| Candidate Information | | Name | Available: Register for Free | | Title | Accounts Receivable Billing Representative/ Collections | | Target Location | US-AZ-Mesa |
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Click here or scroll down to respond to this candidateCandidate's Name
Mesa, AZ Street Address
For whom it may concern: I have 15+ years of experience working as an A/R Billing Collector and A/R Billing Specialist with various health care settings. Experienced in working with all primary, secondary, and tertiary payors, as well as self-pay claims, also billed claims electronically and by paper depending on the payout, corrected claims with errors and resubmitted via Change Healthcare Clearinghouse Responsible for reviewing spreadsheets of claims for trending issues and followed with submission of projects, verifying patient's insurance and benefits, retrieved authorizations and medical necessity, posted payments, adjustments, write-offs. Well known in Medical terminology, Medicare, Medicaid and HIPAA guidelines., familiar with E-Clinical works, SharePoint, Advanced MD, NextGen software. Proficient in MS Office, Excel, Spreadsheet and has data entry speed of 40-45 wpm. Local to Mesa AZ and can start immediately.Education: Associates Degree in Science - Chandler Gilbert Community College, Chandler, AZ -2013 High School Diploma-Mesquite High School, Gilbert, AZ -2005 Skills: Full cycle medical billing DME, Ambulance, Denials & Collections, Physicians office, Dermatology, Dialysis, Insurance/Benefits verification & Eligibility Microsoft offic:-Excel, Spreadsheet, SharePoint NextGen Healthcare EClinicalWorks, HCPC & Modifiers Advanced MD/ EOBs Followed HIPAA regulations *Authorizations Medical necessity Accounts Receivable & Accounts Payable Reimbursement tracking ADP Adjustments and write-offs Google Drive & Google Spreadsheet Refunds *Payroll Processing Medisoft Care logic Centricity Docuware, Care cloud AS400, HCFA-1500 & UB04 ICD-9 and ICD-10, CPT CodesProfessional ExperienceReason for job gap seeking employment.Satellite Healthcare, Gilbert, AZ Oct 2022 - Jun 2023 A/R Billing Collector Responsibilities included working all UB04 claims from the aging report for Medicare, Tricare, TriWest, Optum, Prisons and Jails in CA for Dialysis. Worked on primary and secondary claims with outstanding balances by checking claim status and performing next steps to get claims paid. Received and worked correspondences daily. Corrected claims with errors and resubmitted via Change Healthcare Clearinghouse: Relay. Submitted appeals for denied claims. Followed up on appeals and submission of claims. Worked closely with insurances and built a repair with each of my payers, reviewed spreadsheets of claims for trending issues and followed with submission of projects. Submitted write off packets for claims submitted and denied for past timely filing limits, percent of claims resolved were increasing weekly. Consistently reached my weekly goals for touched claims, notes on claims, and cash collected. Desert Sky Dermatology, Mesa, AZ Jan 2022 - Oct 2022 A/R Billing Specialist Responsible for answering patient calls and assisting with taking payments over the phone, helping patients access their patient portal, and sending them necessary medical records. Used Advanced MD and EMA, I ran AR reports and worked 1500 claims with an outstanding balance. Worked with all primary, secondary, and tertiary payors, as well as self-pay claims, also billed claims electronically and by paper depending on the payout and whether they needed an EOB or medical records. Researched denials and followed up with the insurance on the proper corrections needed and appealed claims if needed, Worked closely with the collection agency to report unpaid balances with patients. Posted charges, payments, and EOB's.Reason for job gap laid off due to covid.Nesco Resource, Chandler, AZ Aug 2019-Mar 2020Filling Technician at Covalence Laboratories Responsible for filling, labeling, batching, tampering, and shipping of finished goods. Always Wore proper PPE and followed strict guidelines to ensure proper cleaning and sanitization was performed before running quality control start-up checks. Set-up and operated filling machines, labeling machines, batch and tempering machines. Completed proper manufacturing paperwork and recorded count of finished pieces Responsible for taking down machine and washing all instruments and work areas Express Employment, Tempe, AZ Jun 2018 - Nov 2018Payroll Specialist for People Ready Responsible for handling incoming calls and emails from employees, workplaces, and all departments from within the organization. Performed all payroll duties by using Google Drive and Spreadsheet, DocuWare Cloud, ADP to process payroll for approx. 300 employees on a weekly basis, corrected any errors found on employees timesheets, paychecks, demographics Updated employee's information and answer incoming calls and emails from employee's and workplaces and reply accordinglyReason for gap Pursing education.Sundance Medical Associates, Gilbert, AZ May 2016 - Aug 2016 Internship Assisted with inbound/outbound calls and emails to and from patients, pharmacies, and insurance companies, retrieved EOBs, corrected any information regarding HCPCs, ICD codes, patient demographics in patient portal. Shadowed physician during patient exams and assisted with recording patient information Department of Economic Security, Gilbert, AZ Apr 2013 to Jul 2016 Case Aide II for DCS Used time efficiently to schedule and monitor visitation between children and family members. Recorded phone calls, emails, and all other contact with clients, using company software to enter all recordings for court purposes. Apria healthcare, Tempe, AZ Sep 2009 - Apr 2013Full Cycle DME Billing Specialist Verified patients insurance and benefits, retrieved authorizations and medical necessity, posted payments, adjustments, write-offs Responsible for initial submission of paper and electronic claims w/correct HCPCs, ICDs, modifiers, medical necessity, etc.; trained employees on submission of claims Worked all denied claims from A/R reports regarding timely filing limits, corrected claims and resubmitted with any supporting documents as neededRSI Enterprises, AZ Oct 2008 - Sep 2009Medical Collections Specialist Acted as a 3rd party collection agency for medical claims. Responsible for handling incoming calls from patients, medical facilities, and insurance regarding outstanding balances. Handled medical claims with outstanding balances, researched claims to determine proper responsibility Took all necessary actions to collect money owed; made outbound calls, collected EOB's, CMN's, Made any corrections needed and submitted claims to proper parties whether insurance, patient, or medical facility.Southwest Ambulance/ Rural Metro Aug 2005 - Jul 2008 Special Projects Billing Specialist Part of the special projects team hired to clean up claims with errors, denials, and outstanding balances or over payments. Spent one year working only denied claims. Researched and corrected all denied claims for proper submission. Obtained EOB's, CMN's, Authorizations, updated ICD-9 codes to ICD-10 codes. Made sure all modifiers and HCPC codes were correct. Reviewed claims and made corrections to insurance and payor information. Responsible for inbound/outbound calls to and from patients, insurances, physicians, and other departments to get claims paid correctly. Posted payments, adjustments, write offs, and refunds as necessary. |
