SlideShare une entreprise Scribd logo
1  sur  2
Julie Glass
2500 State Highway 121
Euless, Texas 76039
Cell Phone (817) 913-3416
glasjul1@gmail.com
Medical accounts review and appeals
Seeking a Position in an upbeat doctor's office where I can keep busy. I am used to multitasking on
several projects at once. I feel my best asset is going beyond the normal quick review on accounts,
and looking deeper for a more appropriate way to get the appeals and denials paid. I am eager to
understand the way each area works so that I may have a great grasp on how best to handle
insurance issues.
Experience:
Professional Medical Services "Third Party Appeals office"
July 22, 2015 to September 18, 2015
• Medicare physician's appeals ot of state office
• Client ended contract before 90 day and they had no doctor clients available
FTGU Irving "Third Party Appeals office"
Novenber 2, 2015 to January 22, 2015
• Centricity
• Electronic Medical Rescorces
• Located and docmented claims with issues
• Pulled and forwarded records to Workman's Comp and Indian Health Centers
• Pulled EOB's and forwarded to secondary carrier's
Texas Oncology / US Oncology
June 23, 2003 to July 31, 2015
Career level: Senior Patient accounts specialist 12 years
Responsibilities:
• Handling audits, appeals, and reviews of outstanding insurance and patient accounts
• Post refunds, adjustments, some charge entry, and patient payments.
• Explain the process of insurance to any patient and / or coworker with questions.
• Verify insurance benefits; obtain pre-certifications and financial estimates for upcoming
services.
• Responsible for all radiation claim issues and questions, including those outside my site.
Special Training:
• Systems: Citrix, Impac, Iknowmed, Misys, Image Now, Instamed, and online Insurance.
• Multiple medical online class completions through the corporate US Oncology learning
system.
• Basic medical knowledge as well as extensive research in the coding manuals.
Achievements:
• Created the practice of up front estimates for patient’s responsibility, giving the
opportunity to prepare financially for their personal cost.
• Promoted to the next position level at 90 day review.
• Obtained coding certifications through the US Oncology based program. (This is a
company recognized certification, not state)
ASSOCIATES IN OB/GYN
September 2000 to 2003
Career level: Receptionist / Insurance coordinator
Responsibilities
• Receptionist: Chart creations, scheduling, multi-phone lines, with later addition of charge
entry, taking payments and posting at time of service. Was able to catch up a three month
lag to current in 4 weeks.
• Provided requested records, and assisted nurses with locating codes for charge entry.
Promoted year three:
• Insurance Coordinator maintained account auditing, appeals, billing, and adjusting claims.
• Cleaned up the 350 page aging report down to 50 pages in one to two months.
• Counseled patients on estimates or balances that were their out of pocket portion.
RONALD F. REBAL M.D. Psychiatrist
July 1998 to September 2000
• Front staff receptionist, created charts, set appointments, took and returned messages.
• Removed refill requests from designated system and forwarding back the approvals.
• Verified and documented insurance and benefits, giving pre-calls for estimates or
additional information.
• Obtained required primary care referrals as needed.
Education:
Haltom High School Graduate 1994

Contenu connexe

Tendances

Healthcare administrative manager
Healthcare administrative managerHealthcare administrative manager
Healthcare administrative managerKaushal Parikh
 
Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran McKeith
 
Resume10.28.16DCaffey
Resume10.28.16DCaffeyResume10.28.16DCaffey
Resume10.28.16DCaffeyDeana Caffey
 
susanlopez LINKEDIN RESUME
susanlopez LINKEDIN RESUMEsusanlopez LINKEDIN RESUME
susanlopez LINKEDIN RESUMESusan Lopez
 
Healthcare administrative manager
Healthcare administrative managerHealthcare administrative manager
Healthcare administrative managerKaushal Parikh
 
Online Health Care Record Application-RXNEXGEN
Online Health Care Record Application-RXNEXGENOnline Health Care Record Application-RXNEXGEN
Online Health Care Record Application-RXNEXGENCognatica
 
Document lisa resume1
Document lisa resume1Document lisa resume1
Document lisa resume1Lisa Owens
 
book appointments with doctor for free with rxnexgen
book appointments with doctor for free with rxnexgenbook appointments with doctor for free with rxnexgen
book appointments with doctor for free with rxnexgenCognatica
 
Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...
Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...
Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...Efren Espinosa
 
Your Patient Portal: What Is It? How Is It Used?
Your Patient Portal: What Is It? How Is It Used?Your Patient Portal: What Is It? How Is It Used?
Your Patient Portal: What Is It? How Is It Used?Jon Belsher
 
EAKing Resume 2015 doc
EAKing Resume 2015 docEAKing Resume 2015 doc
EAKing Resume 2015 docBeth King
 
Pamela Fail's Resume 2013
Pamela Fail's Resume 2013Pamela Fail's Resume 2013
Pamela Fail's Resume 2013Pamela Fails
 

Tendances (20)

Resume 2015
Resume 2015Resume 2015
Resume 2015
 
Orellana, Inez Resume (1)
Orellana, Inez Resume (1)Orellana, Inez Resume (1)
Orellana, Inez Resume (1)
 
Healthcare administrative manager
Healthcare administrative managerHealthcare administrative manager
Healthcare administrative manager
 
Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran mckeithresume2 (002)
Taran mckeithresume2 (002)
 
Resume10.28.16DCaffey
Resume10.28.16DCaffeyResume10.28.16DCaffey
Resume10.28.16DCaffey
 
Medical Coder Resume
Medical Coder ResumeMedical Coder Resume
Medical Coder Resume
 
susanlopez LINKEDIN RESUME
susanlopez LINKEDIN RESUMEsusanlopez LINKEDIN RESUME
susanlopez LINKEDIN RESUME
 
Carla J Resume
Carla J ResumeCarla J Resume
Carla J Resume
 
Healthcare administrative manager
Healthcare administrative managerHealthcare administrative manager
Healthcare administrative manager
 
Online Health Care Record Application-RXNEXGEN
Online Health Care Record Application-RXNEXGENOnline Health Care Record Application-RXNEXGEN
Online Health Care Record Application-RXNEXGEN
 
Document lisa resume1
Document lisa resume1Document lisa resume1
Document lisa resume1
 
book appointments with doctor for free with rxnexgen
book appointments with doctor for free with rxnexgenbook appointments with doctor for free with rxnexgen
book appointments with doctor for free with rxnexgen
 
Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...
Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...
Skip Your Next Doctor Visit: How Patient Portals Will Revolutionize the Physi...
 
Your Patient Portal: What Is It? How Is It Used?
Your Patient Portal: What Is It? How Is It Used?Your Patient Portal: What Is It? How Is It Used?
Your Patient Portal: What Is It? How Is It Used?
 
EAKing Resume 2015 doc
EAKing Resume 2015 docEAKing Resume 2015 doc
EAKing Resume 2015 doc
 
Pamela Fail's Resume 2013
Pamela Fail's Resume 2013Pamela Fail's Resume 2013
Pamela Fail's Resume 2013
 
asha legree
asha legreeasha legree
asha legree
 
SLGAdmin Asst2
SLGAdmin Asst2SLGAdmin Asst2
SLGAdmin Asst2
 
Teresa_Pease
Teresa_PeaseTeresa_Pease
Teresa_Pease
 
BelenR Resume
BelenR ResumeBelenR Resume
BelenR Resume
 

En vedette

En vedette (19)

ely cv pdf
ely cv pdfely cv pdf
ely cv pdf
 
Estado del bienestar
Estado del bienestarEstado del bienestar
Estado del bienestar
 
Geometri y trigonometria aplicadas (3)
Geometri y trigonometria aplicadas (3)Geometri y trigonometria aplicadas (3)
Geometri y trigonometria aplicadas (3)
 
04manual acidentes
04manual acidentes04manual acidentes
04manual acidentes
 
Planning newsletters 2016
Planning newsletters 2016Planning newsletters 2016
Planning newsletters 2016
 
Tda3
Tda3Tda3
Tda3
 
Publicacion Nueva
Publicacion NuevaPublicacion Nueva
Publicacion Nueva
 
Acessibilidades dos Auditórios da UERJ para portadores de necessidades especiais
Acessibilidades dos Auditórios da UERJ para portadores de necessidades especiaisAcessibilidades dos Auditórios da UERJ para portadores de necessidades especiais
Acessibilidades dos Auditórios da UERJ para portadores de necessidades especiais
 
RAHUL_KUMAR_RHCE
RAHUL_KUMAR_RHCERAHUL_KUMAR_RHCE
RAHUL_KUMAR_RHCE
 
2010 De Facto Swisspower
2010 De Facto Swisspower2010 De Facto Swisspower
2010 De Facto Swisspower
 
Instrucciones
InstruccionesInstrucciones
Instrucciones
 
PurviSangani_1
PurviSangani_1PurviSangani_1
PurviSangani_1
 
Autismo[1].Ppt Panxita!!
Autismo[1].Ppt Panxita!!Autismo[1].Ppt Panxita!!
Autismo[1].Ppt Panxita!!
 
CMS Plan Premium
CMS Plan PremiumCMS Plan Premium
CMS Plan Premium
 
UNP
UNPUNP
UNP
 
Les Portes Ouvertes la journée de St-Valentin.
Les Portes Ouvertes la journée de St-Valentin.Les Portes Ouvertes la journée de St-Valentin.
Les Portes Ouvertes la journée de St-Valentin.
 
Flash professional cs5 bitte lesen
Flash professional cs5   bitte lesenFlash professional cs5   bitte lesen
Flash professional cs5 bitte lesen
 
trastorno del aprendizaje Francisca[1].Wastavino
trastorno del aprendizaje Francisca[1].Wastavinotrastorno del aprendizaje Francisca[1].Wastavino
trastorno del aprendizaje Francisca[1].Wastavino
 
February 10 2016
February 10 2016February 10 2016
February 10 2016
 

Similaire à Julie_Glass_resume

Cover & Resume 2014
Cover & Resume 2014Cover & Resume 2014
Cover & Resume 2014Kiki Kennedy
 
Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)Si Sok
 
Theresa Hennessy resume-1 UPDATED
Theresa Hennessy resume-1 UPDATEDTheresa Hennessy resume-1 UPDATED
Theresa Hennessy resume-1 UPDATEDTheresa Hennessy
 
Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard
 
Jane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docx
Jane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docxJane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docx
Jane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docxsleeperfindley
 
Updated resume Hope
Updated resume HopeUpdated resume Hope
Updated resume HopeHope Ellis
 
Jody Jackson resume 2015 revised
Jody Jackson resume 2015 revisedJody Jackson resume 2015 revised
Jody Jackson resume 2015 revisedJody Jackson
 
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...ecare India
 
Shanon Charlton_Resume
Shanon Charlton_ResumeShanon Charlton_Resume
Shanon Charlton_ResumeShanon Tyler
 
Evelyn_Torio_Resume
Evelyn_Torio_ResumeEvelyn_Torio_Resume
Evelyn_Torio_ResumeEvelyn Torio
 

Similaire à Julie_Glass_resume (20)

resume
resumeresume
resume
 
gerry-resume
gerry-resumegerry-resume
gerry-resume
 
Cover & Resume 2014
Cover & Resume 2014Cover & Resume 2014
Cover & Resume 2014
 
Charese S Resume start
Charese S Resume startCharese S Resume start
Charese S Resume start
 
Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)
 
Theresa Hennessy resume-1 UPDATED
Theresa Hennessy resume-1 UPDATEDTheresa Hennessy resume-1 UPDATED
Theresa Hennessy resume-1 UPDATED
 
Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2
 
Jane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docx
Jane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docxJane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docx
Jane Doe455-484-6500Plum StreeLewis ,Georgia 585412Email .docx
 
Updated Awesome Resume
Updated Awesome ResumeUpdated Awesome Resume
Updated Awesome Resume
 
Updated resume Hope
Updated resume HopeUpdated resume Hope
Updated resume Hope
 
resume 2015 (1)
resume 2015 (1)resume 2015 (1)
resume 2015 (1)
 
WesBarnesResume
WesBarnesResumeWesBarnesResume
WesBarnesResume
 
Jody Jackson resume 2015 revised
Jody Jackson resume 2015 revisedJody Jackson resume 2015 revised
Jody Jackson resume 2015 revised
 
JZ Resume
JZ ResumeJZ Resume
JZ Resume
 
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
 
TARA ZICCARELLO
TARA ZICCARELLOTARA ZICCARELLO
TARA ZICCARELLO
 
Shanon Charlton_Resume
Shanon Charlton_ResumeShanon Charlton_Resume
Shanon Charlton_Resume
 
Burton Resume
Burton ResumeBurton Resume
Burton Resume
 
Evelyn_Torio_Resume
Evelyn_Torio_ResumeEvelyn_Torio_Resume
Evelyn_Torio_Resume
 
resume
resumeresume
resume
 

Julie_Glass_resume

  • 1. Julie Glass 2500 State Highway 121 Euless, Texas 76039 Cell Phone (817) 913-3416 glasjul1@gmail.com Medical accounts review and appeals Seeking a Position in an upbeat doctor's office where I can keep busy. I am used to multitasking on several projects at once. I feel my best asset is going beyond the normal quick review on accounts, and looking deeper for a more appropriate way to get the appeals and denials paid. I am eager to understand the way each area works so that I may have a great grasp on how best to handle insurance issues. Experience: Professional Medical Services "Third Party Appeals office" July 22, 2015 to September 18, 2015 • Medicare physician's appeals ot of state office • Client ended contract before 90 day and they had no doctor clients available FTGU Irving "Third Party Appeals office" Novenber 2, 2015 to January 22, 2015 • Centricity • Electronic Medical Rescorces • Located and docmented claims with issues • Pulled and forwarded records to Workman's Comp and Indian Health Centers • Pulled EOB's and forwarded to secondary carrier's Texas Oncology / US Oncology June 23, 2003 to July 31, 2015 Career level: Senior Patient accounts specialist 12 years Responsibilities: • Handling audits, appeals, and reviews of outstanding insurance and patient accounts • Post refunds, adjustments, some charge entry, and patient payments. • Explain the process of insurance to any patient and / or coworker with questions. • Verify insurance benefits; obtain pre-certifications and financial estimates for upcoming services. • Responsible for all radiation claim issues and questions, including those outside my site. Special Training: • Systems: Citrix, Impac, Iknowmed, Misys, Image Now, Instamed, and online Insurance. • Multiple medical online class completions through the corporate US Oncology learning system. • Basic medical knowledge as well as extensive research in the coding manuals. Achievements: • Created the practice of up front estimates for patient’s responsibility, giving the opportunity to prepare financially for their personal cost. • Promoted to the next position level at 90 day review.
  • 2. • Obtained coding certifications through the US Oncology based program. (This is a company recognized certification, not state) ASSOCIATES IN OB/GYN September 2000 to 2003 Career level: Receptionist / Insurance coordinator Responsibilities • Receptionist: Chart creations, scheduling, multi-phone lines, with later addition of charge entry, taking payments and posting at time of service. Was able to catch up a three month lag to current in 4 weeks. • Provided requested records, and assisted nurses with locating codes for charge entry. Promoted year three: • Insurance Coordinator maintained account auditing, appeals, billing, and adjusting claims. • Cleaned up the 350 page aging report down to 50 pages in one to two months. • Counseled patients on estimates or balances that were their out of pocket portion. RONALD F. REBAL M.D. Psychiatrist July 1998 to September 2000 • Front staff receptionist, created charts, set appointments, took and returned messages. • Removed refill requests from designated system and forwarding back the approvals. • Verified and documented insurance and benefits, giving pre-calls for estimates or additional information. • Obtained required primary care referrals as needed. Education: Haltom High School Graduate 1994