Patricia Ann Douglas wishes to obtain employment with a company that will allow her to utilize my healthcare skills, experience and knowledge while contributing to the success of the organization. Over Twenty years of superior customer services and telecommunication skills. Understanding of the components of the various body systems and corresponding medical terminology. Recognizes the importance of confidentiality when dealing with medical records. Demonstrates the ability to utilize codes in the practical medical reimbursement process. Use computer technology software for completing medical office insurance forms. Attended Diversity Training.
Skills:
Experience:
Attended team meetings to review problem statements within the corporation, planned and attended meetings with the teams submitting the problem statements, in order to gain knowledge about their inventories (telephone and written) and the problems they were having.
Provided data analysis on the problems found and completed forms to correct system problems or documented procedures to solve those problems.
Worked with the customer service representatives to assist with solving the high volumes of telephone calls and written correspondence. Made correction to claims based on additional information received through correspondence on denied claims.
Provided approved inpatient hospital stay days to hospitals based on customer contracts and paid institutional claims and professional claims to providers based on the approved contract days, benefits and ancillaries.
Led meetings and worked projects for the Process Improvement Team
Education/Certifications:
Science Degree in Healthcare Reimbursement
