Candidate Information Name Available: Register for Free Title Accounts Receivable Specialist Target Location US-AZ-Phoenix Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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Candidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLESkills Medical Collections, Medical Billing Liens Benefit verifications, authorizations IDC-10 coding Payment posting Medical terminologyExperienceMEDICINE BUSINESS INDUSTRY Phoenix, AZAccounts Receivable Specialist July 2021  August 2023 Worked aging physicians billing inventory and patient billing accounts to zero balances for Workers Comp claims Provided resolutions to denied, non-paid, controverted claims. Filed medical appeals, submitted corrected claims, provided medical documentation, and physician correspondences to insurance adjusters, carriers, and TPAs for payment. Identified trends of targeted accounts for improvement on delinquency, as well as developing resolution strategies with multiple insurances Bill review teams to determine compensability. Scanned, filed insurance correspondences, responded to inquiries, emails while protecting private health information. Posted insurance payments, submitted refunds for recoups/offsets. Adjusted off uncollected debts for end of month reports. Adhered to ICA guidelines, fee schedules, contracts, and U & C pricing for profit Proficient with explanations of benefits/ payments, and electronic remit codes Assisted new hires once out of orientation/training, transitions comfortably, and confidently into their roll. Maintained an accepted level of quotas of 25 or more by setting productivity goals Robert Half Phoenix, AZAccounts Receivable Specialist November 2018  May 2021(Contract) Lumina Vision Partners Paradise Valley Eye Care 360 Physical Therapy Arizona Arthritis and Rheumatology Simon Med Imaging Optum 360Ajillon Mesa, AZAccounts Receivable Specialist October 2020  March 2021(Contract) Hatfield Medical GroupOptum 360 Phoenix, AZAccounts Receivable July 2019  October 2020 Resolved denied or unpaid Medicare Advantage medical claims. Petitioned and appeal decisions based on COB, EOB, and patients responsibility for Dignity hospital facilities in Arizona, Nevada, and California. Utilized provider portals and websites to obtain claim status, resubmit claims via mail or electronically. Efficiently and effectively provided resolutions of outstanding account balances while following federal and company policies and guidelinesCandidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLECVS, Coram Infusion Phoenix, AZ formerly Tampa, Fl Accounts Receivable May 2013  September 2018 Efficiently and effectively provided resolutions of clients account balances while following federal and company policies and guidelines via email, fax, phone, and USPS. Identified trends of targeted accounts for improvement on delinquency, as well as developing resolution strategies with our Payors that includes efficiencies on timely accurate/clean billing of claims, and timely payment received from our customers based on their contract. Managed special Reconciliation Projects, as assigned such as Self Pay, and Self Pay (DNS), Heritage Group, VNS, etc Worked with all Corams systems, such as HC360, ePremis, MediAR, etc. as well as via LearnNet Proficient with billing forms (1500 Grey and Red, UB-04, Invoice etc.), as well as understanding medical diagnosis codes, and our customers contracts to ensure compliance for billing and payments. Assisted new hires once out of orientation/training, transitions comfortably, and confidently into their roll. Maintained an exceptional level of quality, while exceeding expectations of the productivity goals set. Software Microsoft Office Suite 365 Adobe Medlogic Athena ECM Cerner HC360 MediAR MedMetrixSoft Skills Motivated Learner Reliable, Responsible Attention to Detail, active listening Interpersonal: oral and written communication, team building Phone etiquette