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Click here or scroll down to respond to this candidate0Sandra M. Fox Street Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLESUMMARY OF QUALIFICATIONSExperience in Healthcare and Corporate settings, seeking a new opportunity with growth. Experience includes but not limited to cash application, accounts receivable, accounts payable, educational billing, and analyzing medical claims. Exceeded expectations in customer service with internal and external customers. Works well in a team and independently. PROFESSIONAL EXPERIENCEKingsBridge Holdings Lake Forest, IL.Accounting- 12/2021- 11/2023Update A/R collection reports portfolio over $5 million using excel for US Trilogy, Canada, France, and Spain by removing payments received through the Paying Agent, 5th/3rd Bank.Complete customer request form if refund is necessary.Address Paying Agent, 5th/3rd Bank questions regrading payments received for the Trilogy portfo- lio providing them with the correct details, invoice numbers, lease numbers so the payment can be applied correctly.Provided payment remittances received from varies customers Pitney Bowes, Colgate, Eaton, to the Paying Agent, 5th/3rd Bank adding the detail required to apply payment.Research payments on remittances received with limited detail. Forward the remittance and cor- rect detail to the paying agent, 5th/3rd Bank. Remittance payments can ranging from $20 to $2 million.Post in Lease Plus daily cash files over $500K for KBH and Global portfolio received from the pay- ing agent, checks and ACHs to customers accounts. United Health Group Optum - Naperville, IL.Audit & Recovery Specialist 5/2014 4/2021Analyze daily 75+ claims payment history to identify and determine where overpayment recoveries exist. This includes Coordination of Benefits for both Medicare primary and secondary Insurance for possible payment errors.Ensure timely and accurate completion of recovery projects and related reporting.Establish communication and rapport with clients, providers, and insurance companies. Research, re- solve, and respond to correspondence (both written and verbal) from providers, insurance companies and clients.Documentation of all related recovery efforts in various claims and database systems to document re- covery efforts as required by each specific client.Follow all applicable laws related to recovery efforts. HCSC (Aerotek) - Naperville, IL.Financial Operations/Quality Assurance 11/2011 3/2014Research, investigate and complete insurance membership, accounting and invoicing issues for active and terminated members for the over 65 BCBS Group.Research checks in Job Manage or Mellon Bank for possible cash application errors.Reviewed 10% of both onshore and offshore team account research for the Over 65 database and iden- tified corrective audit issues.Hands-on testing of projects for the UAT U65 retail system. Logged defects and forwarded to the appro- priate departments for resolution.Communications Supply Corporation (CFS Staffing)-Carol Stream, IL. Cash Application Specialist 9/2011-10/2011Applied 160-200 payments a day with multiple line items in the detail while the company went through a system conversion from ADP to Oracle system. Streamwood Behavioral Healthcare System- Streamwood, IL. Patient Account Representative with Educational Billing & Collecting 10/2006 - 4/2011Complete daily census in Excel for the Hospital morning meeting.Prepare and code daily EFT, bank lockbox and weekly cash deposit.Register patients and bill schools for educational services.Contact schools for educational payment when needed to keep accounts current.Prepare any adjustments or refunds as necessary. GE Commercial Finance - Hoffman Estates, IL.Processing Administrator 4/2000 -10/2006Process all inbound EDI, electronic data interchange, invoices into system which includes verifying cus- tomer numbers, validating approval numbers, and selection rates and terms programs.Contact customers, manufactures and distributors of GE internal VBU in cases where invoices required additional verification processes.Validating and verifying funding information for purchased invoice and make any necessary adjustments for finance charges, offsets, and or credit memos.Interface and communicate with business managers and customer service personnel to resolve funding, invoice problems, credit memos issues, and other matters. E & A Cash Dept. (Accounts Receivable) 11/1998 - 4/2000Apply incoming payment from customer to their accounts.Application of credit memos.Reconcile and research issues that occurred to customer accounts. EDUCATIONAL BACKGROUNDNorthwest Suburban College- Rolling Meadow, IL. - Medical Billing and Coding Specialist Program. Triton College - River Grove, IL. - Associate Degree In Early Childhood Education Mother Theodore High School - River Grove IL.CERTIFICATIONS AND CONTINUING EDUCATIONNHA Certified Medical Billing and Coding Specialist ADDITIONAL SKILLS AND ABILITIESVantage Membership System, Vantage User Interface, DMDS, Citrix (VDI), Microsoft Excel/Word, Ac- cess 5.9, Outlook/Lotus Email, Windows XP, Oracle, ADP, Medisoft, 10-key calculators, CMS 1500 and UB-04 Claim Forms, Knowledge of Medical Terminology pertaining to ICD-9-CM, CPT coding and Net- Suite. Aetna systems: Claim Analyzer, Rumba Mainframe, OPT. Knowledge of Crystal Reports, Mi- crosoft Teams and Lease Plus. |
