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Click here or scroll down to respond to this candidateCandidate's Name
BOCA RATON, FL Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEAmbitious Billing & Collections Specialist with more than ten years of experience in debt collection and collections processing. Successful in following up on past due accounts and recouping unpaid balances. Responsible for ensuring accurate billing, timely submission of electronic and /or paper claims. Monitoring claim status,researching rejections and denials, documenting related account activities . In addition the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims. Medical Billing and Collections Specialist, 08/2018 - Current KPC Promise Healthcare, LLC Boca Raton FL 33432The Medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and /or paper claims.Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms. Increased overall collection rates with a focus on reducing aged receivables and minimizing write-off Ensured compliance with industry regulations by staying up-to-date on changes to medical billing procedures and guidelines.Monitored outstanding invoices and performed collections duties. Medical Billing and Collections Specialist, 06/2016 - 08/2018 Promise Healthcare Boca Raton FLBilling and collections for Long Term Acute Care Hospital and SNF. Research and resolved Incorrect payments, EOB denials Review monthly patient aging reports for all payer types responsible or follow-up and collection of receivables for all payer types. Review report of outstanding accounts to determine appropriate next actions required to obtain payment for outstanding balance.Responsible for correcting, completing, and processing claims for all payer types Process appeal on line or via paper submissionPROFESSIONAL SUMMARYWORK HISTORYProcess refund requestAttend provider meetings/ workshop when needed.Corrected, completed and processed claims for multiple payer codes. ADMISSION COORDINATOR SNF, 10/2015 - 03/2016Manor Pines Nursing And Convalescent Center FT. Lauderdale Received, review and evaluate all referral for potential admission to the facility, to determine financial eligibility and viability.record any census changes ( admission, discharge, bed hold, payer changes. Verified patient insurancereview the CWF (common working file for Medicare.Gathered and organized materials to support operations. Assistant Business Office Manager, 07/2014 - 06/2015 DeerField Beach Health & Rehabilitation Deerfield Beach Performed accounts receivable collections for past due accounts by conducting collection calls. Research and resolved account disputes and billing discrepancies Identified delinquent accountsgenerate bills for reimbursement follow up on unpaid claims. Including denial Billing and Collections Specialist, 04/2004 - 07/2013 Whitehall Boca Raton Boca Raton FloridaResponsible for follow-up and collection of receivable Managing appeal and follow up with private carrier, Medicare and Medicaid and Commercial insurance. Researched and resolved account disputes and billing discrepancies Responsible to determined that claims are scrub and ready to be submitted electronically Procured account payment, reviewed delinquent accounts and produced and delivered account statement Maintain clear and cohesive notes/documentations /for related to all open and pending claims being worked.Patient Account Representative, 04/1998 - 05/2004North West Broward Orthopedic Associate Margate, Florida Self-motivated, with a strong sense of personal responsibility. Skilled at working independently and collaboratively in a team environment. Proven ability to learn quickly and adapt to new situations. Access open account for billing on a daily basisFollowed up on insurance claims with Medicare & private insurance. administered collection callsMonitored delinquent accountsCollaborate with attorney on Worker Compensation, motor Vehicle and Liability claims. Provide daily counseling to consumers on insurance benefits and claim issues. High School DiplomaWashington High School - New York CityProblem Solving Leadership ResponsibilitiesKnowledge of HMO's Medicare, Medicaid,PPO, Manage care and Commercial InsuranceMedical billing softwareTransaction processing Knowledge of billing an collections procedure Achieved [Result] by completing [Task] with accuracy and efficiency. Documented and resolved [Issue] which led to [Results]. WellSky ; Matrix; MDI; ELGA electronic systemsEDUCATIONSKILLSACCOMPLISHMENTSSOFTWARE |
