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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL SUMMARYOver 26 years of experience in the Billing and Collection field, have adapted to building effective processes and obtaining reliable, accurate information for business decision making, to ensure payment accuracy. Familiar with verifying information in the accounting ledger against vendor information.Quick and eager learner with acute attention to detail, Communicative, I am highly organized, proactive and punctual with team-oriented mentality. Eager to apply time management and organizational skills in various environments. Seeking opportunities to expand skills while facilitating company growth.SKILLSPayment processingAccounting systems and controls Account ReconciliationVerbal and Written Communication Relationship BuildingProcessing Checks and Invoices Effective and Professional Communication Discrepancy Reconciliation.Sheet balancingAccounts payable / accounts receivable Vendor invoice processingAudit coordinationERP softwareAccounting remittancesData entryClosing processesEpicClear IQ (Estimate Patients payments)Palmetto (Find Patients correct Insurance)OnBase (Scan ID and Insurance Cards)WORK HISTORYConifer Health Solutions Patient Access II December 2023 CurrentMake it my mission to get every patient that signs into the Emergency Room to be correctly and properly registered.Once patients are triaged, and put into their room, I introduce myself, and explain my purpose.Thoroughly explain each form that requires a signature.Ask for Photo ID and Insurance Cards.Enter information into Epic, verify Insurance. scan cards into OnBase.For Patients without Insurance, will enter patient information into Clear IQ to create an estimate for this ER visit.If patient doesnt have an insurance card, will enter patient information into Palmetto/One Source to obtain verification of Health Coverage (If any)Call the code board when necessary.Collected copayments, co-insurances, and deductibles when necessary.M&C Assemblies Accounting Billing/Collection January 19 August 21,2023 At HomeWork Walmart rejection, make correction and resubmit via mobile app.Bill customer spreadsheet of all outstanding invoices for prior week, attach PDFS for In-Store and In-HomeWork from Toolbox and HDP portal to obtain Key Recs and POs for billing purposes.Work spreadsheets of incorrect key recs and pos make corrections and they are forwarded back to HDP.Add all my customers payments on spreadsheet so they can be entered into the uploader and marked as paid in Toolbox.Accounting Billing/Collection Lead - February 2018 to Present Assemblers Inc. - Chattanooga, TNManaged the efficient and accurate processing of invoices and check requests for Assemblers Inc.Answered calls, emails, and faxes in reference to customer inquiries, resolving problems.Developed team communications and information for accounts receivable meetings.Created a new employer SOP evaluation process that resulted in significant performance improvements.Trained and mentored new team members on accounts receivable systems and policies to build cohesive groups and promote operational performance. Solved billing and collection issues, improved operations, and provided excellent customer service.Entered data into the Macola and sales force systems, including payments, account information.Kept vendor files accurate and up to date to speed up payment processing.Billing and Collection Specialist Lead - March 2015 to January 2018 ENT & Sleep Specialists - Greenbelt, MDAnswered numerous calls to help customers with their questions and concerns.Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.Reviewed EOBS for accuracy in applying payment and auditing unpaid procedures.Applied correct CPT/HCPC and or modifier is required.Submitted Appeals for claims not paid per contractual agreement.Identified, researched, and resolved billing variances to maintain system accuracy and currency.Developed team communications and information for account receivable meetings.Contacted clients who were behind on payments to set up payment plans and discuss restructuring options.Assisted in properly applying customer remittances while working with team members.Performed targeted collections on accounts that were past due for more than 30 days.Solved collection issues, improved operations, and provided excellent customer service.Handled a high volume of inbound calls related to delinquent account reconciliation.Increased customer satisfaction by resolving billing of 2ndary claims and collection issues.Prevented impending loss and increased profitability by enforcing scheduled collection campaigns and consistently achieving the targeted recovery rate.Billing and Collection Representative February 2009 to February 2015 Sport and Spine Rehab Ft. Washington, MDWorked AR to decrease DSO.Billed commercial, Medicare, Workers Compensation, and Personal Injury cases, submitting requested documentation when requested, for WC and PI cases.Reviewed EOBS to ensure that appropriate and correct reimbursement was issued, if not corrected what EOB stated was incorrect, CPT, HCPC and or modifier, refiled as corrected claim.Appealed wrongfully denied claims, after researching denial, attached medical documentation/notes.If claim denied for no coverage or patient has primary insurance, used carrier portal to verify effective and term dates, if patient has new coverage, I contacted customer to get updated policy information, verified via portal, effective date, eligibility, and proper coverage for our services.Maintained great communication with external and internal customers and fellow employees.Mailed customer statements bi-weekly, called to obtain payment date, or set up short payment arrangements. |
