PATRICIA A. CARR

3073 Countryside DriveAllison Park, PA 15101

Phone 412-525-0414E-mail dpcarr01@verizon.net

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Objective To use my knowledge and extensive work experience to obtain a successful and challenging career.

Education EMT, CCAC, 1994MEDICAL ASSISTANT, SAWYER BUSINESS SCHOOL, 1987SHALER AREA HIGH SCHOOL, 1986

Skills CPT Coding Medicare Billing ProceduresICD-9-CM Medicaid Billing ProceduresInsurance Verification Commercial Billing ProceduresAmbulance Billing Guidelines Word ProcessingHMO Billing Procedures Office ProceduresElectronic Billing Procedures Medical TerminologyMedical Transcription Typing (60-65 wpm)Physician Office Billing Procedures Collection Procedures

Work experience 1992 – 1995 B.W. MORRISON M.D. MEDICAL ASSISTANT/MEDICAL BILLER, DUTIES INCLUDED: Scheduling appointments, answering phone calls,

front office duties, tracking down lab work, preparing patient charts, scheduling hospital procedures, and assist in back office procedures. Posting patient charges, billing insurance companies both paper claims and electronically, collection of money on patient accounts, billing all patients with outstanding balances, following up with insurance companies on all outstanding claims, accounts receivable, accounts payable, payroll, interviewing new office personnel, sorting through the mail, training new office personnel, and assisting the office manager in her duties.

1995 – 1998 MED-STAT AMBULANCE SERVICE MEDICAL BILLING SPECIALIST, DUTIES INCLUDED: Insurance verification, inputting of tripsheets, billing insurance

companies (both paper claims and electronically), monthly and quarterly contractor reports with contracted facilities, billing all paintes with outstanding balances, following up with insurance companies on all outstanding claims, accounts receivable, posting accounts receivable, obtaining authorizations.

1998 – 2004 PRIORITY ONE MEDICAL TRANSPORT MEDICAL BILLING SPECIALIST, DUTIES INCLUDED: Insurance verification, inputting of tripsheets, billing insurance

companies (both paper claims and electronically), monthly and quarterly contractor reports with contracted facilities, billing all patients with outstanding balances, following up with insurance companies on all outstanding claims, accounts receivable, posting accounts receivable, obtaining authorizations and medical necessities. Creating and implementing dispatching procedures in order for insurance guidelines to be followed. Creating and implementing billing procedures to effectively collect payments. Answering billing questions from insurance companies as well as patients.

2004 – 2004 INTERIM HEALTHCARE BILLING / PAYROLL SPECIALIST DUTIES INCLUDED: Insurance verification, inputting of client orders, billing insurance

companies (both paper claims and electronically), monthly and quarterly AR reports. Following up with insurance companies on all outstanding claims, posting accounts receivable. Using billing procedures to effectively collect payments. Answering billing questions from insurance companies and patient. Weekly processing of payroll for over 300 employees.

2004 -- 2006 UPMC CORPORATE SERVICESPRE-ARRIVAL REPRESENTATIVE /SWAT DUTIES INCLUDED: Insurance verification, pre-registration of patients for out patient

testing.Calling patients to update personal information. Daily counting of schedules. Updated all schedules with add ons. Communicating with facilities with problems and copays.

2006 – 2008 UPMC CORPORATE SERVICES TRANSPLANT CREDIT ANALYST DUTIES INCLUDE: Insurance verification, inputting of transplant patient's information into the system. Obtaining authorizations, counseling of patients at clinic, pulling of reports, maintaining patient's files, setting up single case agreements, working with insurance case managers. Answering all patient questions. Verifying of in patient accounts.

2008 -- Present WALGREENS SPECIALTY PHARMACY SR. INSURANCE VERIFICATION SPECIALISTDUTIES INCLUDE: Insurance verification,obtaining prior authorizations from insurance companies, reviewing insurance companies medical criteria, counseling the patients on their financial responsibilities, answering patient questions and assisting them with their needs.

2009 – 2013 WALGREENS SPECIALTY PHARMACY INSURANCE GROUP SUPERVISORDUTIES INCLUDE: Supervisor Insurance Verification Staff. Managing Kronos hours for employees, train new staff, managing daily work for staff, .running daily reports, making staff schedule, counsel employee’s as needed. Resolving issues/problems that need taking care of daily, Insurance verification, obtaining prior authorizations from insurance companies, reviewing insurance companies medical criteria, counseling the patients on their financial responsibilities, answering patient questions and assisting them with their needs

2013 – Present WALGREENS SPECIALTY PHARMACY MANAGED CARE OPERATIONS COORDINATORDUTIES INCLUDE: Assisting the Operation Manager, Specialty Contracts and Pricing. Working with SAM’s and the clients with billing issues. Working pricing requests. Assisting in setting up LOA for clients when needed. Helping Reimbursement with billing issues with payers. Assisting the Operation staff with contracting issues with clients.