Financial CounselorUniversity of North Carolina － Hillsborough, NC
Specializing in obtaining insurance authorizations, providing estimates for services, verifying insurance benefits, calling patients, counseling and educating patients on their outstanding balances, calculate and collect money including cash, checks, and credit cards.
Reconciled cash deposit, implement and carry out appropriate collection actions and assist each financially responsible person by providing payment arrangements.
Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level.
Refer patients to copay assistant programs as needed for medications, greet and provide assistance to visitors and patients, assist with departmental coverage as requested, enter and update referrals as required.
Constant communication with insurance carriers regarding clinical information required to resolve issues relating to coverage and payment.
06/2013 to 08/2015
Clinical Trials Billing SpecialistDuke University Health System － Durham, NC
Ensure that charges associated with grants and clinical trials are billed appropriately for both physician and hospital services.
Created a central database for grants and clinical trials that is consistently used throughout the health system.
Educate providers regarding compliance with government regulations with special attention to CMS guidelines as they pertain to billing for patients enrolled in clinical trials.
Research Billing Review and WQs reviewed on a daily basis to ensure charges are distributed to the appropriate insurance or grant.
Provide education to all clinical research staff on how to register patients for enrollment in trials and how to properly identify charges that are grant related versus Standards of Care.
Collaborate with physicians, business managers and clinical research coordinators in the development of improved capabilities in the areas of billing and compliance.
Assist in the analysis of processes and recommended changes and/or modifications to meet compliance and customer services goals....
01/2013 to 07/2013
Training CoordinatorWalmart － Raleigh, NC
Organized and facilitated new hire-training.
Created and reviewed new hire follow-up plans, conducted sponsor/training meetings and performed continuous reviews of The Federal and State Employment/employee Laws.
Create and Maintain orientation schedule.
09/2009 to 04/2014
Customer Service ManagerWalmart － Raleigh, NC
Approved and processed monetary transactions, provided information and feedback to customers and employees, managed associates by assigning duties, communicating goals, and monitoring performance, interviewed prospective applicants and performed employee audits.
10/2008 to 05/2011
Payment ProcessorNorth Carolina Mutual Life Insurance Company － Durham, NC
I had the opportunity to provide personalized services to customers of a 112-year old North Carolina Company that offers life, health and dental insurance through group plans for large and small organizations.
One major responsibility included the receiving and distributing of approximately 1,200 home office payments daily.
Also processed checks, verified accounts, posted payments and completed deposits of $320,000 weekly.
Key and run check batches using Smart scan software, and processed retired military clients' government allotment payments through several banks.
Completed and followed procedures for all policy pay-outs and loans.
Ensure accuracy by verifying check amounts and recipient information.
Send checks and letters to customers wire transfers.
01/1997 to 12/2007
Insurance Benefit AnalystDuke University Health System － Durham, NC
My responsibilities included but were not limited to the comparing of insurance payments to contractual agreements to determine accuracy, corrected insurance denials relating to insurance terms, diagnosis charges and payments, filed electronic/paper claims and confirmed timely receipt by payers, by submitting supporting documentation with claims and appeals consistent with Duke and other insurance company billing requirements.
03/1982 to 06/1996
Treasury AssociatePeople Security Company － Durham, NC
I successfully supported agency representatives by accurately tracking premium payments and troubleshooting customer billing concerns.
I also successfully provided prompt processing of payments, provided customer service to resolve customer issues regarding premium payments and policy change requests.
Demonstrated excellent customer services, patience and diplomacy.
Twice promoted for excellent performance.
Education and Training
BA: Healthcare ManagementUniversity of Mount Olive － DurhamHealthcare Management