Monica Wrights Resume
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Monica Wright has over 20 years of experience in insurance billing, collections, customer service, and administration. She currently works as a Billing Trainer for Emory Healthcare, where her responsibilities include training staff, processing insurance claims, working with patients on billing and payments, and managing billing operations. Previously, she held roles in medical billing and worked as a Referral Coordinator at Emory Healthcare. She aims to provide superior customer service and uses various software programs to perform her duties.
Monica Wrights Resume
- 1. MONICA WRIGHT 3051 Kenville Lane. Decatur, GA 30034 ▪ Phone: 678.887.9205 ▪ [email protected] PROFESSIONAL SUMMARY Versatile, Results-Driven, Professional with over 20 years insurance billing, collections, customer service, and administrative experience.. Exceptional capacity to multi-task by managing numerous priorities with ease while providing superior service at all levels of organization. Excellent interpersonal, communication, and administrative skills such as developing a plan. SUMMARY OF SKILLS Microsoft Office ~ Word ~ Word Perfect ~ Excel ~ PowerPoint ~10-key Emory Healthcare Systems ~Medical Terminology Course~ PROFESSIONAL EXPERIENCE BILLING TRAINER,EMORY HEALTHCARE, , Decatur, GA 01/2006-Present Receive inbound and outbound calls utilizing the Avaya Predictive dialing system Product verification (HMO,PPO,EPO) explaining billing processing (Private pay, Medciare,Medicaid) and supplement products Process a full knowledge of insurance guidelines and verification procedures with capability to discuss denial and rejection codes with patients Research and review denied claims, file claims and EOB’s as well as transfer balances to responsible parties Make daily collection verifications, research and complete all paperwork and forms to bill all types of claims for reimbursement Lead with projects and other training pertaining to the job Follow-up with sections in regards to patient disputes that pertain to self-pay denials. Coding of all office procedures and diagnostic services Coach and mentor employees based on feedback received through the call monitoring process. Demonstrates highly effective spoken communications skills by delivering formal (classroom) and informal (monthly one-on-one's) presentations in a manner that builds confidence and demonstrates competence. Assist in providing ongoing training and retraining of the staff through topic specific in-services. Respond to questions and concerns respective to both internal and external customers with demonstrated ability to manage irate and difficult calls. Discuss insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. Acting as liaison between the patient and the local agents for Medicare terminations and re- instatements. Completing the annual open enrollment and Medicare reinstatement papers with the patients.
- 2. Works with patients to assimilate personal financial information to determine if patient qualifies for indigent program. Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. Provides QA team members with monthly information regarding the details of the patients’ primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA policies. • Work with the Call Center Operations Community Manager in recruitment, hiring, training, monitoring, coaching, counseling, disciplining and evaluation of staff. Use systems data to monitor performance; schedule staff to meet call volume; motivate staff to meet, sustain, and surpass performance goals; act as a resource to team members, assisting team members during peak periods; monitor quality of service and track service issues. Establish effective and trusting relationships with medical office facility leaders. Monitor payroll and non-payroll expenditures to ensure compliance within budgetary guidelines. Oversee revisions and approval of staff Time System to ensure accuracy of bi-weekly payroll. EMORY HEALTHCARE, (THE EMORY CLINIC), MAIN CAMPUS (Externship), Atlanta, GA Medical Billing Referral Coordinator 01/2005 – 06/2006 Performed various computer applications and maintained database for sleep study in Access Monitored accounts receivable performance and developed action plans (if appropriate) for any negative balances Followed up on delinquent accounts, processed and adjusted Medicare claims and submitted electronic secondary claims while adhering to HIPPA lawsHandle and resolve escalated issues when appropriate. Meet departmental standards for production and quality. Meet departmental standards for schedule adherence. Participate in training and self-development opportunities when appropriate. Demonstrate a cooperative, positive attitude in the workplace. Demonstrate a basic knowledge of managed healthcare and claims Handled all EOB’s that were returned from insurance companies and made sure that all HCFA-1500 claim forms were processed in a timely manner Created a positive impression through effective telephone skills while maintaining strict patient confidentially EDUCATION AND PROFESSIONAL DEVELOPMENT Strayer University, Bachelor of Science in Health Management October 2015- References upon Request