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Candidate's Name
Experienced in filing clean Health Care Insurance claims, HCFA 1500, UB-04, and accountsreceivable. Also experienced in reconciliation, data entry processing, collections, auditing largedollar accounts, adjustments, allowances, credit balances, cash posting, pre-certification,pre-authorization, customer service, clinical, hospital registrar, and Human Resources. Over 10years of field experience with a thorough understanding of state and federal complianceregulations within the healthcare industry and an extensive knowledge of the guidelines (HIPAA)and billing procedures governing Medicare and Medicaid.EXPERIENCESMART Superior Medical Account Receivable, Jacksonville FL  MedicalBilling and Collections SpecialistAugust 2022 - February 2023Remote assignment for Santa Fe Medical in NM billing and collections for all medicalinsurance.Used billing system to analyze hospital and physician accounts and determine insuranceprocessing requirements or amounts owed by patients.Researched disputed overdue account balances to update records.Established contact with debtors to negotiate settlement options and bring delinquentaccounts current.Tracked assigned accounts to identify outstanding debts and prepare correspondence.Strategic Healthcare LLC at New Falls Community Hospital, Marlin TX
Healthcare ConsultantFebruary 2022 - August 2022Billing and collections for commercial insurance, managed medicaid, medicaid, andmedicareWorked on Truebridge RCM andCPSI billing systems.Verified coverage with insurers, filed required forms and submitted paperwork to obtaintimely payments.Translated health care services into coded medical claims for submission to insurancecarriers.Reviewed clinical statements and assigned standard codes using CPT, ICD-10-CM, orHCPCS Level II.Collected required information from medical units to prepare bills.SMART CEMENT & CONSTRUCTION LLC, Jacksonville FLHuman Resource SecretaryMay 2017 - CurrentSearched for matching potential candidates for current openings.Screened and segregated candidate profiles thoroughly to suit client's requirements.Assisted leadership in streamlining all HR functions, analyzing and developingcompensation structures and evaluating pay practices.Maintained and updated complete records for all personnel, including recordsmanagement, attendance, and timesheets135 Bridon LnBrunswick, GAPHONE NUMBER AVAILABLEPHONE NUMBER AVAILABLEEMAIL AVAILABLESKILLSCollecting and Billingprocess managementInvoicing and billingPayment collectionAdministrative supportFinancial data entryAccount reconciliationCollections processingBILLING SYSTEMSSMS, MEDITECH, IDX, IBX,PICIS, OAS SYSTEM,PARAGON, MEDISOFT,EPACES, EPRIMIS,EXPEDITOR, SORIAN, HMSCPSI, TRUEBRIDGE RCM.