounts for insurance or personal over payments.
  • Ensures appropriate authorization and signing of checks
  • Monitors and acts on Refund or Credit reports as needed.
  • Interact with EMR and other IT systems for claims research, recoups, refunds, reprocessing and collections

Confidential, Atlanta, Georgia

Account Receivable/Cash Application

Responsibilities:

  • Apply cash remittances, consisting of lockbox deposits, credit cards, and Confidential / wires, accurately and in a timely manner
  • Perform cash reconciliation on disputed applications, as necessary.
  • Post customer remittances and research unapplied cash in a timely and efficient manner.
  • Processed returned payments
  • Pulling of daily data from bank portals for payment processing
  • Processing of lockbox uploads
  • Audits patient accounts for insurance or personal over payments.
  • Ensures appropriate authorization and signing of checks
  • Monitors and acts on Refund or Credit reports as needed.
  • Receive prepared refund packets from on - site refund staff for review and distribution to payer analyst to review and approve.

Confidential, Atlanta, Georgia

Senior Care Associate

Responsibilities:

  • Accurately create and document assessments, notes and reviews in the case management system
  • Facilitate the request for prior authorization information of inpatient and outpatient services, ensuring timely and accurate responses in compliance with state and federal guidelines
  • Prepare approval/denial letters and meet regulatory turnaround times Facilitate Confidential Meetings
  • Manage the fax boxes and submit pertinent information to the nurse pre\-auth team, UM leadership team and the medical directors in a timely manner
  • Prepared Discharge Reports and Calls
  • Prepared Admissions, Transportation/Ambulance rides to providers.
  • Case Management Profiles

Confidential, Atlanta, Georgia

Call Center Leader

Responsibilities:

  • Monitor service levels of the team to ensure that client service standards are being maintained.
  • Oversees work for the service center team.
  • Conducts quality evaluations with Service Representatives.
  • Responds to escalated calls from client's plan members.
  • Conducts research to identify solutions to client issues.
  • Leads internal training sessions to help develop Service Representatives.
  • Provides feedback to Call Center Manager regarding Service Representatives; participates in performance management for the team.
  • Provides feedback to management regarding status and effect of outstanding issues.
  • Manages the relationship between clients, administrators, insurance providers, and analysts.
  • Prepares reports on Call Center metrics.
  • Participates in internal and external meetings.
  • Peer review of documentation regarding client memberships.
  • Manages multiple priorities simultaneously in a fast paced environment.
  • Devises ways to continuously improve team operations and performance.
  • Assists with special projects and other tasks, as required.

Confidential, Doraville, Georgia

Merchant Account Services Rep

Responsibilities:

  • Responsible for first level support of technical problem resolutions on point-of-sale activation of financial card holders.
  • Respond to high volume in-bound calls from merchant (store) sales representatives/customers who sell the company's products.
  • Communicate via telephonic and email correspondence to/from tech support to the fraud department for vendors, account managers, and store owners.
  • Activate and Reactivate financial cards
  • Strong analytical and problem solving skills; able to develop and use structured approaches to identify root causes and recommend resolutions; can present results in a meaningful term.
  • Understand, utilize and adhere to SnapPay/MIO desktop application, Payment Manager, and proper navigation of.
  • Works with internal business partners to ensure that any new enhancements or issues are developed and addressed appropriately.
  • Tracks client financial and other performance vs. plan figures. Identify key issues (product/platform, financial, regulatory, or other) affecting performance and works with Regional Sales Manager to actively manage outcomes

Confidential, Atlanta, Georgia

Front Desk Registrar

Responsibilities:

  • Collected personal and medical data from the patient or the family of the patient.
  • Initiated medical records written and electronically.
  • Collected personal data as well as payment information and verified health insurance coverage.
  • Utilized knowledge of medical terminology on a daily bases as a liaison between the hospital patients as well as outside medical clinics and laboratory facilities.
  • Compiled and recorded patients information from notes of doctors and nurses.

Confidential, Atlanta, Georgia

Dermatology Clinic/Clerk

Responsibilities:

  • Handled clerical tasks at the nurse's station of the intensive care unit of hospital floor.
  • Created records of new patients and regularly update patient records from chart.
  • Recorded measurements of vital signs such as temperature and respiration rates along with any notes from doctors and nurses.
  • Recorded diagnoses and treatments on insurance and medical forms also processed discharge forms.
  • Arranged, and transported patient transfers to other wards.
  • Scheduled surgeries/patient care plans
  • Responsible for processing patient's claim Verified patient's insurance coverage through online and telephonic contact.
  • Pulled denial report and resubmitted billable claims.
  • Also responsible for filing appeals and specialized in Medicare and Managed Care follow-ups.
  • Managed 7-10 employees to assure that all office duties/rules are completed.
  • Referrals and pre-certifications

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