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| | Click here or scroll down to respond to this candidateE r i n K u r t zStreet Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEE x p e r i e n c eDecember 2014 February 2024Nextgen Healthcare AR Management Hunt Valley, MD September 2009 August 2014Professional Accounts Management Services Account Manager Catonsville, MD S k i l l s Strong organizational skills: able to effectively prioritize work daily, maintain corporate compliance, excellent multi- tasking skills, and the ability to follow-up on opened items in a timely manner. Excellent communication skills, both written and verbal, with patients, providers, insurance carriers, and management. Strong computer skills, including expertise in database management, MS Office applications such as Microsoft Word, Excel, Outlook, and Teams. Extremely skilled in team building and morale boosting, along with adapting to projects and resolving issues independently. Proficient in Nextgen, eFR, Availity, Trizetto, eLearning, PolicyStat, Securelink, Salesforce, Okta, Smartsheet, eFax, etc. J o b R e s p o n s i b i l i t i e s Audit accounts to determine status and appropriate action required from workflow generated from practice management system. Documented accounts according to standard operating procedures. Researched and followed-up on denials and requests for additional information utilizing denial management reports and insurance correspondence. Proceeded to resolve issues through written appeals, insurance websites, or insurance phone calls. Communicated with payers about re-filing claims that were underpaid based on physicians or facilitys contract. Collaborated with management to identify payer trends and non-payment issues. Identify, verify, and document account adjustments according to established policy and procedures. Ensure service level and productivity were met as it relates to reimbursement of accounts, resolution of tasks, and response to inquiries. Comprehensive understanding of explanation of benefits to ensure payment accuracy and compliance. Maintained a positive working relationship with provider by providing superior customer service. E d u c a t i onMay 2008Bachelors of Science Elementary Education Towson University Towson, MD A d d i t i o n a l I n f o r m a t i o nI have trained new hires, managed teams for special projects, became Maryland Medical Assistance office specialist, and worked for providers who bring in $20-$27 million per month. I have knowledge about Medicare, Medicaid and Commercial insurance companies. Prior to working in AR management, my profession was teaching. Due to my education, I have strong leadership and organizational skills. I was the one who lead team projects, presentations, and training seminars. I was also the office festivities planner who planned special lunches or birthday celebrations and created/maintained a friendly working environment. |