Bio
Experience
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TMC Practice Management Services
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Tulsa, Oklahoma Area
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Resolutions Specialist
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Jan 2011 - Apr 2013
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Tulsa, Oklahoma Area
Researching patient accounts for over payments & outstanding balances, researching outstanding insurance claims and verifying insurance claim information with the insurance companies. Customer service experience along with data entry for payments for multiple doctors. Experience in collections processes. Assisting with credentialing for the doctors insurance companies contracts.
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Medical Management Professionals
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Tulsa, Oklahoma Area
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Credentialing Coordinator
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Jun 2008 - Jan 2011
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Tulsa, Oklahoma Area
Maintains physicians credentials · Communicates regular updates to management team on credentialing projects and issues · Assists in developing and Researching patient accounts for refunds to either insurance companies or patients. Contacting insurance companies to verify member’s coverage’s. Helping out patients with their questions on their accounts. Coordinating Worker’s Compensation claims with insurance companies. implementing short- and long-term work plans and objectives for credentialing functions· Helps credentialing team establish deadlines for work assignment and completion. Monitors work status and progress.· Oversees updating of credentialing files and tracking tools with current information · Collaborates with Operations and Office Managers and billing staff to identify, analyze and resolve billing problems related to credentialing· Develops departmental guidelines for prioritizing and understands work activities, evaluating effectiveness, and modifying activities as necessary
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Billing Specialist
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Feb 2007 - Jun 2009
I was responsible for posting charges and payments, assisting patients with questions about their statements, insurance collections, scheduling & accounting
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TPi Billing Solutions
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Tulsa, Oklahoma Area
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Billing Specialist
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Mar 2005 - Feb 2007
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Tulsa, Oklahoma Area
Front desk experience scheduling appointments, calling in prescriptions, getting referrals and updating patient information. Customer service experience along with collections. Data entry of charges and payments also including coding experience from doctors notes. Researching patient accounts for outstanding balance and credits, researching outstanding insurance claims and verifying claim information with the insurance companies. Credentialing for doctors contracts with insurance companies also renewing doctors licenses. Also worked on accounts receivable and payable.
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Warren Clinic
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Tulsa, Oklahoma Area
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Billing Clerk
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Sep 2000 - Mar 2005
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Tulsa, Oklahoma Area
Researching patient accounts for refunds to either insurance companies or patients. Contacting insurance companies to verify member’s coverage’s. Helping out patients with their questions on their accounts. Coordinating Worker’s Compensation claims with insurance companies.
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Education
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1988 - 1996Sunrise Christian Academy
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