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accounts receivable representative resume example with 20+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Accounts Receivable Representative, Central Billing Office.  skilled in insurance follow up, research of accounts, appeals, resolutions of errors to include corrections to cpt and ICD 9/10 codes for 12+ years with Palmetto Health USC Medical Group. Responsible for correction of electronically rejected claims. A/R experience in Neurology, Orthopedics, Urology, Family Practice, Obstetrics/Gynecology, Internal Medicine. Approximately 17 years experience with Medical Manager. Experience with clearinghouses Zirmed and ACM, Cerner/OneChart. Currently working with Cerner/OneChart.  Experience with Cerner, Epi-Center, Solcom and Star, EMR (Electronic Medical Records) Health Logic, and  Navinet.  

Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medicaid
  • Commercial payers
  • Workers Compensation
  • Multiple systems
  • Hard copy and electronic claims. 
  • Computer proficient
  • Neurology, Urology, Orthopedics and Family Practice, Internal Medicine, Obstetrics/Gynecology, gastroenterology.
  • HIPAA compliance
  • Team player with positive attitude
  • Good written communication
Professional Experience
09/2005 to 05/2014 Accounts Receivable Representative Careplus New Jersey | Little Falls, NJ,

Began as an account representative working follow up for a Neurology practice and an Orthopedic practice. Scanned and filed forms, reports, correspondence and receipts. Retrieved requested files and delivered to appropriate personnel. Operated office equipment such as copiers and fax machines. Entered information into computer databases. Looked up information with computer programs. Researched accounts for pending refunds to both patients and insurance payers for 20 plus practices. Daily close of all data sets. Responsible for resolution of all claims rejections through clearinghouse (Zirmed). Weekly spreadsheets to Manager (Frankie Christopher) to report to supervisors. Changes and corrections in Medical Manager, adding physicians and practices to include provider identifiers such as NPI's, Medicare PTAN, and others. Transitioned to new system (Horizon and ACM), was part of the Claims Management Team which was responsible for resolution of all rejections that were denied when a claim was submitted to process. Responsible for 17 practices. Department was reorganized and team duties assigned to account representatives for each practice. Returned to Account Receivable duties within the same department. 

05/2014 to Current Account Representative Atmos Energy Corp. | Longview, TX,

I am an Account Receivable Representative for a multi-hospital system for approximately 600 physicians.  This currently includes processing both hard copy and electronic claims for multiple physicians and payer types.  I am on the DNFB team which corrects errors involving insurance information, demographics, processing of both hard copy and electronic claims.  I am compliant with  HIPAA Privacy and Security Regulations. This also includes submission of medical records with claims as necessary. Appropriate handling of  patient information. Verified that information in the computer system was up-to-date and accurate. Works closely with other departments to resolve errors. Scanned and filed forms, reports, correspondence and receipts. Operated office equipment such as copiers and fax machines. Access of multiple joint systems between physician practice and hospital STAR system.  Completed appeals and filed and submitted claims. Applied payments, adjustments and denials into the Plus system.  Initiated contact with insurance companies for claim status and follow up on accounts. Submitted refund requests for claims paid in error. Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans. Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.

Direct patient contact regarding account questions. Also work closely with credit and collections department to assist in resolution of account issues. . On patient request, print and mail itemized billing statements. Update and correct insurance information in the system to include rebilling corrected claims. I have also assisted with payment posting insurance payments and adjustments.

12/2002 to 10/2006 Account Representative Atmos Energy Corp. | Madisonville, KY,

Performed insurance follow up for a 14 Physician practice, responsible for Blue Cross and Medicare accounts. Scanned and filed forms, reports, correspondence and receipts.  Retrieved requested files and delivered to appropriate personnel. Operated office equipment such as copiers and fax machines. Entered information into computer databases. Looked up information with computer programs. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. Completed appeals and filed and submitted claims. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Submitted refund requests for claims paid in error. Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.  This practice chose to upgrade to a Athena, a new computer system and as a result closed their onsite billing department as insurance billing and follow up was outsourced with the new system.  

04/1999 to 12/2002 Account Representative Atmos Energy Corp. | Marrero, LA,

Began working check out of patients, collecting copayments, researching accounts and transitioned into account follow up, research of account balances, follow up with insurance companies and patients. Operated office equipment such as copiers and fax machines. Entered information into computer databases. Verified that information in the computer system was up-to-date and accurate. Identified and resolved system and account issues. Review of pending appointments for balances due.

Education and Training
Expected in 2017 to to Bachelor of Science | Healthcare Management Liberty International University, , VA GPA:

Currently a junior completing my Bachelors Degree online.

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Resume Overview

School Attended

  • Liberty International University

Job Titles Held:

  • Accounts Receivable Representative
  • Account Representative
  • Account Representative
  • Account Representative

Degrees

  • Bachelor of Science

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