business services coordinator credentialing coordinator resume example with 8+ years of experience
To obtain a financial services position with growth potential where my strong
interpersonal and client service skills will be fully utilized and enhanced.
GPA 3.4
- Microsoft Office (Word, Excel, PowerPoint, Outlook), Lotus Notes.
- ARC, FinSys, WebView.
- IDX, Eagle, Experian, Passport, Crown.
- Medical Coding-ICD10, CPT Code.
- Fluent in Spanish, oral, reading, and written.
Austin, TX, 10/XXX8 - Current
Reporting to the Finance Manager, as a Business Services Coordinator, I am responsible for coordinating business transactions and other related accounting activities for the Department of Dermatology/Finance, in addition to providing approximately 20% effort in credentialing. I am a key member of the Dermatology Finance team and work closely with faculty, managers and staff to develop an efficient, high-functioning financial, accounting and reporting infrastructure to support the Departmentās research, education and clinical care missions.
- Procurement and Accounts Payable: Initiate and process routine financial transactions including Pcard, purchase orders, change orders, invoices, travel and business expense reports, NYPH invoices, vendor registration and maintenance. Audit transactions initiated by end users across the department for accuracy and compliance. Reconcile Pcard transactions. Performs budget checks, where applicable.
- Accounting Operations: Process routine and ad hoc transactions, adjustments and corrections including journal entries, fund transfers, expense corrections, cost allocations, IDIs, labor accounting, cash deposits, gift transmittals, in accordance with budget and financial objectives.
- Compliance and Controls
- Cross cover other related financial and administrative positions and perform other duties as assigned
- Credentialing: I facilitate the process for credentialing new and existing faculty. I partner with PEG, attend necessary meetings and complete appropriate forms to ensure faculty are credentialed appropriately. Ensures the PAR grid is updated to reflect current credentialing for the Department. Communicate directly with faculty regarding needed documentation and signatures.
Baltimore, MD, 09/XXX6 - 09/XXX8
As an Account Receivable Representative, I am responsible for all facets of medical billing and accounts receivable charge entry, payment posting, customer service and follow-up inaccordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability.
ā Investigatee assigned accounts to determine what additional steps must be taken for claims to be paid.
ā Maintain a thorough working knowledge of all aspects of billing and collections rules and regulations, electronic billing processes, CMS 1500 requirements, diagnosis and procedure coding, and applicable county, state, and federal requirements.
ā Assist in eligibility and work with insurance company, patients and/or families in
resolving charges and billing problems.
ā Review account history for third party sponsorship.
ā Proactively elevate billing and collection problems to CRO Revenue Cycle Supervisor as needed.
ā Check status of claims using on-line functionality and automated systems, as necessary.
ā Establish payment arrangements according to pre-set guidelines; documents terms in ETM.
Richardson, TX, 10/XXX3 - 09/XXX6
As a financial services representative primarily responsible for processing charges, medical claims, EOB rejections, and billing. Also provided administrative support such as account follow-up and patient inquiry. Proficient in healthcare insurance guidelines and compliance.
ā Successfully processed over 40 insurance claims valued at over $40k daily.
ā Proactively ensured claims were received within a 30 day time period.
ā Efficient in processing all level of claims to include high, medium, and low dollar amounts. Considered one of companyās most reliable medical billers.
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Resume Overview
School Attended
- University of Phoenix
- Bloomfield High School
Job Titles Held:
- Business Services Coordinator
- Accounts Receivable Representative
- Financial Services Representative
Degrees
- Bachelor of Science
- High School Diploma
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