Montgomery Street, San Francisco, CA94105609 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.
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 SpecialistAccentcare – 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 SpecialistEastern 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 SpecialistMetrolina 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
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.