Experience

Virtual Business Office Associates

• United States
• Human Resources Services
• 100 - 200 Employee

• Patient account associate II

  • Oct 2021 - Present

  Maintain quality and productivity results at a level that meets departmental standards; as measured by a weekly average• Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including hospital, government, commercial, dental, high priority accounts, high dollar accounts, reimbursements and credits• Identify and resolve denial trends, root cause and A/R impact in payer errors • Resolve incoming inquiries or payment denials from insurance providers for payment• Actively work accounts assigned to collector queues, including searching for missing insurance information, rebilling claims to insurance carriers and filing appeals• Review claims data and supporting documentation to identify coding and/or billing concerns• Interpret payer contracts and identify contract variances affecting expected reimbursement.• Demonstrate clear proficiency in third-party billing requirements to include; federal, state and commercial/managed care payers.• Reviewing account notes and actions of over 30 patient accounting associate I’s on team for accuracy and taking next step to resolve accounts• Support, assist and train top-to-bottom PAA II’s in training Show less

• Patient accounting associate I

  • Apr 2021 - Oct 2021

  • Review over 60 medical insurance claims for resolution and payment daily• Resolve incoming inquiries or payment denials from insurance providers for payment• Actively work accounts assigned to collector queues, including searching for missing insurance information, rebilling claims to insurance carriers and filing appeals• Communicate with payer resources via website, email, telephone, etc• Maintain open communication with Case managers to ensure patients authorization is up to date• Utilize Patient accounting system (Epic) to update and resolve all patient info.• Communicate with patients as needed for insurance updates via telephone, email and mail correspondence Show less



NIGHTINGALE'S NURSING & ATTENDANT CARE SERVICES, INC

• United States
• Medical Practices

• Payroll Clerk

  • Aug 2020 - Apr 2021

  • Receive and organize time sheets from over 500 employees • Verify and key all time to ensure employees are paid accurately and on time • Ensure all pay rates and deductions are correct • Process regular payroll and special payroll • Maintain open communication with Case managers to ensure patients authorization is up to date • Bill SC Medicaid Portal to ensure all services rendered are paid correctly • Answer all question from employees and patients regarding pay and prices for service Show less



CVS Pharmacy

• United States
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Pharmacy Technician

  • Mar 2017 - Aug 2020

  • Assist customers by answering simple questions, locating items and referring them to the pharmacist for medication information• Place outbound and/or receive inbound calls to address needs or requests• Prepare and process medical insurance claim forms and record• Establish and maintain patient profiles, including lists of medications taken by individual patients• Order, label and count stock of medications, chemicals, and supplies, and enter inventory data into computer

• Cashier

  • Feb 2017 - Mar 2017

  • Greet customers and provided friendly advice and assistance to customers, promoting CVS customer-oriented image• Assist customers with store and product complaints• Recommended, selected, and assisted customers with locating merchandise• Worked as a team member performing cashier duties, product assistance, and cleaning