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Street Address S. Stricker Street, 2RBaltimore, Maryland Street Address
PHONE NUMBER AVAILABLEQUALIFICATIONS:Finance and Accounting Health Care ServicesCustomer Service Medical Billing & Claims ProcessingCredit & Collection Administrative & Clerical ServicesSAPP Excel Spreadsheet ProficiencyEXPERIENCE:Patient Financial Service Representative III 2001 to 2023JOHNS HOPKINS MEDICAL SYSTEM- Baltimore, MarylandResponsible for supporting management in billing and collection of accounts receivable. Resolvecomplex payer issues to completion daily. Responsible for timely collection and follow-up ofhospital claims and to keep receivable at manageable percentage level of total accounts receivable.Billing & Collection Specialist 1999 to 2000MID-ATLANTIC DENTAL ASSOCIATION- Hunt Valley, MarylandResponsible for billing dental claims to Blue Cross and Blue Shield, HMOs, PPOs, MCOs, andcommercial insurance carriers. Audited and processed claims, unauthorized services, denials and self-pay accounts. Responsible for researching and resolving and follow-up with all billing/reimbursementissues. Handled high-volume of telephone inquiries from patient and insurance carriers. Special projectsinclude but were not limited to payment posting, maintaining installment agreement, and tracking onExcel spreadsheet.Accounts Receivable Representative 1998 to 1999JOHNS HOPKINS UNIVERSITY- Priority One Staffing Service, Baltimore, MarylandLong-term assignment responsible for processing the medical claims from variety of insurancecarriers (Medicare, Medicaid, Blue Cross and Blue Shield, HMOs, MCOs) in support of 50physicians practicing in the Department of Ophthalmology. Researched and verified claimsinformation, posted payments, and prepares and reconciled month-end reports. Interfaced withproviders and personnel representing the various insurance carriers to process/resolve all relatedissues.Patient Account Representative 1997 to 1998INTERGRATED HEALTH SERVICE- Symphony Mobilex Health Services, Woodlawn, MarylandResponsible for billing medical claims to Medicare, Medicaid, and private insurance companies.Audited and processed claims, unauthorized services, denials, and private pay accounts. Responsible forresearching, resolving and follow-up with all billing/reimbursement issues and tracking accountsreceivable. Performed a variety of clerical and administrative projects including, but not limitedpayment posting, writing correspondence, reconcile cash status report and completing special project asrequired.Account Representative 1992 to 1996AMERICAN RESOURCE MANAGEMENT, INC., Timonium, MarylandReviewed and analyzed monthly accounts receivable reports and handled collection on past duemedical claims. Interfaced routinely with personnel from insurance companies, attorneys and otherthird parties to research and reconcile billing accounts. Won the Employee of Monthaward.EDUCATION:2011 to 2015UNIVERSITY OF MARYLAND UNIVERSITY COLLEGE, Shady Grove, MarylandA.A., Accounting, 1985BALTIMORE CITY COMMUNITY COLLEGE, Baltimore, Maryland |