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Click here or scroll down to respond to this candidateCandidate's Name
R e v e n u e C y c l e B i l l i n g S p e c i a l i s t - A / R - B u s i n e s sO f f i c e M a n a g e rPh:PHONE NUMBER AVAILABLEEmail:EMAIL AVAILABLESUMMARYLooking to utilize my professional knowledge and exceptional communication skills as a motivated self starter. My expertise in medical billing and collections, accounts receivables and payables, and customer relations has developed my troubleshooting skills and will offer professional and personal growth opportunities.E D U C A T I O N EXPERIENCESt.Louis Job Corps 1991Studied Business OfficeTechnologyGraduated Valedictorian3.9 GPAHigh school graduateMay 2024 until May 2024Business Office ManagerCrestwood Healthcare CenterApril 2016 until September 2023RCM A/R Specialist Billing/Collections RTI,Inc/Envision Physician ServicesMay 2018 thru CurrentIndependent Contractor Delivery Driver Everspring Pharmacy March 2006 until March 2016Billing/PharmacyTech Biller/A/R-Payables/Trainer/Pharmacy Tech Interlock Pharmacy and Norwood PharmacyDaily oversight of all A/Ps, posting deposits and withdrawals for residents, made daily bank deposits, managed RTFs (residents trust funds) accounts, provided protective oversight on residents, completed environmental assessments of residents living areas. 20+ years of Revenue Cycle Management in medical billing and collections. Strong understanding of medical billing and insurance reimbursement. Ability to read and interpret explanation of benefits and explanation of payments. Great use of time management to multi-task and handle competing priorities while meeting and exceeding deadlines. Excellent interpersonal and communication skills. Proficient with Microsoft Office, including Excel and Outlook. Able to communicate effectively and professionally ensuring that all intended messages and/or communications are understood and clear to all.Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self pay to obtain maximum reimbursement Review and work incoming insurance and patientcorrespondence including refund requestsSend appeals when appropriate and provide therequested medical documentationReview patient balances to ensure accuracy and follow-up with patients to obtain payments.Leverage knowledge of Medicare, state Medicaid, and local coverage determinations for claim resolution. Review insurance payments for accuracy ofreimbursement based on contracts and fee schedules Verify and ensure provider credentials and enrollment to guarantee payment for servicesTake incoming insurance and patient calls to resolve inquiries, billing issues, and outstanding balances Medicine delivery driverK E Y S K I L L S COMMUNICATIONAble to communicate effectively and professionally ensuring that all intended messages and/or communications are received and understood and clear to all. My ability to show empathy and patience while interacting with patients, clients, and colleagues earned me the STAR AWARD recipient of the billing department. L EADERSHIPHelped to lead, train, and develop new hires into knowledgeable and confident billers by being empathetic and patient. Established a positive rapport with co-workers to maintain consistency with accuracy, quality customer service, and dependability for the customers and clients we serviced.REFERENCESAvailable upon request |
