Experience

Baptist Health - Central Alabama

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Physician Billing Representative

  • Jul 2014 - Present

  Verify insurance eligibility through kiosk or insurance website prior to patient's appointment; making corrections when needed. Add and or update patient demographics in computer system. Contact patients regarding any discrepancies in demographic or insurance information. Assist in training and retraining staff on navigating through the revenue cycle system, insurance verification, and scheduling/rescheduling appointments. Answer patient calls regarding billing statements. Receive payment in form of credit card, cash, check, and money order. Make outbound calls to patients informing them of outstanding balance. Set up payment arrangements for patients who are unable to pay, explaining policy and procedure. Print and send itemized statements to patients and third-party vendors. Review and resolve denied claims; resubmitting corrected claim electronically or paper claim. Contact insurance carrier to resolve denials. Create new patient demographics and input charges into computer system. Arrange date and time for department's monthly meeting. Review and code invoices from third party vendors. Order and maintain office supplies, staying within department's monthly budget. Create new folders for daily batches and purge outdated batches according to policy. Scan, copy, and file correspondences in date order. Show less



Woodley Manor Nursing Home

• Montgomery, Alabama Area

• Receptionist

  • Dec 2013 - Jun 2015

  Received telephone calls on a multi-line phone and directed to appropriate individuals, and or takes messages. Assisted residents, staff, visitors, and vendors with inquiries regarding resident and facility information. Faxed and photocopied information for clinical personnel. Maintained current resident and staff directories. Announced emergency codes and instructions over public address system as required. Received telephone calls on a multi-line phone and directed to appropriate individuals, and or takes messages. Assisted residents, staff, visitors, and vendors with inquiries regarding resident and facility information. Faxed and photocopied information for clinical personnel. Maintained current resident and staff directories. Announced emergency codes and instructions over public address system as required.



Valforce, Inc.

• Austin, Texas Area

• Document Control Clerk - Contractor for Maxwell Federal Prison

  • Mar 2011 - Jul 2014

  Maintained, updated and archived document files within information system databases. Kept a record of invoices and medical claims for the inmate population that received medical care. Assigned fund control numbers to outgoing medical trips and/or hospitalizations. Directed inmates with questions regarding medical care to appropriate personnel. Prepared credit card and purchase order forms that correspond to outgoing medical trips, equipment, and supplies for billing purposes, verifying all information is accurate before submission. Prepared a memo for the contracting specialist to utilize as supporting documentation for final purchase for purchases over the allotted funds. Maintained a log of all correspondences to ensure appointment dates were accurate with incoming medical bills. Answered calls and inquiries from outside medical facilities and vendors about requested information for billing purposes to ensure proper payment was received. Ensured all documents in file were processed and routed to appropriate personnel for signatures and approvals. Reconciled monthly credit card statements for Health Services Department. Show less



Capital Hill Health Care & Reh

• Certified Nursing Assistant

  • Dec 2003 - Feb 2011

  Responsible for activities of daily living, with duties that included bathing, dressing, grooming, helping with meals and transferring using lifting devices when needed. Gathered vitals and reported to charge nurse. Document/ reported patient behavior, complaints, and noticeable health problems. Documented ADL’s in computer system.

• Medical Records Clerk

  • Feb 2008 - Oct 2010

  Received and processed requests for Release of Information and medical records in accordance with policy and procedures. Compiled, organized, and evaluated patient medical records using multiple data bases. Utilized a variety of classification systems and storage retrieval systems to organize medical records so they were readily accessible when needed. Checked medical records and charts for correctness and completeness. File records according to company’s policy.Created a new medical record or chart for newly-admitted residents and closing records upon discharge. Initiated death certificates and prepared medical record for physician’s review. Created a Log Out/Log In form of all records that were taken by appropriate personnel. Coordinated destruction of outdated records following established procedures for retention and destruction. Performed analysis and quality control of medical records, and ensured the accurate and timely completion of medical record documentation by assisting physicians and other staff with the record completion process. Performed audits on a weekly basis and assigned deficiencies when applicable. Followed up daily to ensure deficiencies were being correctedAssisted Social Services Department in scheduling medical appointments. Show less