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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLE Palm Bay, FL Street Address
EXPERIENCEBrevard Chiropractic & Injury CenterMay 2023 to PresentBilling Managment Balance credit card payments Post payments from remits and EOB's and patient payments Work all denials on remits and EBO Make phone call to insurance and patientsInsurance Verification Call and get member benefitsCollection Specialist Identify issues to prevent adjudicating claims and also do research on insuance claims Performed outbound and inbound phone calls from insurance company and patients Pull medical records that was requested from insurance company Process client's mail Request for Authorization numberCornerstone Therapy ServicesDec 2020 to Nov 2022 Palm Bay, FLBilling Managment Check Therapies charge slip for error Balance credit card payments Post payments from remits and EOB's and patient payments Work all denials on remits and EBO Made phone call to insurance and patients Ran AR reports for all of the insurancesInsurance Verification Call and get member benefitsCollection Specialist Analyzing A/R monthly reports Identify issues to prevent adjudicating claims and also do research on insuance claims Performed outbound and inbound phone calls from insurance company and patients Pull medical records that was requested from insurance company Process client's mail Request for Authorization number Billing for Speech Therapy, Occupational Therapy, Physical TherapyAspire Medical BillingJan 2020 to Dec 2020 Port St. Lucie, FLInsurance Verification Call and get member benefitsCollection Specialist Analyzing A/R monthly reports Identify issues to prevent adjudicating claims Performed outbound and inbound phone calls from insurance company and patientsIncreased planning and resolving A/R problems Pull medical records that was requested from insurance company Process client's mail Billing for Partial Hospitalization Program, Intensive Outpatient, Outpatient Program and DetoxEdge Recovery TreatmentCollection Specialist and Billing and Insurance VerificationSep 2018 - Nov 2019 Coral Springs, FLMental Health and Substance Abuse Responsible for reviewing and processing non- adjudicated claims older than 90 days Full charge processing of all accounts receivable and payable Analyzing A/R monthly reports Identify issues to prevent adjudicating claims Performed outbound and inbound phone calls from insurance company and patientsIncreased planning and resolving A/R problems Pull medical records that was requested from insurance company Process client's mail Billing for Partial Hospitalization Program, Intensive Outpatient, Outpatient Program and Detox Billing from Census Work from Dynamic report Process client's mail Call and get member benefitsAdvance Recovery SystemsCollections Specialist, ARSOct 2017 - Aug 2018 Ft Lauderdale, FLResponsible for reviewing and processing non- adjudicated claims older than 90 days Full charge processing of all accounts receivable and payable Work secondary claimsPerformed payment plans for patients Analyzing A/R monthly reports Identify issues to prevent adjudicating claimsIncreased planning and resolving A/R problemsK ForceContractJun 2017 - Oct 2017 Sunrise, FLIdentified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth Created positioning and key messages to differentiate business solutions and products in market Started working at Advanced Recovery Systems permanent 10/09/2017Professional Revenue Recovery SolutionsMedical Insurance CollectorJul 2013 - Mar 2017 Sunrise, FLResponsible for reviewing and processing non-adjudicated claims older than 60 days Full charge processing of all accounts receivable payable Work secondary claims Payment plans for patients Analyzing A/R monthly reports Identify issues to prevent adjudicating claims Planning resolving A/R problems Contacting insurance carriers Filing claim appeal Recommend production operation Trace claims submission Timely follow up on batches arrangements Enter on timely basis all charges, payments, credits and adjustment by payTeam Lead in Transmitting Specialty July, 2014 Transmitted work that was bill Auditing batch before transmitting Correcting billing error Performed clerical duties, such as word processing, data entry, answering phones and filingEDUCATIONBA Criminal JusticeNov 2016 Fort Lauderdale, FLStudy at KEISER UNIVERSITYRelevant Coursework:Private SecurityHuman ExploitationConstitutional Criminal ProceduresCrime and the MediaDeviant BehaviorVictimologyComparative Criminal Justice SystemsCriminal Justice ManagementCriminal Evidence and ProceduresCyber CrimeEthics in Criminal JusticeOrganized CrimeWhite Collar and Economic CrimeDrug ControlTerrorismWorkforce DiversityResearch WritingProtective ServicesSociology of the Urban CommunityIntegrated Criminal Justice Capstone ProjectAssociate of Arts in Criminal JusticeMay 2014 Fort Lauderdale, FLStudy at Keiser UniversityRelevant Coursework:Political ScienceEnglish Composition lIntroduction to Criminal Justice CriminologyIntroduction to CorrectionsIntroduction to Juvenile ProceduresEnglish Composition IIIntroduction to PsychologyAmerican LiteratureCriminal LawMicroeconomicsIntroduction to Law EnforcementGeneral BiologyAdvanced BiologyIntermediate AlgebraCollege AlgebraSpeechStatisticsIntroduction to ComputersREFERENCES:Joyce Smitter: Chief Executive Officer EMAIL AVAILABLE PHONE NUMBER AVAILABLEChristi Dutchess:MS,OTR/L,CHC:EMAIL AVAILABLE PHONE NUMBER AVAILABLEChristopher Alvarez: Director of Admission EMAIL AVAILABLE PHONE NUMBER AVAILABLEHIGHLIGHTSChirotouchEPICClinicsourceIDXAdvanceMD PMCollaborate MDAMDMed iSOFTZirMed Microsoft Word & ExcelAvatarSunwave Health SolutionOffice AllyCustomer ContactAccounts Payable/Accounts ReceivablePROFESSIONAL SUMMARYDedicated to work Collection Specialist and Account Receivable and also billing. Work in the field over 25 years in accounts receivable and collections. Have adept at reaching out to account holders by phone, mail and email. Have skilled in resolving collection issues, adjusting accounts and correcting discrepancies or short payments. Learn excellent knowledge of collection and claims procedures with strong communication skills utilized in resolving customer queries. Skilled in accurately preparing weekly and monthly reports within tight deadlines. |
