Rukayat Iginla
Chicago
Summary
Efficient billing professional with three years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
10
10
years of professional experience
Work History
Billing Account Representative
IVY Rehab Billing Department-Pediatrics & Ortho
07.2022 - Current
- Interacted with customers to resolve billing disputes and respond to inquiries.
- Maintained detailed records of customer payments and billing adjustments.
- Monitored outstanding invoices and performed collections duties.
- Executed billing tasks and recorded information in company databases.
- Generated daily, weekly and monthly reports for billing department.
- Processed customer refunds and adjustments according to company policies.
- Audited and corrected billing and posting documents for accuracy.
- Used data entry skills to accurately document and input statements.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Input financial data and produced reports using Raintree and Theraplay software.
Customer Service Representative-ETA AGENT/Overnight Auditor
SCR Medical Transportation
06.2022 - 03.2023
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Handled customer inquiries and suggestions courteously and professionally.
- Investigated and resolved customer inquiries and complaints quickly.
- Answered constant flow of customer calls with minimal wait times.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Met customer call guidelines for service levels, handle time and productivity.
Reimbursement specialist/ Benefits Verification
Aston Carter
09.2021 - 02.2022
- Placed outbound calls regarding medical and/or pharmacy benefit investigation
- Utilized data from the MedeBV transaction to complete a medical benefit investigation
- This process involved calling on specific payers to gain the necessary missing data to finalize the benefit investigation
- Once the data is obtained from the payer, then will enter the data into internal portal
- Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken
- Worked with double monitors, kept confidentiality and practiced HIPPA rules and conducts
- Completed 15bvs daily and completed 60bvs weekly
- Communicated with team members and supervisor via zoom meetings and google chat, Amazon workspace
- Charted daily using Microsoft Excel
- Delivered specific delegated Claims tasks assigned by a supervisor
- Examined and processed electronic claims
- Determined whether to return, pend, deny or pay claims within policies
- Determined steps necessary for adjudication
- Followed established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues
- Settled claims with claimants in accordance with policy provisions
- Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claim
- Interacted with agents and claimants by phone to correct claim form errors or omissions and to investigate questionable entries
- Completed day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members
- Third Party Administrator claim processing
- Meet/exceeded internal partner and external customer expectations
- Problem solving, critical thinking and decision making
- Excellent interpersonal & communication skills, both verbal and written
- Fluent understanding and application of key tools and resources for claim processing
- Used platforms such as: Word, Excel, PowerPoint, WebEx and Outlook
- Obtained clinical documentation pertaining to valid prescriptions
- Validated that the clinical documentation received is what is required by the plan
- Initiate prior authorizations
- Exposed to ICD-10/CPT Admin coding
Caregiver
Comfort Keepers
04.2021 - 09.2021
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Identified needs and coordinated plans for travel and out-of-town functions.
- Changed dressings, bandages, and binders to maintain proper healing and sanitary measures.
- Monitored clients' overall health and well-being and noted significant changes.
- Guided patients to restroom to support bladder and bowel relief requirements.
- Laundered items, changed sheets and made bed to keep patients' bedroom clean.
- Monitored client vital signs, administered medications, and tracked behaviors to keep healthcare supervisor well-informed.
- Recorded status and duties completed in logbooks for management.
- Assisted patients with self-administered medications.
- Built strong relationships with clients to deliver emotional support and companionship.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
Direct Support Professional
El Valor
02.2020 - 02.2021
- Developed rapport to create safe and trusting environment for care.
- Encouraged and supported clients to participate in recreational and leisure activities to promote social interactions and reduce loneliness.
- Provided compassionate and patient-focused care to cultivate well-being.
- Recorded status and duties completed in logbooks for management.
- Updated patient files with current vitals, behaviors, and other data relevant to treatment planning.
- Maintained clean, safe, and well-organized patient environment.
- Transported clients to medical and dental appointments to provide support.
- Assisted disabled clients to support independence and well-being.
- Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
Health Concierge
Ransdstad U.S.A
09.2019 - 01.2020
- Responded to inquiries by directing calls to appropriate personnel.
- Facilitated communication between patients and various departments and staff.
- Assisted individuals, families and small businesses with acquiring health, vision, life and dental insurance.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Handled more than 80+ daily inbound calls from health plan customers.
- Verified patient insurance eligibility and entered patient information into system.
Companion
Caregiver, Open Arms Solutions
03.2018 - 08.2018
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
- Washed floors, vacuumed and disposed of garbage.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Assisted patients with self-administered medications.
- Recognized and reported abnormalities or changes in patients' health status to case manager.
- Completed entries in log books, journals, and care plans to accurately document and report patient progress.
- Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
Direct Support Professional
Homes for Independent Living
11.2017 - 02.2018
- Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities.
- Monitored clients' overall health and well-being and noted significant changes.
- Supported daily hygiene needs of patients by assisting with bathing, dressing, dental care and personal grooming.
- Cooked meals and assisted patients with eating tasks to support healthy nutrition.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
Program Instructor
ASPIRO
08.2017 - 11.2017
- Assisted with daily activities for people with developmental disabilities
- Utilized creative teaching strategies to engage students in classroom.
- Developed and implemented behavior management plans.
- Organized and supervised large and small group activities.
- Planned and executed activities to stimulate physical, and social growth.
- Encouraged use of technology to support student learning.
Personal Care Worker
Angels Assisted Living
02.2017 - 07.2017
- Assisted with daily activities for residents
- Provided personal cares daily
- Assisted with meal prep and served residents
- Met with residents for 1:1 time
- Documented cares for residents in ECP network
- Assisted with ambulation and transferring
- Worked with gait belt, hoyer lift
- Assisted with wound care per upon request
- Upheld infection control and prevention policies across different patient-facing areas.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
Receptionist Assistant
Moraine Ridge
11.2016 - 02.2017
- Assisted with onboarding new clients and securing paperwork completion.
- Resolved customer problems and complaints.
- Managed multi-line telephone system and greeted claimants during office visits.
- Kept reception area clean and neat to give visitors positive first impression.
- Responded to inquiries from callers seeking information.
- Maintained visitor log for entering and leaving facility for security purposes.
Therapeutic Recreation Assistant
Sheridan Shores Nursing & Rehabilitation Center
07.2013 - 07.2014
- Communicated with the health care professionals and developed therapeutic recreational activities
- Met visitors and interacted to understand their preferences
- Scheduled and led specialized programs allowing participants to engage in exercise and recreation, supporting social and physical wellbeing.
- Prepared and submitted reports and charts to treatment team to reflect patient reactions and evidence of progress or regression.
- Developed strong communication and organizational skills through working on group projects.
Education
Bachelor of Science - Healthcare Administration
DeVry University
Downers Grove, IL05.2027
GED - undefined
Harper Community College
2011
Skills
- Medical Terminology
- Patient Contact
- Prior Authorization Processing
- CPT Coding
- Insurance Authorizations
- Multi-Line Telephone Systems
- Microsoft Office
- Type 40WPM
- Microsoft Outlook
- Care Plan Assessment
- Developmental Disabilities
- Community Activities
- Process Payments
- HIPAA Compliance
- Quality Assurance
- Deductible and Co-Pay Calculation
- G-Suite
Timeline
Billing Account Representative
IVY Rehab Billing Department-Pediatrics & Ortho
07.2022 - Current
Customer Service Representative-ETA AGENT/Overnight Auditor
SCR Medical Transportation
06.2022 - 03.2023
Reimbursement specialist/ Benefits Verification
Aston Carter
09.2021 - 02.2022
Caregiver
Comfort Keepers
04.2021 - 09.2021
Direct Support Professional
El Valor
02.2020 - 02.2021
Health Concierge
Ransdstad U.S.A
09.2019 - 01.2020
Companion
Caregiver, Open Arms Solutions
03.2018 - 08.2018
Direct Support Professional
Homes for Independent Living
11.2017 - 02.2018
Program Instructor
ASPIRO
08.2017 - 11.2017
Personal Care Worker
Angels Assisted Living
02.2017 - 07.2017
Receptionist Assistant
Moraine Ridge
11.2016 - 02.2017
Therapeutic Recreation Assistant
Sheridan Shores Nursing & Rehabilitation Center
07.2013 - 07.2014
Bachelor of Science - Healthcare Administration
DeVry University
GED - undefined
Harper Community College
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