LSpence resume – Atlanta

Lawanda Spence                 Phone: 404-241-4712 or 678-760-9265       2051 Flatshoals Rd. #E-5                                                    Spence47493@bellsouth.net Atlanta Georgia 30316  ¥     Objective:                                                                                                                       To obtain a position in a healthcare business office where I may apply operational,        customer service and organizational skills to meet and exceed company challenges and needs. ¥     Qualifications:                                                                                                           Over 3 year’s progressive experience in Patient Insurance Credentialing, Medical A/R and Insurance Verification. Knowledge of medical terminology and interpretation of ICD9, CPT, and HCPC codes as it refers to physicians notes. Ability to Type 40 wpm and basic knowledge of Microsoft Office. Knowledge of operating a PCN terminal to obtain and extract information. Proficient in all basic customer service functions. Familiar with posting payments and requesting refunds, and telephone management skills. Able to interpret EOB’s. ¥     Employment History:                                                                               ­­­­­____________  05/2004-01/2007 Customer Service Rep:      A&D Construction     Lithonia Georgia                                                Ÿ         Answer phones and inquiries regarding job sites and bids.Ÿ         Order supplies and maintain inventory.Ÿ         File, organize and locate files using alphanumeric system.Ÿ         Arrange board room for meetings and set up equipment.Ÿ         Basic office duties (type, file, fax, copy and run errands). 08/2002-02/2004Patient Credentialing Specialists:    Cardiac Disease Specialists    Atlanta    Georgia    Ÿ         Obtain and input patient demographics into system using 10 key and data entry skills.Ÿ         Assist patient with questions & answers related to benefits. Ÿ         Back-up front desk and several offices with scheduling, collecting and posting co-pays.Ÿ         Contacting PCP to obtain referrals and authorization. Ÿ         Verifies patient benefits, co-pays, and deductible 48 hours prior to office visits.Ÿ         Initiate phone calls to patients, insurance companies, referring, and primary care physicianŸ         Produce and fax spreadsheet for each office front deskŸ         Update new patient information and other duties as assigned by supervisors.     Customer Service Assistant:              Electronic Data Systems       Clarkston Georgia Ÿ         Answer multi-line phone system with incoming calls from patients and physicians.Ÿ         Review and answer inquiries regarding electronic claims discrepancies and errors.Ÿ         Verify claim discrepancies and discuss actions required for payment resolutions.Ÿ         Follow policies and procedures regarding personal information and guidelines.Ÿ         Operate a PC terminal using 10 key and data entry skills.  Front Desk Assistant:            Atlanta South Nephrology    Atlanta   Georgia Ÿ         Electronic and Manual Billing for Medicare, Aetna, Cigna, BCBS and all others.Ÿ         Patient Scheduling, posting payments and charges to patient accounts.Ÿ         Verify Insurance and Benefits, patient co-pays and deductibles.Ÿ         Update patient accounts with new information using Web MD & other internet tools.Ÿ         Contact primary care providers to obtain referrals and authorizations.        Ÿ         Other duties as requested and assigned by office manager.  ¥     Education:                                                                                                                                   1984-1988            Booker T. Washington High School     Basic Studies         Atlanta, Georgia                                01/25/02-07/22/02                   Georgia Medical Institute     Medical Billing and Coding      Atlanta, Georgia             07/22/02-08/22/02             Cardiac Disease Specialist     Intern                     ¥     References:                                                                                                                                    Furnished upon requests.