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Collections Specialist Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Hardworking and reliable Billing & Collection Specialist with strong ability in maintaining and processing of Government related patient accounts .Responsibilities include but are not limited to billing claims, accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.

Also responsible for receipt and resolution of first line inquiries over the phone and written correspondence concerning patient accounts by patients or insurance companies. Researches and determines root cause issues necessary to resolve patient issues in a time manner. Documents all concerns and patient resolution in the patient notes of the Patient Accounting System. Highly organized, proactive and punctual with team-oriented mentality.

Skills
  • Medical insurance billing and coding specializing in Medicaid
  • Records maintenance
  • Trained in ICD 10, CPT & Medical Terminology
  • Excellent Interpersonal Skills
  • HIPAA Compliance
  • MS Office , Excel, Word, Outlook
  • Professional manners
  • Call center background
  • Insurance policies
  • Credit and collections
  • Team-oriented
  • Billing practices
  • Performance improvement techniques
Experience
Collections Specialist, 06/2010 to Current
Blitt & Gaines P.C. Saint Louis, MO,
  • Demonstrates and takes responsibility for confidentiality/HIPAA.
  • Responsible for completing workstations at 100% at the end of the week.
  • Ensures claim compliance with payer contracts, state regulations and national guidelines.
  • Responsible for doing appeals on underpayments/denials arranging fair hearings when necessary.
  • Responsible for completing workstations at 100% at the end of the week.
  • Ensures claim compliance with payer contracts, state regulations and national guidelines.
  • Assures all claims are billed within the time frame allowed by Government payers
  • Responsible for assigning accounts to vendors following the guidelines set by the CBO.
  • Understands Billing/Collection Process.
  • Understands financial information affecting patient accounts.
  • Stays knowledgeable of current developments in Patient Accounting including, state statutes, contracts, timely filing requirements, etc.
  • Actively participates in Department Meetings and training sessions.
  • Demonstrates and takes a team effort in helping the department reach goals and meet deadlines.
  • Helps maintain department in a neat and organized condition.
  • Demonstrates and takes a team effort in helping the department reach goals and meet deadlines.
  • Helps out in other areas when needed.
  • Ensures proper filing, typing and organization of all paperwork.
  • Demonstrates ability by performing assignments independently without close supervision.
  • Adjusts appropriately to volume of work to complete tasks in a timely manner, without interfering with quality of work.
  • Responds well to instruction and training, applying new knowledge to duties.
  • Effectively communicates both orally and in writing.

Collections Specialist, 07/2007 to 06/2010
Blitt & Gaines P.C. Remote, IL,
  • Remained calm, stayed professional and provided exceptional service on all calls, even when interacting with difficult individuals.
  • Received payment and posted to appropriate customer accounts.
  • Notified customers of delinquent accounts with attempt to collect outstanding amounts.
  • Met demands of busy collections group by performing high volume of daily calls.
  • Reviewed accounts to determine payment plan compliance.
  • Located and monitored overdue accounts using billing system to begin collections process.
  • Identified impact of proposed solutions for delinquent clients, discussed options and determined candidates for foreclosure.
  • Structured manageable repayment plans with delinquent borrowers of commercial, mixed use, multi-family and home equity loans.
  • Collaborated with legal department officials on bankruptcy cases for management of proceedings and post-petition payments.
  • Arranged for debt repayment and established repayment schedule based on customer finances.
  • Recorded and updated customer personal accounts with accurate contact information.
Billing Specialist, 04/2004 to 07/2007
Adp Stamford, CT,
  • Demonstrates and takes responsibility for confidentiality/HIPAA.
  • Utilizes internet as an effective tool to verify claim status, eligibility and authorizations. Must possess competency in use of technology and computers.
  • Assigned claims worked daily, prioritizing high volume dollar claims. Documents patient account activity in patient accounting system.
  • Payer remits worked timely and efficiently. Review credit balance, aging and no contractual reports as required and resolve balances.
  • Contacts agencies for follow-up on overdue/pending eligibility accounts. Works to develop cordial working relationship with payer, provider and reps.
  • Contacts applicable Payers for follow-up on overdue accounts. Responsible for doing appeals on underpayments/denials.
  • Assures all insurance codes and financial classes are correct in a precise and quality manner following guidelines set by corporate.
  • Checks accounts for accuracy of charges, missing charges and CPT coding versus ICD9 coding.
  • More advanced knowledge of Payer edits and UB04 requirements. Able to identify problem issues within the system and advise/collaborate with Lead to resolve.
  • Performs follow-ups on payments and invoices received in time frames established by office policy.
  • Consistently maintains correspondence in a professional and confidential manner, if required.-ups on payments and invoices received in time frames established by office policy.
  • Reviews patient account system for payment discrepancies and provides feedback to management.
  • Effectively communicates both orally and in writing.
Education and Training
Associate Degree: Pharmacy Technician , Expected in 05/2002
to
College of Southern Nevada - Las Vegas, NV
GPA:

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Resume Overview

School Attended
  • College of Southern Nevada
Job Titles Held:
  • Collections Specialist
  • Collections Specialist
  • Billing Specialist
Degrees
  • Associate Degree