SlideShare a Scribd company logo
DE O N N E BA B A
525 Towne Square Way, Apt. 1517  Orlando, FL 32818  (407) 579-1630
 deonnebabakh@gmail.com
OBJECTIVE
To obtain a position that will enable me to continue learning and growing as a professional and utilize my skills
and abilities to the fullest.
AREAS OF EXPERTISE
COMMITMENT | LEADERSHIP | INTEGRITY
 10+ yrs Electronic
Billing/Collections
Medicare, Medicaid, Blue
Cross Blue Shield, Other
Insurances, and Managed Care
Plans. CPT, ICD-9
DME, Specialty Pharmacy,
Home Care, and Pathology.
 Highly analytical thinking
which demonstrates talent for
identifying, scrutinizing,
improving, and streamlining
complex work processes.
 Exceptional listener and
communicator who effectively
conveys information verbally
and written.
 Innovative problem-solver
who can generateworkable
solutions and resolve denied
claims and billing
discrepancies.
 Computer –literate
performer with extensive
software proficiency
IDX 9.0, Prompt, STAT,
Windows, Microsoft Office,
Availity, ScriptMED,
Collaboration Compass
 Flexible teamplayer who
thrives in environments
requiring ability to
effectively prioritize and
juggle multiple concurrent
projects.
 Dependable, responsible
contributor committed to
excellence and success.
 Seasoned professional
whose honesty and
integrity provides for
effective leadership and
optimal business
relationships.
 Highly motivated self-
starter who takes initiative
with minimal supervision.
 Resourceful teamplayer
 Goal-driven leader who maintains a
productive climate and confidently
motivates, mobilizes, and coaches
employees to meet high performance
standards.
 Personable professional whose
strengths include cultural sensitivity
and an ability to build rapport with a
diverse workforce in multicultural
settings.
 Results driven achiever with exemplary
planning and organizational skills,
along with high degreeof detail
orientation.
 Highly adaptable, positive, patient risk-
taker who is open to new ideas
 Productive worker with solid work
ethic who exerts optimal efforts in
successfully completing tasks.
 Enthusiastic learner excited to meet
challenges and quickly assimilate new
concepts.
PROFESSIONAL EXPERIENCE
CSI/PrimeTherapeutics (Contractor) 02/04/2013–06/09/2013
(Permanent) 06/10-2013–06/12/2015
ARSPECIALIST
RESPONSIBILITIES
 Hemophilia Collections - Collected Loss Revenue
 Hemophilia High Dollar Override Requests
 Hemophilia Refill Too Soon Auth Requests
 Identified root cause of haemophilia loss revenue system issues and worked with the appropriate associates
and pharmacists to resolve issues which resulted in payments
 Wrote Medicare Instruction Manual for Credentials and to sign the Prime Therapeutics up with PECOS which
enabled the Vice President to successfully enroll the company as a Provider
D E O N N E B A B A
 Assisted with Payer Agreements for Billing and ERA’s – Wrote instructions
 Wrote Medicare and Medicaid SOPs and desk top instructions for associates which assisted the Legal
Department
 Collect on BCBS Claims for Specialty Drugs
 Bill and collect on PAP Claims for Specialty Drugs
 Bill and collect on self pay balances
 Corrected and resubmitted denied claims accordingly based on RemittanceNotices/EOBs
 Followed up on claims through BCBS IVR and Rep Line, websites, and phone calls
 Identified and resolved claim logic issues with in-house program discrepancies on special project for hemo
drugs
 Identified problem payers and worked with management to resolve issues within a timely manner.
 Provided excellent customer service to patients through phone calls, credit card payments, and payment
plans.
 Maintained daily positive communications with other departments and team members.
 Performed other duties and/or projects as assigned.
 Maintained understandings of departmental policies and procedures.
 Exceeded daily goals which were implemented by management
AMERIPATH,INC. –QUEST DIAGNOSTICS 02/12/2007 –07/27/2012
COLLECTION COORDINATOR
RESPONSIBILITIES
 Electronically collected on Medicare pathology claims.
 Medicare telephone reopening/s and appeals.
 Reviewed EOBs, rejections and remarks codes
 Performed complex and simple charge corrections.
 Identified denial root causes with payer/s and presented possible resolutions to management and Green Belt
Six Sigma Black Belt which resulted in payments.
 Assisted Customer Service Team and Supervisor with Medicare related questions and concerns.
 Created a training guide for co-workers and management for Women’s Health and ABNs.
 Provided excellent customer service to patients through phone calls and correspondences.
 Performed other duties and/or projects as assigned.
 Worked with Coding Supervisor with coding issues which resulted in payments.
 Assisted Billing Manager with Claim Logics issues which resulted in payments.
 Participated on Green Belt Team and worked with six sigma black belt and management teams to resolve issues
within a timely manner which resulted in payments.
 Maintained daily positive communications with other departments and team members.
 Maintained understandings of departmental policies, procedures, updates, and changes.
 Represented Billing Division for Lab Week Special Projects and Activities for employee appreciations.
 Assisted other payer teams (BCBS, Tricare, VA, Humana, Commercial) with root cause denials and presented
possible resolutions that resulted in payments.
 Assisted Research Team with credit balances and cash posting discrepancies.
 Created an aging reporting tool to management which was implemented.
 Exceeded daily goals which were implemented by management.
AXIUM HEALTHCARE PHARMACY,INC. 2006 – 2007
COLLECTOR
RESPONSIBILITIES
 Electronically billed and collected on Medicare Oral Anti Cancerous and Anti Emetic Drugs.
 Electronically billed and collected on Medicaid Specialty Drugs.
 Electronically collected for all Other Insurances and Managed Care Specialty Drugs.
D E O N N E B A B A
 Billed and collected on secondary insurance claims.
 Corrected and resubmitted denied claims accordingly based on RemittanceNotices/EOBs.
 Followed up on claims through Medicare IVR and Rep Line, websites, and phone calls to other insurances and
Medicaid.
 Identified and resolved claim logic issues with in-house program discrepancies and/or the clearinghouse which
resulted in payments.
 Telephone and paper appeals.
 Identified problem payers and worked with management to resolve issues within a timely manner.
 Provided excellent customer service to patients through phone calls, credit card payments, and payment
plans.
 Medical Records/Filed and retrieved charts.
 Trained new hires for daily duties and computer programs which enabled them to become strong team
members.
 Assisted cash posting with unapplied payments and credit balances.
 Maintained daily positive communications with other departments and team members.
 Performed other duties and/or projects as assigned.
 Prepared and performed an ABN presentation for staff members and management.
 Maintained understandings of departmental policies and procedures.
 Exceeded daily goals which were implemented by management.
AMERICANAIRLIQUIDE/VITALAIRE 2003-2006
ARCOORDINATOR
RESPONSIBILITIES
 Electronically collected on Medicare Durable Medical Equipment and Enteral Nutrition.
 Worked CMS Correspondences-Refunds, Offsets, and Audit Letters.
 Maintained a logging system and assisted cash posting with refunds and offsets for correct posting purposes
and/or discrepancies.
 Corrected and resubmitted denied claims accordingly based on RemittanceNotices/EOBs.
 Followed up on claims through Medicare’s IVR and Medicare Rep Line/s.
 Worked monthly aging spreadsheets in Microsoft Excel.
 Identified payer problems and worked with management to resolve issues within a timely manner.
 Provided excellent customer service to patients through phone calls and purchase option letters.
 Trained new hires for daily duties and computer programs which enabled them to become strong team
member/s.
 Maintained daily positive communications with other departments and team members.
 Performed other duties and/or projects as assigned.
 Maintained understandings of departmental policies, procedures, updates and changes.
 Exceeded daily and monthly cash goals.
FLORIDA HOSPITAL 8/26/1997-06/26/2002
FLORIDA HOSPITAL HOMEHEALTH-WINTERPARK
MEDICAL TRANSCRIPTION/DATAENTRY
RESPONSIBILITIES
 Typed and printed plan of cares in billing system for Medicare.
 Typed Doctors orders in billing system for Medicare.
 Created work flow for nurses and the transcription department.
 Exceeded daily goals accurately.
D E O N N E B A B A
FLORIDA HOSPITAL (FLHOSPITAL TEMPORARY WORK)
FLORIDA HOSPITAL ENGINEERINGDEPARTMENT
RECEPTIONIST
RESPONSIBILITIES
 Received work orders and distributed to the operate department.
 Issued and retrieved key copies new and former employees.
 Maintained key/s database/s.
 Screened calls and took messages.
 Assisted the Department Secretary with office clerical duties.
 Worked Multi-Telephone Lines
FLORIDA HOSPITAL (FLHOSPITAL TEMPORARY WORK)
FLORIDA HOSPITAL EMPLOYEEHEALTHCLINIC
DATAENTRY CLERK
RESPONSIBILITIES
 Entered all vaccination series and results in Data Base System to built the paperless filing system.
 Covered Receptionist with phones and employee check in/s.
ACHIEVEMENTS:
 Discoveredroot causesofdenied/rejectedoldAR andsuccessfullycollectedon Medicareandotherinsurance claims.
 MedicareABNTrainingSessionforallMedicalStaffandManagement.
EDUCATION
MEDICAL SECRETARY
Orlando Tech – Orlando, FL – 1996/97
HIGH SCHOOL DIPLOMA
Jones High School – Orlando, FL - 1995

More Related Content

What's hot

Compliance specialist compliance analyst resume
Compliance specialist compliance analyst resumeCompliance specialist compliance analyst resume
Compliance specialist compliance analyst resume
Johnnie Mister
 
Crystal Norris Resume 2016 Updated Version
Crystal Norris Resume 2016 Updated VersionCrystal Norris Resume 2016 Updated Version
Crystal Norris Resume 2016 Updated Version
Crystal Norris
 
Tamika's Resume
Tamika's ResumeTamika's Resume
Tamika's Resume
Tamika Lee
 
Francine pratts 2016 resume
Francine pratts 2016 resumeFrancine pratts 2016 resume
Francine pratts 2016 resume
Francine Pratts
 
Matlock Jr.- Resume
Matlock Jr.- ResumeMatlock Jr.- Resume
Matlock Jr.- Resume
Tony Matlock Jr
 
Sagarra Ailin Resume1
Sagarra Ailin Resume1Sagarra Ailin Resume1
Sagarra Ailin Resume1
Sagarra Ailin
 
WesBarnesResume
WesBarnesResumeWesBarnesResume
WesBarnesResume
Brian Barnes
 
BrittanyMarlowe_Resume
BrittanyMarlowe_ResumeBrittanyMarlowe_Resume
BrittanyMarlowe_Resume
Brittany Marlowe
 
Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015
Zane Fleming
 
RESUME 2016
RESUME 2016RESUME 2016
RESUME 2016
Denise Graham
 
Resume 16'b
Resume 16'bResume 16'b
Resume 16'b
Maria Iadarola
 
cellphone copy (2)
cellphone copy (2)cellphone copy (2)
cellphone copy (2)
Cheryl Ambruse
 
Jbrsme
JbrsmeJbrsme
Jbrsme
Jenna Brady
 
customer care resume 82415 resume
customer care resume 82415 resumecustomer care resume 82415 resume
customer care resume 82415 resume
Ratnam Challa
 
Confidential Resume - D Higgins 011817
Confidential Resume - D Higgins 011817Confidential Resume - D Higgins 011817
Confidential Resume - D Higgins 011817
Denise Higgins
 
2016 Rick Resume
2016 Rick Resume2016 Rick Resume
2016 Rick Resume
Richard Lear
 
Samantha Beasley Resume
Samantha Beasley ResumeSamantha Beasley Resume
Samantha Beasley Resume
Samantha Beasley
 
C. DeAnn Guyer resume
C. DeAnn Guyer resumeC. DeAnn Guyer resume
C. DeAnn Guyer resume
Clara Guyer
 
Lynnea Wells - Resume - June 2015
Lynnea Wells - Resume - June 2015Lynnea Wells - Resume - June 2015
Lynnea Wells - Resume - June 2015
Lynnea Wells
 

What's hot (19)

Compliance specialist compliance analyst resume
Compliance specialist compliance analyst resumeCompliance specialist compliance analyst resume
Compliance specialist compliance analyst resume
 
Crystal Norris Resume 2016 Updated Version
Crystal Norris Resume 2016 Updated VersionCrystal Norris Resume 2016 Updated Version
Crystal Norris Resume 2016 Updated Version
 
Tamika's Resume
Tamika's ResumeTamika's Resume
Tamika's Resume
 
Francine pratts 2016 resume
Francine pratts 2016 resumeFrancine pratts 2016 resume
Francine pratts 2016 resume
 
Matlock Jr.- Resume
Matlock Jr.- ResumeMatlock Jr.- Resume
Matlock Jr.- Resume
 
Sagarra Ailin Resume1
Sagarra Ailin Resume1Sagarra Ailin Resume1
Sagarra Ailin Resume1
 
WesBarnesResume
WesBarnesResumeWesBarnesResume
WesBarnesResume
 
BrittanyMarlowe_Resume
BrittanyMarlowe_ResumeBrittanyMarlowe_Resume
BrittanyMarlowe_Resume
 
Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015
 
RESUME 2016
RESUME 2016RESUME 2016
RESUME 2016
 
Resume 16'b
Resume 16'bResume 16'b
Resume 16'b
 
cellphone copy (2)
cellphone copy (2)cellphone copy (2)
cellphone copy (2)
 
Jbrsme
JbrsmeJbrsme
Jbrsme
 
customer care resume 82415 resume
customer care resume 82415 resumecustomer care resume 82415 resume
customer care resume 82415 resume
 
Confidential Resume - D Higgins 011817
Confidential Resume - D Higgins 011817Confidential Resume - D Higgins 011817
Confidential Resume - D Higgins 011817
 
2016 Rick Resume
2016 Rick Resume2016 Rick Resume
2016 Rick Resume
 
Samantha Beasley Resume
Samantha Beasley ResumeSamantha Beasley Resume
Samantha Beasley Resume
 
C. DeAnn Guyer resume
C. DeAnn Guyer resumeC. DeAnn Guyer resume
C. DeAnn Guyer resume
 
Lynnea Wells - Resume - June 2015
Lynnea Wells - Resume - June 2015Lynnea Wells - Resume - June 2015
Lynnea Wells - Resume - June 2015
 

Similar to Deonne Baba (1)

Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resume
monica wright
 
Rachael Banda Resume_081616
Rachael Banda Resume_081616Rachael Banda Resume_081616
Rachael Banda Resume_081616
Rachael Banda
 
RESUME 09 22 2016
RESUME 09 22 2016RESUME 09 22 2016
RESUME 09 22 2016
Rhonda Tejchma
 
SENA JOLLIFFI Resume.....
SENA JOLLIFFI Resume.....SENA JOLLIFFI Resume.....
SENA JOLLIFFI Resume.....
sena Jolliffi
 
Dalena's Clerical Resume Job descriptions 2016
Dalena's Clerical Resume Job   descriptions 2016Dalena's Clerical Resume Job   descriptions 2016
Dalena's Clerical Resume Job descriptions 2016
Da'Lena Kirby
 
Resume
ResumeResume
Clara_Murphy_RE
Clara_Murphy_REClara_Murphy_RE
Clara_Murphy_RE
Clara Murphy
 
Deborah Caddy Resume 2
Deborah Caddy Resume 2Deborah Caddy Resume 2
Deborah Caddy Resume 2
Deborah Waddell-Caddy
 
Danielle Resume
Danielle ResumeDanielle Resume
Danielle Resume
Danielle Chinn
 
Harrell, Leigh A. 7.25.2016
Harrell, Leigh A. 7.25.2016Harrell, Leigh A. 7.25.2016
Harrell, Leigh A. 7.25.2016
Leigh A Harrell
 
charris2016
charris2016charris2016
charris2016
Christiana Harris
 
Shirley Kimbro Resume
Shirley Kimbro ResumeShirley Kimbro Resume
Shirley Kimbro Resume
Shirley Smith
 
Jennifer Lane Resume
Jennifer Lane ResumeJennifer Lane Resume
Jennifer Lane Resume
Jennifer Lane
 
KatrinaWhitsettCA
KatrinaWhitsettCAKatrinaWhitsettCA
KatrinaWhitsettCA
KATRINA WHITSETT
 
MichaelHayden2015Resume
MichaelHayden2015ResumeMichaelHayden2015Resume
MichaelHayden2015Resume
Michael Hayden
 
Resume 2016
Resume 2016Resume 2016
Resume 2016
Jennifer Archambeau
 
Victor Estrada Resume
Victor Estrada ResumeVictor Estrada Resume
Victor Estrada Resume
Victor Estrada
 
Melanie D Resume 012017
Melanie D Resume 012017Melanie D Resume 012017
Melanie D Resume 012017
Melanie Flowers
 
Othel Smith Master Resume Update 11 15 16 LV NV USE
Othel Smith Master Resume Update 11 15 16 LV NV USEOthel Smith Master Resume Update 11 15 16 LV NV USE
Othel Smith Master Resume Update 11 15 16 LV NV USE
Othel Smith
 
Lameisha Bolden Resume
Lameisha Bolden ResumeLameisha Bolden Resume
Lameisha Bolden Resume
Lameisha Bolden
 

Similar to Deonne Baba (1) (20)

Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resume
 
Rachael Banda Resume_081616
Rachael Banda Resume_081616Rachael Banda Resume_081616
Rachael Banda Resume_081616
 
RESUME 09 22 2016
RESUME 09 22 2016RESUME 09 22 2016
RESUME 09 22 2016
 
SENA JOLLIFFI Resume.....
SENA JOLLIFFI Resume.....SENA JOLLIFFI Resume.....
SENA JOLLIFFI Resume.....
 
Dalena's Clerical Resume Job descriptions 2016
Dalena's Clerical Resume Job   descriptions 2016Dalena's Clerical Resume Job   descriptions 2016
Dalena's Clerical Resume Job descriptions 2016
 
Resume
ResumeResume
Resume
 
Clara_Murphy_RE
Clara_Murphy_REClara_Murphy_RE
Clara_Murphy_RE
 
Deborah Caddy Resume 2
Deborah Caddy Resume 2Deborah Caddy Resume 2
Deborah Caddy Resume 2
 
Danielle Resume
Danielle ResumeDanielle Resume
Danielle Resume
 
Harrell, Leigh A. 7.25.2016
Harrell, Leigh A. 7.25.2016Harrell, Leigh A. 7.25.2016
Harrell, Leigh A. 7.25.2016
 
charris2016
charris2016charris2016
charris2016
 
Shirley Kimbro Resume
Shirley Kimbro ResumeShirley Kimbro Resume
Shirley Kimbro Resume
 
Jennifer Lane Resume
Jennifer Lane ResumeJennifer Lane Resume
Jennifer Lane Resume
 
KatrinaWhitsettCA
KatrinaWhitsettCAKatrinaWhitsettCA
KatrinaWhitsettCA
 
MichaelHayden2015Resume
MichaelHayden2015ResumeMichaelHayden2015Resume
MichaelHayden2015Resume
 
Resume 2016
Resume 2016Resume 2016
Resume 2016
 
Victor Estrada Resume
Victor Estrada ResumeVictor Estrada Resume
Victor Estrada Resume
 
Melanie D Resume 012017
Melanie D Resume 012017Melanie D Resume 012017
Melanie D Resume 012017
 
Othel Smith Master Resume Update 11 15 16 LV NV USE
Othel Smith Master Resume Update 11 15 16 LV NV USEOthel Smith Master Resume Update 11 15 16 LV NV USE
Othel Smith Master Resume Update 11 15 16 LV NV USE
 
Lameisha Bolden Resume
Lameisha Bolden ResumeLameisha Bolden Resume
Lameisha Bolden Resume
 

Deonne Baba (1)

  • 1. DE O N N E BA B A 525 Towne Square Way, Apt. 1517  Orlando, FL 32818  (407) 579-1630  deonnebabakh@gmail.com OBJECTIVE To obtain a position that will enable me to continue learning and growing as a professional and utilize my skills and abilities to the fullest. AREAS OF EXPERTISE COMMITMENT | LEADERSHIP | INTEGRITY  10+ yrs Electronic Billing/Collections Medicare, Medicaid, Blue Cross Blue Shield, Other Insurances, and Managed Care Plans. CPT, ICD-9 DME, Specialty Pharmacy, Home Care, and Pathology.  Highly analytical thinking which demonstrates talent for identifying, scrutinizing, improving, and streamlining complex work processes.  Exceptional listener and communicator who effectively conveys information verbally and written.  Innovative problem-solver who can generateworkable solutions and resolve denied claims and billing discrepancies.  Computer –literate performer with extensive software proficiency IDX 9.0, Prompt, STAT, Windows, Microsoft Office, Availity, ScriptMED, Collaboration Compass  Flexible teamplayer who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects.  Dependable, responsible contributor committed to excellence and success.  Seasoned professional whose honesty and integrity provides for effective leadership and optimal business relationships.  Highly motivated self- starter who takes initiative with minimal supervision.  Resourceful teamplayer  Goal-driven leader who maintains a productive climate and confidently motivates, mobilizes, and coaches employees to meet high performance standards.  Personable professional whose strengths include cultural sensitivity and an ability to build rapport with a diverse workforce in multicultural settings.  Results driven achiever with exemplary planning and organizational skills, along with high degreeof detail orientation.  Highly adaptable, positive, patient risk- taker who is open to new ideas  Productive worker with solid work ethic who exerts optimal efforts in successfully completing tasks.  Enthusiastic learner excited to meet challenges and quickly assimilate new concepts. PROFESSIONAL EXPERIENCE CSI/PrimeTherapeutics (Contractor) 02/04/2013–06/09/2013 (Permanent) 06/10-2013–06/12/2015 ARSPECIALIST RESPONSIBILITIES  Hemophilia Collections - Collected Loss Revenue  Hemophilia High Dollar Override Requests  Hemophilia Refill Too Soon Auth Requests  Identified root cause of haemophilia loss revenue system issues and worked with the appropriate associates and pharmacists to resolve issues which resulted in payments  Wrote Medicare Instruction Manual for Credentials and to sign the Prime Therapeutics up with PECOS which enabled the Vice President to successfully enroll the company as a Provider
  • 2. D E O N N E B A B A  Assisted with Payer Agreements for Billing and ERA’s – Wrote instructions  Wrote Medicare and Medicaid SOPs and desk top instructions for associates which assisted the Legal Department  Collect on BCBS Claims for Specialty Drugs  Bill and collect on PAP Claims for Specialty Drugs  Bill and collect on self pay balances  Corrected and resubmitted denied claims accordingly based on RemittanceNotices/EOBs  Followed up on claims through BCBS IVR and Rep Line, websites, and phone calls  Identified and resolved claim logic issues with in-house program discrepancies on special project for hemo drugs  Identified problem payers and worked with management to resolve issues within a timely manner.  Provided excellent customer service to patients through phone calls, credit card payments, and payment plans.  Maintained daily positive communications with other departments and team members.  Performed other duties and/or projects as assigned.  Maintained understandings of departmental policies and procedures.  Exceeded daily goals which were implemented by management AMERIPATH,INC. –QUEST DIAGNOSTICS 02/12/2007 –07/27/2012 COLLECTION COORDINATOR RESPONSIBILITIES  Electronically collected on Medicare pathology claims.  Medicare telephone reopening/s and appeals.  Reviewed EOBs, rejections and remarks codes  Performed complex and simple charge corrections.  Identified denial root causes with payer/s and presented possible resolutions to management and Green Belt Six Sigma Black Belt which resulted in payments.  Assisted Customer Service Team and Supervisor with Medicare related questions and concerns.  Created a training guide for co-workers and management for Women’s Health and ABNs.  Provided excellent customer service to patients through phone calls and correspondences.  Performed other duties and/or projects as assigned.  Worked with Coding Supervisor with coding issues which resulted in payments.  Assisted Billing Manager with Claim Logics issues which resulted in payments.  Participated on Green Belt Team and worked with six sigma black belt and management teams to resolve issues within a timely manner which resulted in payments.  Maintained daily positive communications with other departments and team members.  Maintained understandings of departmental policies, procedures, updates, and changes.  Represented Billing Division for Lab Week Special Projects and Activities for employee appreciations.  Assisted other payer teams (BCBS, Tricare, VA, Humana, Commercial) with root cause denials and presented possible resolutions that resulted in payments.  Assisted Research Team with credit balances and cash posting discrepancies.  Created an aging reporting tool to management which was implemented.  Exceeded daily goals which were implemented by management. AXIUM HEALTHCARE PHARMACY,INC. 2006 – 2007 COLLECTOR RESPONSIBILITIES  Electronically billed and collected on Medicare Oral Anti Cancerous and Anti Emetic Drugs.  Electronically billed and collected on Medicaid Specialty Drugs.  Electronically collected for all Other Insurances and Managed Care Specialty Drugs.
  • 3. D E O N N E B A B A  Billed and collected on secondary insurance claims.  Corrected and resubmitted denied claims accordingly based on RemittanceNotices/EOBs.  Followed up on claims through Medicare IVR and Rep Line, websites, and phone calls to other insurances and Medicaid.  Identified and resolved claim logic issues with in-house program discrepancies and/or the clearinghouse which resulted in payments.  Telephone and paper appeals.  Identified problem payers and worked with management to resolve issues within a timely manner.  Provided excellent customer service to patients through phone calls, credit card payments, and payment plans.  Medical Records/Filed and retrieved charts.  Trained new hires for daily duties and computer programs which enabled them to become strong team members.  Assisted cash posting with unapplied payments and credit balances.  Maintained daily positive communications with other departments and team members.  Performed other duties and/or projects as assigned.  Prepared and performed an ABN presentation for staff members and management.  Maintained understandings of departmental policies and procedures.  Exceeded daily goals which were implemented by management. AMERICANAIRLIQUIDE/VITALAIRE 2003-2006 ARCOORDINATOR RESPONSIBILITIES  Electronically collected on Medicare Durable Medical Equipment and Enteral Nutrition.  Worked CMS Correspondences-Refunds, Offsets, and Audit Letters.  Maintained a logging system and assisted cash posting with refunds and offsets for correct posting purposes and/or discrepancies.  Corrected and resubmitted denied claims accordingly based on RemittanceNotices/EOBs.  Followed up on claims through Medicare’s IVR and Medicare Rep Line/s.  Worked monthly aging spreadsheets in Microsoft Excel.  Identified payer problems and worked with management to resolve issues within a timely manner.  Provided excellent customer service to patients through phone calls and purchase option letters.  Trained new hires for daily duties and computer programs which enabled them to become strong team member/s.  Maintained daily positive communications with other departments and team members.  Performed other duties and/or projects as assigned.  Maintained understandings of departmental policies, procedures, updates and changes.  Exceeded daily and monthly cash goals. FLORIDA HOSPITAL 8/26/1997-06/26/2002 FLORIDA HOSPITAL HOMEHEALTH-WINTERPARK MEDICAL TRANSCRIPTION/DATAENTRY RESPONSIBILITIES  Typed and printed plan of cares in billing system for Medicare.  Typed Doctors orders in billing system for Medicare.  Created work flow for nurses and the transcription department.  Exceeded daily goals accurately.
  • 4. D E O N N E B A B A FLORIDA HOSPITAL (FLHOSPITAL TEMPORARY WORK) FLORIDA HOSPITAL ENGINEERINGDEPARTMENT RECEPTIONIST RESPONSIBILITIES  Received work orders and distributed to the operate department.  Issued and retrieved key copies new and former employees.  Maintained key/s database/s.  Screened calls and took messages.  Assisted the Department Secretary with office clerical duties.  Worked Multi-Telephone Lines FLORIDA HOSPITAL (FLHOSPITAL TEMPORARY WORK) FLORIDA HOSPITAL EMPLOYEEHEALTHCLINIC DATAENTRY CLERK RESPONSIBILITIES  Entered all vaccination series and results in Data Base System to built the paperless filing system.  Covered Receptionist with phones and employee check in/s. ACHIEVEMENTS:  Discoveredroot causesofdenied/rejectedoldAR andsuccessfullycollectedon Medicareandotherinsurance claims.  MedicareABNTrainingSessionforallMedicalStaffandManagement. EDUCATION MEDICAL SECRETARY Orlando Tech – Orlando, FL – 1996/97 HIGH SCHOOL DIPLOMA Jones High School – Orlando, FL - 1995