Experienced Motivated Worker
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Experienced Motivated Worker

5770 Belcrest
Phone:------------
Houston, TX. 77033
Email: ------------

La Shanda McCoy
_____________________________________________________

Objective To obtain a position with an opportunity to advance.

Experience





02/2019-Active Kid’s R Kid’s Sugarland, TX
Experienced Child Care Assistant

? Assist in implementing daily program and preparing the learning environment materials and supplies
? Help with general housekeeping tasks including the serving of snacks
? Attend all staff meetings and recommended training programs
? Participate in professional organizations that work for the improvement of early childhood and primary education
? Contributed to presentation of learning materials and instructional exercises
? Instructed students individually or in small groups to reinforce and follow-up learning activity
? Assessed children and maintain individual child portfolios as well as other classroom duties
? Met the social emotional physical and cognitive developmental needs of children
? Child Care Assistant Fundamentals
? Interaction with Children in Groups
? Administration of Early Childhood Programs
? Assessment of the Young Child
? Arts and crafts aptitude
? Training in food handling preparation
? Proficient in childcare management software
? Calm and patient
? Record keeping
? Music education
? Play-based curricula
? Instructional and behavioral strategies
? Classroom observation
? Certified Certificates for Child Care Available upon request.







01/2013-11/2018 Nobilis Healthcare Houston, TX
Medical Collector Specialist




• Perform scheduled follow up on accounts by working the Aged Trial Balance weekly.
• Make scheduled telephone calls to payors with delinquent balances to collect the appropriate amount due.
• Receive and properly handle incoming phone calls.
• Prepare and submit billing information in response to requests from the internal and external auditor.
• Document in the online system any collections activity performed on each account.
• Set up and print collection letters when mandated.
• Process and complete payor requests or inquiries.
• Process all higher-level appeals and/or payer disputes/complaints for escalated claims processing.
• Accept and process additional insurance information when provided by the debtor.
• Consolidate the demographic data for all accounts belonging to one patient with the same guarantor.
• Assist in the preparation of statistical reports for Administration.
• Resolve third party payment issues resulting from claims processing errors.
• Process appeals by researching payment coverage issues and responds to written and telephone inquiries pertaining to adjustments and corrections.
• Work with claims processors as needed to resolve problem claims and to define appropriate claims filing procedures.
• Conduct regular follow up on unresolved appeals.
• Submit online claim corrections to any payor who offers such technology to resolve over-payments and /or payment errors.
• Prepare required contractual adjustment work sheet for appropriate supervisor signature prior to posting adjustments.
• Consistently practice excellent telephone management skills.
• Performs other duties as required.
• Submit write off on approved accounts that needs to be adjusted.
• Licensed Notary upon request.




09/2008-05/2012 Benefit Recovery Houston, TX
Recovery Collector Specialist

• Billing and rebilling insurance claims to the insurance company.
• Appeal claims to the insurance company
• Updating patient accounts with new insurance information.
• Resolve accounts in a timely manner.
• Identify problems with accounts to resolve in a timely manner.
• Requesting and/or submitting adjustments for write offs to accounts.
• Verify eligibility by calling or going online to the insurance portals
• Posting Payments per EOB.
• Licensed Notary upon request.


09/2006-02/2008 Renaissance Healthcare Houston, TX
Medicaid/Managed Care Collector Specialist

• Billing and rebilling insurance claims to the insurance company.
• Appeal claims to the insurance company
• Updating patient accounts with new insurance information.
• Resolve accounts in a timely manner.
• Identify problems with accounts to resolve in a timely manner.
• Requesting and/or submitting adjustments for write offs to accounts.
• Verify eligibility by calling or going online to the insurance portals
? Pulling Managed Care EOB’s to resolve the account for status.
? Pulling Medicaid remittance reports daily to research and resolve.
? Licensed Notary upon request.











07/2002-09/2006 HCA Patient Accounts Services Houston, TX

Medicare/Medicaid/Commercial/Managed Care Collector Specialist

• Billing and rebilling insurance claims to the insurance company.
• Appeal claims to the insurance company
• Updating patient accounts with new insurance information.
• Resolve accounts in a timely manner.
• Identify problems with accounts to resolve in a timely manner.
• Requesting and/or submitting adjustments for write offs to accounts.
• Verify eligibility by calling or going online to the insurance portals
? Pulling Managed Care EOB’s to resolve the account for status.
? Pulling Medicaid/Medicare remittance reports daily to research and resolve.
? Licensed Notary upon request.

1996-2002 Bellaire Hospital Houston, TX

Dietary/PBX Operator/Medical File Clerk/Medical Records Clerk


• Take cart to floors to give patients breakfast, lunch, dinner, and a snack.
• Print reports daily for patients census to deliver trays to the patients.
• Communicate with people within and outside of the company.
• Speaking with external companies, customers, patients, and or agencies.
• Handle multiple calls, in the organizations as well as relaying important messages so that all tasks are completed on time.
• Completed an on-call list for the Hospital daily.
• Pre-registered patients daily.
• Reported information daily to the Charge Nurse that was going on within the Hospital.
• Correspondence respond to emails and perform administrative tasks, and conflicting resolution.
• Documenting correspondence from insurances and lawyer offices, filing patient files.
• Copying explanation of benefits from Medicaid, Care, Commercial, Medicare RA’s, and EOB’s daily.
• Checking and pulling refund request for patients and insurance companies.
• Copying checks from patients and insurance companies.
• Data entry
• Submitting information to physicians, making sure doctors sign information, and patients charts daily.
• Mail documents to physicians, filing information into Physicians charts


10/2018-Active Houston Community College Houston, TX

Business Administration/Business Management

? GPA: 3.0
? Majoring in College to get my degree
? Honors List Honoree for Spring 2019
? Deans Honorary List honoree



References Upon Request