Experience

Impact Behavioral Health

April 2015-Janurary 2016

Billing Coordinator

 Essential Duties & Responsibilities

·   Conducts ongoing evaluation of billing and coding policies and procedures to optimize efficiency and ensure compliance with regulatory and contract requirements.

·   Trains and evaluates staff with regards to billing procedures and policies to ensure compliance.

·   Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.

·   Maintains contacts with medical records and other departments to obtain and analyzes additional patient information for documenting and processing billing.

·   Responsible for processing all charge entry functions ensuring that accurate and up to date CPT/ICD-9 codes are used; reviews for current insurance, co-pays and sliding fees prior to submit billing; keeps providers and PSR personnel up to date with same.

·   Responsible for timely submission of patient billing information to outside billing agency.

·   Oversees compliance with payor contacts ensuring that claims are paid timely and accurately and manages payment processes.

·   Identifies and resolves patient billing complaints

Magellan Health Service

January 2015-September 2015

Member Service Representative

 

Essential Duties & Responsibilities:

 

·   Answer Member Services’ calls by the 2nd ring, unless on another call.

·   Ensure that callers are not placed on hold for longer than 2 minutes. 

·   Document specifics of each call in the Call Tracking Module

·   Respond to voice mail at least twice daily.

·   Respond to Member/Provider/Inquirer’s e-mail requests on the day the e-mail was received.

·   Research any prescription drug issue within the day of the request.

·   Research any copay needed within the day of the request.

·   Research any bills that a Member has received and respond back within 48 hours of notification. 

Xerox ACS Company

August 2013- January 2015

Customer Support Specialist

•         Answer phone calls promptly

•         Direct and transfer calls

•         Assist with general answers for economic stability programs

•         Send numerous emails daily

•         Assist with irate customers to ensure customer service

Education

Virginia College of Baton Rouge

Medical Billing and Coding

October 2011-July 2013

GPA 3.5

 

Woodlawn High School

August 2006-May 2010

DECA member

GPA 3.2

 

References are available upon request