Data Entry Customer Service

Nicole Ford

Tempe, AZ *****

Seeking a position in Customer Service/Collections where my experience will be further developed and utilized. Serves customers by providing product and service information, resolving product and service problems.

Work Experience

GeBBS Consulting- Remote

July 2022-Present

Insurance Follow Up Specialist

• Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.

• Communicate with third-party representatives as necessary to complete claims processing and

/or resolve problem claims.

• Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts that are greater than 30 days old.

• Maintain accounts receivable detail by use of on-line system documentation.

• Reports productivity results daily to the AR supervisor.

• Maintains standards per payer for percentage accounts >90 days.

• Works minimum standard number of accounts per payer per day.

• Meets or exceeds collection goals by payer each month.

• Works all assigned accounts at least once every 15 or 30 days, depending on balance.

• Participates in educational activities and attends monthly department staff meetings.

• Maintains confidentiality adheres to all HIPAA guidelines/regulations.

• Other duties as assigned from time to time.

Coram Health Care (CVS)

July 2018 – July 2022

CDR, Revenue Cycle (Cash Applications)

Accounts Receivable Specialist- Credits

• Posting payments, adjustments, and denials from all Payers and patients

• Meeting important deadlines consistently (and especially during end-of-month/EOM closings)

• Reaching or exceeding target goals for productivity

• Notifying manager of any issues that impede efficient & effective outcome of work

• Following all policies and procedures as outlined by the company, governmental regulations, and HIPAA standards

• Maintaining a consistent workday schedule with occasional over-time needed (especially during EOM closings)

• Handle the completion of Patient Financial Services (PFS) tasks, including patient and payer follow up as needed.

• Maintain and release all-ship-verified claims for all third-party claim accounts within established timeframe as assigned Resolve errors and make claim edits assigned in work queues

• Follow work list prioritization of accounts for resolving accounts and/or submitting claims

• Contact payers and patients when necessary for PFS processes Request relevant information from appropriate

• Revenue Cycle and clinical departments as required through the course of the PFS processes

• Make necessary adjustments to patient demographic, insurance, and account balance. Home Care Medical - New Berlin, WI

2015 to 2017

Private Pay Specialist/AR

• Actively research, pursue and follow- up on all outstanding private pay accts, including institution and commercial accounts.

• Contacted patients regarding there DME order, educated them on compliancy, verified insurance, discussed their co-insurance.

• Collected and processed payments.

• Data Entry/Perform clerical duties as assigned

Education

High school diploma (GED)

Milwaukee Area Technical College - Mequon, WI

January 2007 to July 2007

Certifications and Licenses

Healthcare Provider CPR (Infant-Child-Adult)

November 2020 to November 2022

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