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| | Related Resumes Customer Service Accounts Payable Tampa, FL Accounts Payable Customer Service Clearwater, FL Accounts Payable Human Resource Collections Customer Service Brooksville, FL Staff Accountant Customer Service Sarasota, FL Customer Service Account Manager Brandon, FL Accounts payable, customer service, reception, billing Gibsonton, FL Accounts Payable Customer Service Apollo Beach, FL |
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Click here or scroll down to respond to this candidateCandidate's Name
Street Address W Azeele StreetApt. Street Address
Tampa, Fl. Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEQUALIFICATIONS 9+ years of experience as a Patient Account Specialist Possesses good ability to communicate with insurance companies and patients to resolve billing questions and issues. Experience at responding to inquiries/requests for information as well as invoicing Skilled and effective with excellent oral, written and interpersonal skills. Medical Billing and Coding experience.. Florida All Lines 6-20 licenseEXPERIENCEAdvanced Rx ManagementTampa, FlReimbursement Specialist / WC and PIPJan 2021 - PresentMonitor accounts receivable spreadsheets and identify overdue accounts. Contact payers and adjusters with overdue accounts and attempt to collect. Make contact with Drs office for medicals and other patient information. Resolve claim issues by sending medicals, reconsiderations, corrected claims per EOR. Contact the attorney office to verify representation and place lien.Maintain records of contacts and attempted contacts. Gallagher Bassett / Worker CompensationTampa, FLMedical Only / Claims AdjusterSept 2019 - May 2020Provide customer service answer telephones. Complete Two and three-point contact to properly investigate assigned claims, evaluate coverage and determine compensability. Perform data entry to setup new claims, work diaries and create activity notes. Calculates and assigns timely and appropriate reserves to claims. Reserves should take into account likely medical and expense exposure. If indemnity or complicated medical issues arise, notifies supervisor/manager of the need to re-assign the claim file to a Claims Examiner. Manage initial and subsequent treatment within the Medical Provider Network. Assist in the delivery of medical care. Complete assigned work via diaries and work queues in a timely manner. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims. Perform other duties as requested by supervisor/manager Gallagher Bassett / Workers CompensationTampa, Fl(07/31/2017 - Sept 2019)Customer Service Representative/ Claims AssistantAnswered Claimant and provider calls, assisting or directing to proper resolution manager. Worked with various worker compensation forms, filling them out and sending to claimant, provider and counsel. Used various programs to copy FROIs, Medicals and payments to send to counsel.Surgery PartnersTampa, Fl08/ 2016 - 05/ 2017Anesthesia CollectorResponsible for assisting with all functions associated outstanding account balances from third party payers. Effective communicator who expressed myself on a daily basis in a professional manner both verbally and in writing Proactive professional who identified collection trends and solve them in a timely manner. Identified delinquent accounts, aging period and payment sources and performs collection actions including contacting patients by telephone and resubmitting claims to the appropriate payor. Kept informed on all current applicable third party payer regulations and requirements. Informed management and other staff members of changes and keeps documentation current and accessible.Successfully reduces days in A/R and meets assigned cash and productivity goalsTampa General HospitalTampa, Fl06/ 2010 - 08/2016Commercial Insurance and Workers Compensation Biller and Collector Responsible for the timely submission of clean, accurate claims, either electronic or paper according to payer/hospital requirements. Worked errors and halted claims daily. Ensured transmissions of the corrected claims are completed by designated time. Selected and printed any claims designated as paper (once errors have been corrected). Mailed paper claims daily attaching any additional pertinent documentation necessary to ensure prompt adjudication and payment of the claim. Ensured proper account documentation which is clear, concise and includes all pertinent information. Made appropriate and necessary corrections to patient account information after verification from the facility as needed to ensure timely correction and submission of claim. Utilized electronic software in all daily activities, documenting account daily following established procedures. Followed and maintained patient, account and client confidentiality at all times. Adhered to HIPAA and Compliance Policy Guidelines. Performed audits of patients accounts to ensure accuracy and timely payment. Reviewed aging accounts on a monthly basis and corrected errors as appropriate. Contacted patients regarding delinquent accounts and arrange a mutually acceptable payment schedules. Demonstrated the ability to deal with patients regarding sensitive financial matters and recapture unpaid balances. Identified problems on accounts and followed through to conclusion. Contacted patients to resolve problems; responded to correspondence or telephone calls from patients about accounts. Reviewed EOBs to ensure proper reimbursement of claims. Worked with collection agencies to assure that they receive updated information on accounts as necessary. Maintained confidentiality in regards to patient account status and the financial status.Advanced x |
