LiveCareer-Resume
Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Links
  • https://www.linkedin.com/in/lisa-Claire-1ba86925
Professional Summary

Efficient Accounts Receivable Professional with 16 years' experience performing various accounts receivable functions. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as a dedicated professional driven to meet team targets and enhance bottom line performance.

Skills
  • Cash application
  • Closing processes
  • Aging reports analysis
  • Customer service
  • Process improvements
  • Project management
  • Team player
Work History
05/2018 to 09/2019
Accounts Receivable Specialist Amplexor Boston, MA,
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments utilizing Waystar
  • Ensured proper submission of workers compensation claims
  • Reviewed Explanation of Payments then posted payments, denials, and adjustments to patient accounts
  • Displayed integrity when entering data on patient accounts
  • Researched and followed up on denied insurance claims
  • Communicated with insurance providers to ensure any denied claims were resolved and resubmitted
  • Maintained accounts through aged revenue reporting beginning at 60 days past due
  • Liaised between patients, insurance companies and management
  • Reconciled batch at end of day, accounting for errors and resolving discrepancies
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
11/2017 to 02/2018
Cash Application Specialist Accentcare College Park, GA,
  • Retrieved revenue from bank lockbox and payer websites, uploaded electronic remittance advices and patient credit card payments to be posted to appropriate accounts
  • Ensured timely and accurate posting of high volume payments ranging from $250,00 to over $1 million on regular basis
  • Displayed integrity when entering data on patient accounts
  • Searched for source of unidentified payments, then posted to appropriate accounts
  • Reconciled batch at end of day, accounting for errors and resolving discrepancies
  • Recorded daily revenue and its source on excel spreadsheet.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
07/2013 to 07/2017
Lead Billing & Remittance Specialist Eastern Connecticut Health Network Manchester, CT,
  • Managed over 13 team members and 9 clients
  • Provided day to day support to team members and managers on program processes
  • Reviewed and processed associate lockbox activities
  • Delegated daily program tasks to associates
  • Managed various projects requested by management or client
  • Audited associate productivity for quality and quantity then provided feedback to management
  • Created Standard Operating Procedures to help associates achieve efficiency, quality output and uniformity of performance
  • Generated, audited patient statements to identify and resolve any errors prior to submitting to management and client for approval then to patient for payment
  • Assisted with new hire onboarding and training sessions
  • Participated as team member of subject matter experts to innovate billing software
  • Displayed integrity when entering data on patient accounts
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
05/2003 to 07/2013
Medical Reimbursement Specialist Metrolina Internal Medicine, P.A City, STATE,
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments utilizing Navicure
  • Reviewed Explanation of Payments then posted payments, denials, and adjustments to patient accounts
  • Communicated with insurance providers to ensure any denied claims were resolved and resubmitted
  • Maintained accounts through aged reporting beginning with insurance balances 90 days past due
  • Processed and posted patient payments
  • Displayed integrity when entering data on patient accounts
  • Calculated all payments received, completed bank deposit slips, and made daily bank deposits
  • Performed patient collection calls on delinquent accounts beginning at 90 days past due
  • Established payment arrangements with patients with follow through until account is made current
  • Assisted with front desk duties and answering incoming calls as needed
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
Education
Expected in
Some College: Psychology
Queens University - Charlotte, NC,
GPA:
Expected in 2008
Certificate: Medical Reimbursement And Coding
Central Piedmont Community College - Charlotte, NC,
GPA:
Expected in 1995
Diploma: Medical Office Assistant
King's College - Charlotte, NC,
GPA:
Accomplishments
  • Recognized as subject matter expert
  • Promoted to leadership after 6 months of employment
  • Exceeded productivity expectation for an entire year
  • Increased company revenue by credentialing the medical office and physicians with insurance companies
  • Increased revenue by 20% within 45 days of beginning position

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Resume Overview

School Attended

  • Queens University
  • Central Piedmont Community College
  • King's College

Job Titles Held:

  • Accounts Receivable Specialist
  • Cash Application Specialist
  • Lead Billing & Remittance Specialist
  • Medical Reimbursement Specialist

Degrees

  • Some College
  • Certificate
  • Diploma

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