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Advanced Home Care - External Audit Team PAR III Resume Example

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Emily Bell
XXX XXXXXXX XXXXX XXXX, Winston-Salem, NC 27105
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Ph: XXXXXXXXXXXX
Professional Summary

Seasoned Patient Account Representative with more than 8 years of experience in fast-paced durable medical and home health world. Excellent decision making and leadership skills.

Skills
  • Software: Microsoft Windows, Word, Power Point, Excel,
  • Leadership and team work Skills
  • Written and Verbal Communication skills
  • Customer Service skills
  • Decision Making skills
Experience
External Audit Team PAR III Jan 2013－Present Advanced Home Care High Point, NC
  • Respond to External Audits in a timely manner
  • Appeal denials from External Audits
  • Peer Train coworkers on current and new processes
  • Track current denial trends from CGS
Revenue Analysis PAR II Jan 2011－Jan 2013 Advanced Home Care High Point, NC
  • Update patient's account with correct insurance and obtain new documentation for payer change request
  • Assist with mergers
  • Check claims for accuracy before submitting for billing
  • Peer train coworkers
  • Create job aids and standard operating procedures for payer change process
DME Payer Services PAR II Mar 2010－Jan 2011 Advanced Home Care High Point, NC
  • Verify patient's insurance from the Qop board
  • Obtain authorization
  • Create insurance job aid
Triad Physician Services PAR II Jun 2007－Mar 2010 Advanced Home Care High Point, NC
  • Understanding of insurance guidelines
  • Establishing great customer service with patients and physicians
  • Scanning and indexing of medical documentation
  • Tracking patient's medical documentation
  • Obtain medical documentation from Physicians' offices
Education
Bachelor of Arts: History, Art History May 2007 Salem College Winston-Salem, NC
Additional Information
  • Greenhouse 2014


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Resume Details

This is a real resume for a External Audit Team PAR III in Winston Salem, North Carolina with experience working for such companies as Advanced Home Care. This is one of the hundreds of External Audit Team PAR III resumes available on our site for free. Use these resumes as templates to get help creating the best External Audit Team PAR III resume.

Previous Companies:

  • Advanced Home Care

Previous Job Positions:

  • External Audit Team PAR III
  • Revenue Analysis PAR II
  • DME Payer Services PAR II
  • Triad Physician Services PAR II

Schools:

  • Salem College

Level of Education:

  • Bachelor of Arts

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