Candidate Information Name Available: Register for Free Title Patient Account Representative Target Location US-TX-houston Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
Search 2 million Resumes Keywords: City or Zip:	Related Resumes Customer Service Account Representative Houston, TX Patient Access Representative Houston, TX General Manager Account Representative Montgomery, TX Account Representative Data Entry Houston, TX Account Manager Patient Care Houston, TX Customer Service Representative Houston, TX Customer Service Representative Houston, TX

Candidate's Name
Street Address  SANDY CREEK CT.DRIVE
BAYTOWN, TEXAS Street Address
EMAIL AVAILABLE
PHONE NUMBER AVAILABLE

OBJECTIVE:TO GAIN A SECURE POSITION THAT WILL CAPITALIZE ON MY THROUGH KNOWLEDGE OF MEDICAL TERMINOLOGY,
MANAGED CARE & GOVERNMENT BILLING/COLLECTION EXPERIENCE.


EDUCATION:SOUTHERN UNIVERSITY OF BATON ROUGE/NURSING PROGRAM
1989-1991
GPA 3.8


EMPLOYMENT: MEMORIAL HERMANN HEALTHCARE SYSTEM- HOUSTON, TX
PATIENT ACCOUNT REPRESENTATIVE II- 2008 TO 2014
*REVIEW MEDICAL CLAIMS FOR CORRECT PROCESSING OF MANAGED CARE & GOVERNMENT CLAIMS
*ANALYZE & RECONCILE MEDICAID & COMMERCIAL PAYOR CLAIMS
*INVESTIGATED & RESOLVED MEDICAID & COMMERCIAL PAYOR NON-COVERED ISSUES
*REPORT DENIAL TREND ISSUES TO MANAGEMENT
*REBILLED CLAIMS AS NECESSARY
*FILE APPEALS BEFORE FILING DEADLINE
*RECONCILE BALANCES FOR CORRECT ADJUSTMENTS & CONTRACTUAL POSTINGS
*NOTIFY BILLING DEPARTMENT OF ERRORS TO CORRECT TO ENSURE PAYMENT
*FOLLOW-UP ON OUTSTANDING CLAIMS WEEKLY
*CORRECT PATIENT DEMOGRAPHIC/HEALTH INSURANCE INFORMATION
*REVIEW HCPCS/ICD-9 CODES FOR ACCURACY PER MEDICAID GUIDELINES
*AVERAGE 46 CLAIMS PER DAY
*HIPPA & MEDICAID COMPLIANT


TENET HEALTHCARE   NEW ORLEANS, LA
COLLECTOR, APPEALS, AND CLAIMS PROCESSOR  2002 TO 2005
*PROACTIVE IN CLAIMS PROCESSING OF MANAGED CARE & COMMERCIAL PAYORS
*MAINTAINED ONGOING KNOWLEDGE OF UB04, HCFA 1500, AND OTHER MANDATORY STATE BILLING FORMS, FILING
REQUIREMENTS
*PERFORMED ALL DATA ENTRY OPERATIONS
*REVIEWED INSURANCE CLAIMS TO ENSURE PROPER REIMBURSEMENTS
*PERFORMED FOLLOW UP WEEKLY ON OUTSTANDING MEDICAL CLAIMS
*RESPONSIBLE FOR SEVERAL RECONCILIATION REPORTS
*TRAINED NEW EMPLOYEES
*ASSISTED PATIENTS WITH GENERAL CUSTOMER SERVICE & CLAIMS ISSUES
*GENERATED APPEALS IN TIMELY MANNER
*HIPPA, MEDICAID, AND MEDICARE COMPLIANT
*PROACTIVE IN CLAIM PROCESSING BY CALLING INSURANCE COMPANIES FOR CLAIM STATUS
*ANSWERED PATIENT AND INSURANCE COMPANIES INCOMING CALLS




TREADWAY PEDIATRICS- NEW ORLEANS, LA
MEDICAL BILLER/DOCTOR ASSISTANT-2000 TO2002
*ACCOUNT RECEIVABLE DUTIES
*BILLED MEDICAID, MEDICARE, & MANAGED CARE CLAIMS
*OBTAINED PRELIMINARY INFO FOR MEDICAL RECORDS & BILLING PURPOSES
*ASSISTED FRONT OFFICE WITH APPOINTMENT SCHEDULING, FILING, INSURANCE VERIFICATION, AND TELEPHONES.
*ORGANIZED SYSTEM FOR EOB & INSURANCE CORRESPONDENCE


OCHSNER CLINIC FOUNDATION  METAIRIE, LA
CHARGE PROCESSOR   1995-2000
*PROCESSED EMPLOYEE PAYROLL
*PERFORMED ALL DATA ENTRY


SKILLS:MICROSOFT WORD, EXCEL, POWER POINT, HEALTH TRIO, SYNDICATED OFFICE SYSTEMS, HEALTH QUEST,
MULTI-TASKING, TYPE 45+ WPM