Data Entry Clerk

••••• M. •••••

••••• Kechi, KS •••••
••••• •••••




Leaders dont hope for successthey plan on it.


•••••Objective •••••

To obtain a telecommuting position that will utilize my 7 years of customer service and data entry experience

•••••Work Experience •••••

Medical Billing Specialist••••• Feb. ••••• - present
Wichita Radiological Group
••••• N. Hillside, Ste •••••
Wichita, KS •••••

Answer questions, inquiries, and concerns regarding accounts
Identify delinquent accounts by working aging timely
Follow up timely on claims per policies and procedures
Resolve account discrepancies and outstanding accounts
Prepare adjustments or write-offs for approval as necessary
Post adjustments and write-offs to system as necessary
Respond to customer inquiries regarding account status
Research customers accounts thoroughly and documents appropriately. Resolving any discrepancies
Address problems as they occur.
Keep supervisor advised of areas of concern or compliance issues, which may lead to inaccurate or untimely
payment of claims
Research and file appeals on accounts not paid appropriately by insurance



Business Office Manager ER ••••• Dec. ••••• - January •••••
Galichia Medical Group, PA
••••• N Woodlawn
Wichita, Kansas •••••

Planed, directed, and implemented the departments short and long term goals and strategies
Implemented, enforced and maintained established departmental policies, procedures, and objectives
Coordinated the insurance billing functions of the Business Office for the Emergency Room
Created new patient accounts
Posted emergency room charges
Worked and communicated closely with insurance companies
Reported any areas of concern directly to the CEO
Met regularly with other department mangers regarding areas for improvement or concern
Verified insurance information for accuracy in filing claims








••••• ••••• pg. 2

Patient Accounts Supervisor••••• Sept. ••••• December •••••
Galichia Medical Group, PA
••••• N. Woodlawn
Wichita, Kansas •••••

Interviewed, selected, and hired new personnel for the Patient Accounts Department
Oversaw and supervised Patient Account and Referral Departments
Implemented, enforced and maintained established departmental policies, procedures, and objectives
Coordinated the insurance billing functions of the Business Office
Responsible for training, evaluating, and initiating disciplinary action for all employees supervised
Scheduled employees to work and maintained attendance and evaluation reports on all staff
Handled all aspects of billing and filing insurances
Analyzed outstanding account balances and determined plan of action to resolve such issues
Conducted follow-up on accounts including collections
Researched and investigated credit balances and worked refunds
Worked and communicated closely with insurance companies
Ensured all electronic claim submission were analyzed and followed up on in a timely manner


Patient Insurance Counselor / Claims Specialist••••• July ••••• - Sept •••••
Hertzler Clinic / Halstead Hospital
Halstead, Kansas •••••

Reviewed and interpreted payer remittances to determine appropriate action to be taken on denied claims.
Based on basic proficiency in diagnosis coding (ICD•••••) and procedural coding (CPT) may resubmit for coding
correction
Contacted payers for status of unpaid claims
Corrected and/or updated patient registration data
Appealed low payment claims to maximize reimbursement
Communicated payer trends or problems, identified as impacting reimbursement, to management team
Responded to billing inquires.
Researched and effectively resolved issues through knowledge of medical billing practices, documented
actions taken and communicated results
Recommended account adjustments for bad debt write-off, contractual allowances, and discounts
Initiated collection calls to patients for outstanding balances
Generated collection letter and followed up on delinquent account balances
Maintained knowledge of consumer credit regulations for self-pay accounts
Made payment plan arrangements for patients experiencing financial difficulty
Organized daily time to meet collection goals and productivity standards as defined by the management team


Department Manager••••• February ••••• - July •••••
Hobby Lobby•••••
••••• North Ridge Road
Wichita, Kansas •••••

Managed and oversaw craft department
Ordered merchandise for the store
Stocked shelves and organized craft department
Provided customer care
Arranged merchandise displays



••••• ••••• pg. 3

The bigger the challengethe better the opportunity for success.


•••••Other Work Experience •••••

E.M.T. - Halstead Fire/E.M.S Dept., Halstead, Kansas Oct ••••• September •••••
K-Mart - Customer Service Specialist, Newton, KS•••••January ••••• - April •••••
Wal-Mart - Customer Service Specialist, Hutchinson, KS•••••June ••••• - Sept •••••
Financial Aid Student Worker Friends University•••••Aug. ••••• December •••••
Data Entry Associate - Krause Corporation, Hutchinson, KS March ••••• - April •••••



•••••Educational Experience•••••
•••••
Bachelor of Science Degree Friends University Wichita, Kansas
Majors: Health Management
Health & Physical Education
Minors: Business Administration
Biology
July ••••• - December •••••

Emergency Medical Technician Halstead E.M.S. Training Center
National Certification: E.M.T•••••Basic Oct. ••••• April •••••
State Certification: E.M.T•••••Intermediate Oct. ••••• Sept. •••••

Medical Terminology Course Butler County Community College
January ••••• May •••••

Medical Billing and Coding Butler County Community College
August ••••• Dec. •••••



•••••Skills •••••

Business Management Leadership Ability Customer Service
Problem Solving Skills Management Skills•••••Supervisory Skills
Health Care Knowledge Record Keeping •••••Computer Skills
Insurance and Claims•••••Excellent Communication Skills Medical Emergency Assistance






References Available Upon Request