Cokethia S. Rachel
E: cokethia.rachel@gmail.com • M: 404-671-7533 • Douglasville, GA
MEDICAL BILLER, SURGERY/PROCEDURE SCHEDULER & MEDICAL ASSISTANT
Meticulous healthcare professional, who undertakes complex assignments, meets deadlines and delivers superior performance.
Possesses practical knowledge in both the financial and clinical areas of healthcare.
WORK HISTORY
Medical Secretary/Surgery Coordinator/Medical Assistant
ResurgensOrthopaedics
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Austell, Georgia 30106
Dec 2014 to Present
Works as part of a medical team to deliver highest quality patient care
Interview patient and record medical histories, order x-rays per provider order or protocol
Perform dressing changes, apply/removing casts/splints, remove sutures/staples
Schedule appointments, tests, procedures, and/or surgery following all scheduling protocols for a busy Spine Surgeon
Update patient health history information in EMR
Reviews labs/results with physicians
Write appeal letters
Schedule depositions/FCE’s
Coordinate appointments/tests/procedures/and surgeries with hospitals and surgical facilities.
Patient Account Representative
ResurgensOrthopaedics
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Austell, Georgia 30106
Mar 2010 to Present
I am currently a patient account representative that is responsible for a wide range of daily tasks to include, but not
be limited to:
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Coordinating of certain billing functions such as verification of patient insurance, referrals, and pre-certifications
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Entering daily charges for a varied range of provider types within the Orthopedic umbrella of Resurgens
Orthopaedics
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Auditing for corrections of rejected and/or denied claims from Claims Manager, claims logic and varied sources
requesting charge corrections and email requests.
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Works spread sheets on patients who have outstanding insurance or personal balances.
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Consults with various physicians.
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Established effective routines for successful collect balances from both patients and insurance payors.
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I maintain a working knowledge of government regulations, protocols, and third party payer requirements regarding
coding and billing. I also am responsible for the performance of any other duties as required for the department.
Patient Account Representative
North Atlanta Pediatrics
Atlanta, Georgia 30342
Mar 2007 to Feb 2010
Cokethia S. Rachel
E: cokethia.rachel@gmail.com • M: 404-671-7533 • Douglasville, GA
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Duties also included posting of daily charges, payments and adjustments in a timely manner.
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Handled patient inquiry requests and insurance correspondence.
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Filed claims to all payor’s and handled review of claims from the explanation of benefits.
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Provided front desk and account representative training and instruction for new hires, and other duties as assigned.
Patient Account Representative/Billing Manager
Metropolitan Dermatologic Surgery
Atlanta, Georgia
June 2004 to December 2006
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Ensures that charges are billed accurately to appropriate payers.
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Consults with physicians.
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Understands documented policies and procedures relative to collections and may make recommendations for additional
policies and procedures needed to clarify the collections function.
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Regularly generates required reports, including but not limited to the following: Daily Transaction Register, Surgery
Report, and any other combination of reports that ensure each account with an open balance is worked in a timely manner.
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Identifies and makes necessary corrections to errors in charges, payments and adjustments.
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Promptly reviews claim denials and utilize effective appeal methods.
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Understands and knows how to effectively manage AR days
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Recognizes how collection ratios and payer mix changes impact overall reimbursement and adjusts collection methods
accordingly.
EDUCATION
Strayer University
Business Admin/Marketing
Douglasville, Georgia Bachelor’s of Science
June 2012- December 2014
Georgia Medical Institute
Billing Coding &Insurance
Marietta, Georgia
November 2003
TECHNICAL SKILLS
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IDXAllscriptsTouchworksMedical ManagerMysis TigerIMPACT
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MPV (Experian healthcare)Epic care (hospital system)CodexMicrosoft Office