| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLERelevant Skill Set:Medical Billing and Collection Specialist with 15+ years of experience in provider, call center and third-party revenue cycle systemsSkilled in performing collections and verifying claims for payments or reimbursements including following up on appeals, denials, and delinquent claimsExperienced managing 50+ calls per day to insurance organizations and patients to provide explanation of benefits (EOBs), performing collections, and reviewing payments for HMO/PPOMedicare, Medicaid, and Commercial or Private insurancesKnowledgeable in ICD-9/10, CPT, HCPCS, HCFA 1500, and UB-04Skilled utilizing Microsoft Office and various EMR systems including: Epic, Artiva, IDX, Medical Manager, Meditech, Medisoft, All ScriptProfessional Experience:Christus Health via Staffing Agency-Houston, TXApril 2019 to October 2020Patient Account Specialist IIIResponsible for following up directly with commercial and government payersResolved claims and secure appropriate and timely reimbursementResponsible for billing and resubmitting primary and secondary insurance claimsVerified various insurances companies via phone, or provider portal and websiteUniversity of Mississippi Medical Center- Jackson, MSSeptember 2017 -March 2019Billing Specialist IIManaged approximately 50 calls per day following up with insurance companies and patients regarding accountsHandled complex patient accountsVerified claims for payments or reimbursementWorked to obtain Appeals, Denials, Reading of EOBsVerified various insurance companies and contractual adjustments via phone or internetPruitt Health -Norcross, GAFebruary 2017- June 2017Private Biller/Collection SpecialistEnsured all billing functions accurately and on timeResearched, corrected and re-billed outstanding claimsResponsible for collections and Day Sales OutstandingManaged the Private Billing as well as related AR collections processesMonth end close responsibility for all assigned locationParallon Business Solutions via Staffing Agency- Norcross, GAFebruary 2016 -December 2016 (Contract, Assignment Completed)Collection SpecialistMonitored insurance claims & auto claims by running appropriate reports and contacting companies to resolved claims that are not paid in timely mannerIdentified coding or billing problems from EOBs and Accident Reports to correct the errorsNue-Medical Consultant Lawrenceville, GAJanuary 2015- January 2016Medical Biller/AR SpecialistPosted and reconcile insurance and patient payments in a timely mannerEnsured demographic and insurance information is complete for outgoing chargesAble to research missing payments, check claims status resubmit claimsLaureate Medical Group via Staffing Agency, Atlanta, GAJuly 2014- December 2014 ( Contract, Assignment Completed)Charge and Payment PostingPosted and reconcile insurance and patient in a timely mannerEfficient with All Script and entering Physician billing at off-site practicesProcessed patient inquiries through EMR (Electronic Medical Records)Check in and Check out patient, collect co-pay @ Time of serviceNortheast Georgia Physicians Group, via Staffing Agency Gainesville, GAJanuary 2014- June 2014 (Contract, Assignment Completed)Charge PostingPosted chargesEntered inpatients and outpatientsEntered payments and adjustments, various clinicsCheck in and check out patients and schedule appointments, collect co-pay @ TOSAdvocate Illinois Masonic Medical Center Chicago, ILJune 2005- August 2013Revenue Cycle LeadEdited all billing transactions for various doctors in various clinicsAccurate entered patient demographicVerified patient eligibility and schedule appointmentsPosted patients and insurance payments on accounts |
