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Click here or scroll down to respond to this candidateCandidate's Name IINew Castle DE Street Address
Professional Summary: Boasts a robust background of approximately a decade in the medical billing, claims, and healthcare reimbursement sector. Demonstrated success in fostering collaboration among internal and external team members. Proven track record of achieving results and maintaining a meticulous approach to work. A results-oriented individual with a keen interest in further contributing to the medical billing and claims field. Exceptional skills in relationship management, creating a collaborative work environment. Available for an immediate start.Professional Skills: Superior customer service, medical terminology, leadership and mathematical skills. Resourceful, creative problem-solver. Organized Administrator with effective oral and written communication skills. Visionary professional with proven aptitude to develop and implement departmental short- and long-range goals. Collaborative team player with demonstrated ability to interact well with a diverse group of people at a local, national, or global level.Technical Skills: Excel MS Access Word PowerPoint PeopleSoft CPR+ Navinet Availity Rims Mobious Blue Chips Insurance SystemWork Experience:Collections Supervisor Apr 2022 - Nov 2023Biotek Remedys Contact other insurance companies to resolve past due claim payments, discuss denials and reconsiderations. Contact customers to collect past due amounts. Identify any reasons for non-payment and develop plans with supervisor on how to resolve. Document results of contacts. Track and follow-up on customer and provide commitments. Handle customer receivable inquiries. Flag and communicate any invoicing or credit memo errors identified when applying remittances. Review customer balances as directed by supervisor to identify past due accounts. Analyze deductions and credits in customer accounts, identifying items to net, items to follow-up with customer, and items requiring potential write-off.Authorization Specialist Sep 2018 - Apr 2022Nemours Foundation (A I DuPont Hospital) Contact other insurance companies to see if coverage exists. Register Patients Demographics. Set up appointments for Audiology. Check in and check out patients while collecting copays. Verify DME benefits for patients as to coverage and collect Pre payments. Claims Specialist Jul 2017 - Sep 2018Universal Health Services, Malvern PA Contact other insurance companies to see if coverage exists. Make sure all errors are correct so that claims process correctly. Verify correct billing codes are on claim. Handle all types of rejections whether internal or external. Billing with Medicare and Commercial Plans.Accounts Receivable Supervisor Aug 2015 - Jul 2017 Fresenius Vascular Care, Malvern, PA Analyze customer accounts at the time of application for any skipped or partial payments, or customer errors. Contact customers immediately to resolve any remittance discrepancies. Accounts Receivable analysis and reporting. Generate AR aging reports and identify critical issues. Enter and maintain description codes for customer deductions and discrepancies to facilitate AR analysis and follow-up. Contact customers to collect past due amounts. Identify any reasons for non-payment and develop plans with supervisor on how to resolve. Document results of contacts. Track and follow-up on customer commitments. Handle customer receivable inquiries. Flag and communicate any invoicing or credit memo errors identified when applying remittances. Review customer balances as directed by supervisor to identify past due accounts. Analyze deductions and credits in customer accounts, identifying items to net, items to follow-up with customer, and items requiring potential write-off.Accounts Receivable / Team Lead Jan 2013 - Aug 2015 MedRisk Inc., King of Prussia, PA Analyze customer accounts at the time of application for any skipped or partial payments, or customer errors. Contact customers immediately to resolve any remittance discrepancies. Accounts Receivable analysis and reporting. Generate AR aging reports and identify critical issues. Enter and maintain description codes for customer deductions and discrepancies to facilitate AR analysis and follow-up. Contact customers to collect past due amounts. Identify any reasons for non-payment and develop plans with supervisor on how to resolve. Document results of contacts. Track and follow-up on customer commitments. Handle customer receivable inquiries. Flag and communicate any invoicing or credit memo errors identified when applying remittances. Review customer balances as directed by supervisor to identify past due accounts. Analyze deductions and credits in customer accounts, identifying items to net, items to follow-up with customer, and items requiring potential write-off. Escalate unresolved issues, tracking to final resolution. Interface with customer to obtain documentation. Analyze and ensure appropriately authorized. Develop and train new hires using company philosophy to ensure compliant collection practices. |
