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Consulate Healthcare of Jacksonville - Billing Coordinator Resume Example

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Sophia Morris
XXXX XXXXXX XXXXX XXXXX, Jacksonville, FL 32259
Ph: XXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX
Professional Summary
Experienced Healthcare Professional with over 6 years working knowledge of Medicare, Medicaid, Managed Care (Commercial, Medicaid and Medicare Replacement Policies), Sales Conversion and Billing Procedures
Skills
  • Detail Oriented
  • Knowledge of Microsoft Office
  • Long Standing Relationships in the Community with SNFs, Hospitals, ALFs, HHCs and other Vendors
  • Medical Terminology
  • Extensive Experience with Geriatric Population
  • Effective Written, Verbal and Interpersonal Communication Skills
  • Active Participant in Patient Care Continuum
  • Experience in Assisting Patients and Families with Discharge Decisions
  • HIPAA compliance
Experience
Billing Coordinator Sep 2013Present Consulate Healthcare of Jacksonville Jacksonville, FL
  • Apply, file and follow-up on in-house Medicaid applications
  • Assist families in choosing a Managed Medicaid program once approved
  • Complete weekly report on status of Medicaid applications
  • Participate in Utilization Report meetings to identify potential candidates for Medicaid
  • Assist BOM with billing, refunds and adjustments
  • Verify patient insurance coverage, determine deductibles, and assist in payment plan 
  • Handle medical records with sensitivity and confidentiality while maintaining strict adherence to all HIPAA Privacy and Security Regulations.
  • Monitor unpaid claims and payments, following up with patients
  • Process patient Medicaid applications with speed and courtesy, collecting all necessary information.
Admissions Coordinator Feb 2012Sep 2013 Consulate Healthcare of Jacksonville Jacksonville, FL
  • Followed all patient referrals for admission to facility
  • Verified insurance coverage and obtain authorizations
  • Maintained accurate census
  • Bed Management
  • Ordered specialized equipment for incoming patients
  • Prepared detailed and accurate medical paperwork for review by management
  • Conducted tours of the facility for potential patients and their families
Case Manager Aug 2008Feb 2012 Consulate Healthcare of Jacksonville Jacksonville, FL
  • Served as the liason between the facility and insurance companies
  • Sent weekly updates to insurance companies for concurrent review
  • Held family meetings to communicate progress and coordinate discharge plan
  • Participated in Utilization Review meetings
  • Obtained authorizations for all HMO patients
  • Discharge planning to include home health, DME and community resources
Education
Bachelor of Arts : Sociology/Psychology University of North Florida Jacksonville, FL Graduated Cum Laude
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Resume Details

This is a real resume for a Billing Coordinator in Jacksonville, Florida with experience working for such companies as Consulate Healthcare Of Jacksonville. This is one of the hundreds of Billing Coordinator resumes available on our site for free. Use these resumes as templates to get help creating the best Billing Coordinator resume.

Previous Companies:

  • Consulate Healthcare of Jacksonville

Previous Job Positions:

  • Billing Coordinator
  • Admissions Coordinator
  • Case Manager

Schools:

  • University of North Florida

Level of Education:

  • Bachelor of Arts

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