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Click here or scroll down to respond to this candidateCandidate's Name
Shorter, AL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEObjective: To secure a position with a stable environment that will utilize and improve my skills and lead to a lasting career.Skills: Over twenty years of experience in a physicians medical office, with the ability to work independently or as a team player. Specializing in filing accurate claims, adjusting/appealing rejected claims, & understanding insurance contracts. Additional expertise in quality control, reimbursements, implementing improved processes to enhance accuracy of business. Proficient in Microsoft Office Suite: Word, Excel, Power Point, & Outlook, ICD-10 coding, CPT Coding, Allscripts, Medical Billing & Accounts Receivable, Medicare/Medicaid, HMO/PPO, Workers Compensation. Excellent phone etiquette and time management, of assigned duties. Goal oriented with the ability to learn new processes quickly. EMPLOYMENT HISTORYPhysicians Professional Management, Montgomery, AL November 2022 - Present 2024 Accounts Receivable Specialists:Verify claims have been received by our clearinghouse; work EOB denials daily, payer mapping, crossover claimsReview all accounts that have a credit to see if patient/insurance is due a refund; monitor accounts to verify that money/write off amount was posted correctly, Update greensheets, & maintain production logsWork closely with multiple collection agencies; email, call, fax, upload bad debt files, confirm compliance with updated billing lawsEnsure all customer/client/patient interaction and service is performed in a manner that consistently exceeds expectations; provider approval emails, records request, faxing requests/consent forms. Payments/ payment arrangements.Call all insurance companies to verify claim status, eligibility, and benefits; confirm claim information via provider insurance websitesMove payments to correct claim lines or accounts posted/not posted in error, check charge/payment batch reports, coordinate monthly close outsSpecial statusing projects as neededClaim Return, Escondido, CA November 2021 February 2022 Collections Recovery Specialists:Heavy phone work in a call center settingCommunicated with insurance companies by phone, email & faxFollowed up on overpaid claims per CMS guidelines & time limit for recovery per each state limitations.Office Administrative duties, generating reportAssumes additional responsibilities and performs special projects as needed or directed Center for Physical Medicine and Pain Specialist Management, Montgomery, AL Nov. 2018 Nov. 2021 Billing/Collections Specialist/MR CoordinatorDaily input of patient charges, manual/electronic paymentsManaged delinquent accounts in a timely and effective manner toward maximum collectionAssessed NR report working with patient's insurance companies regarding claim denials and unpaid claims, as well as unpaid patient balances Ensure all customer/client/patient interaction and service is performed in a manner that consistently exceeds expectations; provider approval emails, records request, faxing requests/consent forms. Payments/ payment arrangements.Provide all aspects of workers compensation authorizations, electronic and/or paper claim submissions Call all insurance companies to verify claim status, eligibility, and benefits; confirm claim information via provider insurance websitesAs the Medical Record Coordinator, responsible for all medical record requested following HIPPA guidelinesThe Center for Physical Medicine and Pain Management - Montgomery, AL June 2006 October 2018 Medical Receptionist:Answered multiple phone lines, registered patient demographics into system; Scheduled follow up appointments and sent referrals to outside providersProcessed all medical record requests following HIPPA guidelines; Scanned in charges and medical records to and communicated daily with all physicians through EMRVerified patient insurance benefits and getting any insurance referralsCollected daily balances and copays after review of patients accounts. Reconciled daily charges, payments for multiple physicians. Deposited patient/insurance checks electronicallyProvide all aspects of workers compensation authorizations, electronic and/or paper claim submissionsAssessed A/R report working with patient's insurance companies regarding claim denials and unpaid claims, as well as unpaid patient balancesAssisted physician when needed.Education:High School DiplomaREFERENCES:Available upon request |
