Quantcast

Collection Coordinator Insurance Claims ...
Resumes | Register

Candidate Information
Name Available: Register for Free
Title Collection Coordinator Insurance Claims
Target Location US-FL-Miami
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

Search 2 million Resumes
Keywords:
City or Zip:
Related Resumes

Customer Service Insurance Claims Weston, FL

Insurance Sales High School Hialeah, FL

Regional Quality Assurance Coordinator / Education Admin. & Inst Boca Raton, FL

Customer Service Administrative Coordinator Tamarac, FL

Life Insurance Agent Delray Beach, FL

Customer Service Insurance Hollywood, FL

Referral Coordinator Hialeah, FL

Click here or scroll down to respond to this candidate
Candidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLESUMMARY:Experienced analyzing credit for customers in Latin America and Miami- (Colombia, Mexico, Brazil, Puerto Rico, Argentina)Prepared weekly forecasts for collection.Established policies for collateral secured credit lines (credit insurance with Euler Hermes) with all international customers.Accomplished to reduce delinquency by 30% and effectively reduced DSO from 71 to 46 days on average.EDUCATION:Fort Lauderdale CollegeBachelor s of Business AdministrationPROFESSIONAL EXPERIENCE:Sanitas Corp & Keralty Hosp Nov '22 - PresentMedical Collection CoordinatorIdentified coding or billing problems from EOB and worked to correct the error in a timely manner with audit team or client,Monitors Insurance claims by running appropriate report and contacting insurance to resolve claims that are not paidBilling and Collections of Medicare, HMO, Worker; Comp, Self-PayAnalyzed aging AR and monitor accounts for non-payments and collect on daily basis.Identified coding or billing problems from EOB and worked to correct the error in a timely manner with audit team or client,Collecting delinquent payments, making payments arrangements, and or recovery debtReprocessed claims for payment in a timely manner, and prepared client request formsPrepare collection cases for litigation; and reviewed and processed bankruptcy petitions, skip tracing.Prepare weekly forecasts for collection.Mailed letters to insurance or customer to encourage payment of delinquent accounts, review and entry daily charges, modifiers and servicesFirst Bank Florida Nov '17 - Aug '22Credit & Collection CoordinatorA/R and Credit Analysis, debt income ratios, determines worthiness of the loan (auto & commercials)Monitoring delinquent loan accounts (auto-mortgage-credit cardCollected Mortgage and /or Equity Loan Accounts and post ACH payments as needed, review escrow-and Review Direct Deposit Accounts for negative balance.Collecting delinquent loan payments, making payments arrangements, and or recovery collateral.Assign auto for repo/follow up on deficiency balance & total loss & insurance check reimbursement.Prepare collection cases for litigation; and reviewed and processed bankruptcy petitions, skip tracing.Prepare weekly forecasts for collection.Review credit reports to decide necessary course of action.CSI Caregiver Service 2015 - 2017Medical Collection SpecialistBilling and Collections of Medicare, Medicaid, HMO, PPOs, Workers Comp, Self-PayMonitors insurance claims by running appropriate report and contacting insurance to resolve claims that are not paidMail from letters to insurance or customer to encourage payment of delinquent accountsReview, revise-reprocess and follow-up on all appeals / denials, process all claims Electronic/Web Portable or PaperIdentify coding or billing problems from EOB and work to correct the error in a time manner with audit team or client, respond to Insurance requests providing all necessary billing paperwork treatments and product.Update claims billing notes in CPR T with the status detail notesAnalyzed aging AR and monitor accounts for non payments and collect on daily basis.Imperial Business Solutions Inc. 2010  2015Credit & Collection Consultant  Medical & Commercial AccountsProvide business consulting, credit analysis, audits and litigation support for domestic & International accts in all industries and of all size. Recommend new techniques for improved credit and collection performanceAnalyze AR aged trial balance, working knowledge of federal,state and local rules concerning billing & collections UB04 & HCFA1500 forms, monitors billing and others processes on daily basis to prioritize work flow identify problems- Collections of -60+ accountsPrivate Insurance Medicaid, Medicare and Self Pay accounts, Medicare Contact Attorney for letter of protection, review claims to determine reason for denialsReprocess claims for payment in a timely manner, and prepare client request formsConduct benefits investigations, verify insurance benefits for patient and physicians office, and submit prior authorizations as required payer.Obtain recertification for cases required extended/treatment (blood/cancer/heart diseases etc coverage beyond the expiration of original approved.Frequent follow up activities to obtain reimbursement from Payor and for patientsConsulting for the following companies: Kira Inc., Trial Graphix, Olympus Latin A, First Florida Bank, HealthSouth Rehabilitation Center, Sign Supply Co, First FL Funding Service, BrightStar, Eduardo Soto PA,Exclusive Auto Inc., ARC Medical RecoveryAgrizzi Enterprises Corporation, Miami, FLCredit Manager 2007- 2009Reviewed credit application, established lines of credit and conducted financial analysisNegotiated credit terms with multiple equipment providersIn charge of collections for Latin America and Miami- (Colombia, Mexico, Brazil, Puerto Rico, Argentina)Review collection reports to ascertain status of collection and balance outstanding and to evaluate effectiveness of current collection proceduresPrepared weekly forecast for collection and provided reports to executive teamAssisted on Month end closing for the entire regionReview collection reports to ascertain status of collection and balance outstanding and to evaluate effectiveness of current collection procedures- weekly forecast for collectionReduced delinquency by 30% and effectively reduced DSO from 71 to 46 days on averageDHL- Danzas Air & Ocean, Miami, FL 2002  2007Credit & Collection CoordinatorWork directly with Sales Manager & Team to ensure all shipments are handled as per SOPEstablish credit and collection procedures. Prepare collection report for ManagementPrepare collection cases for litigation; and reviewed and processed bankruptcy petitions, skip tracingResponsible all Conglomerates Hasip, National accts &. Domestics, Totaling $ 35 MillionAnalyze financial statements and credit analysis. Major control A/R credit & collection auditsResponsible for ensuring all invoices & unresolved issues for department Imports, Domestics BrokeragePreferred Home Care of America, Miami, FL 1988 - 2002Credit & Collection CoordinatorAnalyzed the account receivables and aged trial to provide a collection strategy and evaluation of the credit limits with financial statements and D & B Reports.Prepared collection cases for judgments and suits, appeared in small claims court for firms.Direct and assist with month-end closing for account receivableCollected on various conglomerates and government agenciesEducation & TrainingBachelor of Business Administration, Ft Lauderdale CollegeCompletion training programs in the areas of Credit & Collections Supervision, Sales, Marketing, and Financial International Trade, Lien Laws, and Credit Insurance..Additional Relevant SkillsMS Office Applications, PowerPoint, Bi-Lingual: Spanish & English

Respond to this candidate
Your Message
Please type the code shown in the image:

Note: Responding to this resume will create an account on our partner site postjobfree.com
Register for Free on Jobvertise