Alphonso Young has over 30 years of experience working in healthcare administration at St. Vincent's Health System. He is currently the Patient Account Representative Team Lead, where he monitors insurance claim denials and communicates with utilization review. Previously he held roles as an outpatient registration supervisor and patient account representative specializing in Blue Cross claims. He has a Associate of Science degree in Business Administration and also studied Business Administration at Faulkner University and Birmingham Southern College.

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A L P H O N S O Y O U N G
EDUCATION
1985 – 1987 National Education Center Homewood, AL
Associate of Science Degree in Business Administration
1991 – 1992 Faulkner University Homewood, AL
Studied Business Administration
1992 – 1995 Birmingham Southern College Birmingham, AL
Studied Business Administration
WORK EXPERIENCE
1985 – Present St. Vincent’s Health System
Patient Account Representative Team Lead
Blue Cross Claims 2008/2016
• Monitor InterQual denials
• Communication with Utilization Review Department regarding
InterQual denials and appeals
• Notate patient accounts with updated claim status
• Review claims filed to Blue Cross for accurate payments or denials
• Assist team with difficult claim denials
Patient Account Representative-Blue Cross-2003/2008
• Review claims filed to Blue Cross for accurate payments or denials
• Review weekly remittance
• Notate patient accounts with updated claim status
• Work bi-weekly and monthly reports
Outpatient Registration Supervisor-2001/2003
• Complete payroll bi-weekly
• Supervised patient registration access points
• Schedule vacation
• Complete annual Performance Evaluations
• Schedule staff meetings
• Order office supplies via online ordering system

2. Patient Account Representative-Blue Cross-1999/2001
• Follow up on claims filed to Blue Cross
• Reviewed payer rejections
• Work Blue Cross Audit Trail
• Note patient accounts with updated claim status
• Contact Blue Cross of AL and out of state Blue Cross agencies
Insurance Verification-1998/1999
• Verified various insurance plans for patient eligibility
• Notified HMO Representative of daily inpatient admissions
• Verified eligibility for Blues Cross contract via the on-line system
• Obtained inpatient authorizations for HMO patients
Receptionist-Bruno Cancer Center-St. Vincent’s Hospital-1995/1997
• Received incoming patient calls
• Operated multi-line telephone system
• Notified doctors, nurses, and radiation therapist of patient arrival
• Obtained messages from patients for nurses to return calls
Prior positions with St. Vincent’s Hospital
• Mold Block Technician-1993/1995
• Cancer Center Assistant-1989/19983
• Dietary Assistant-1985/1989
REFERENCES
Donna Kelly, Manager
(205) 838-3867
Katherine McCray
(205) 838-3963
Lavonne Hamby
(205) 910-3457