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payment entry specialist resume example with 8 years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Professional Summary

Dependable, detail-oriented and knowledgeable in health care collections, payment posting, medical coding and billing

with a track record of stellar customer support and strong communications expertise. Adept at successfully solving

complex problems. Possesses an insatiable drive to achieve and exceed goals. Results-oriented and solution- focused

professional.

Skill Highlights
  • Expertise in invoice and payment transactions
  • Account reconciliation
  • PeopleSoft expert
  • Data Research
  • Customer Service
  • HIPAA compliance
  • Medical billing software
  • Analytical reasoning
  • Exceptional Organization
  • Strong in MS Access and Excel
  • Superior attention to detail
  • Leadership Skills
  • Strong work ethic
  • Deadline-driven
  • Exercises good judgment
Professional Experience
Payment Entry Specialist, 2014 - 04/2014
Butler Technical Group Dallas, TX,
  • Manually posted commercial and government insurance payments to patient accounts in Centricity.
  • Ran excel report daily from the computer T-Drive to electronically download EFT insurance payments in
  • Centricity.
  • Manually posted all insurance correspondents and missing information letters to patient accounts.
  • Balanced all moneys posted daily and weekly.
Cash & Credit Posting Patient Account Representative, 02/2012 - 2014
Fresenius Medical Care City, STATE,
  • Reviewed insurance EOBs and client's charge; and posts available electronic remittance advices in Medical
  • Manager and eCUBES Financial (SORIAN).
  • Ensured allowance, adjustments and write-offs were posted correctly.
  • Reconciled electronic lock-box transactions and ERA/EFT payments.
  • Researched unidentified cash and resolved misdirected payments.
  • Processed recoupment/take backs charges and ensured balancing.
  • Processed refunds for supervisor approval.
  • Utilized patient information to determine which patients received write-offs.
  • Posted payments, adjustments, credits and insurance indigent waiver write-offs in Medical Manager and
  • eCUBES Financial (SORIAN).
  • Resolved aged un-reconciled funds and resolved and cleared funds in 1218 (Un-applied Funds) to lower A/R.
  • Balanced cash reports daily and monthly.
  • Mentored less experience staff and assisted Billing Supervisor with training new employees.
  • Selected by Senior Director of Reimbursement to be on the Collections Task Force Team from my billing group.
Collections Patient Account Representative, 06/2011 - 02/2012
Fresenius Medical Care City, STATE,
  • Directly contacted insurance companies regarding payment of unpaid medical bills.
  • Pro-actively followed up regarding submitted claims by phone.
  • Completed and submitted UB-92 and CMS 1500 forms.
  • Electronically submitted the UB-92 to initiate reimbursement, and reviewed Medicare Remittance Advices for
  • accuracy and forwarded adjustments to the posting department.
  • Organized a team of five that resolved patient queries and aging accounts.
  • Prepared and batch all payment documents for data entry.
  • Prepared and maintained spreadsheets related to document requests needed by the Billing Department for
  • outstanding billing issues.
  • Accomplishment: Improved accuracy by 25%.
  • Earned kudos as a top performer collecting funds on claims with receivable balances up to 100,000.
  • Served as liaison across departments; researched accounting issues, and reviewed patient's accounts to ensure
  • accuracy.
  • Promoted in 6 months from Collections Patient Account Representative to Cash and Credit Posting Patient
  • Account Representative.
  • Prepared and maintained spreadsheets related to document requests needed by the Billing Department for outstanding billing issues.Accomplishment: Improved accuracy by 25%.Earned kudos as a top performer collecting funds on claims with receivable balances up to 100,000.Served as liaison across departments; researched accounting issues, and reviewed patient's accounts to ensureaccuracy.Promoted in 6 months from Collections Patient Account Representative to Cash and Credit Posting PatientAccount Representative.
Order Entry Administrator, 07/2008 - 04/2011
Monster Worldwide Inc City, STATE,
  • Processed incoming sales orders for new and existing customers; verifying customer and order information for
  • correctness; reviewed orders for completeness, obtaining customers' contact information if missing Formulated
  • customer purchased orders, quotations and change orders in Oracle Database.
  • Executed Credit Card transactions.
  • Reviewed daily open order reports.
  • Coordinated customer orders with Verifications, Fraud and Compliance, and Sales Department.
  • Managed routine reporting functions and performed other general administrative duties.
Pricing Specialist 1, 2007 - 02/2008
Washington Mutual City, STATE,
  • Validated pricing for basic to complex lock requests.
  • Manually to input data in Pricing variance reports and spread.
  • sheets.
  • Created pricing variance reports, reviewed and analyzed data against outstanding variant cost to accurately.
  • support Pricing Variance reporting.
  • Performed manual audits of loan pricing.
  • Validated accurate pricing processed in.
  • the Loan Origination System.
Tier 1 Customer Service Representative & Claims Associate Specialist, 09/2005 - 02/2007
Blue Cross Blue Sheilds City, STATE,
  • Processed medical claims for Humana Gold Choice and Medicare.
  • Managed follow-up on Medicare, Medicaid and Humana Gold Choice claims, checked payment status and
  • entered status in account notes.
  • Corrected CPT codes and diagnoses.
  • Evaluated eligibility and determined co-payment status, and successfully collected unpaid co- payments and
  • outstanding balances.
  • Verified and reported accurate information about Medicare and Prescription Drug Coverage to customers.
  • Enrolled customers in the Prescription Drug Plan.
  • Entered data into system by ACS to be downloaded into Humana Viewer.
  • Maintained 100% production daily.
Education and Training
Bachelor of Arts: Business Administration, Expected in 2015
-
Bellevue University - Bellevue, NE
GPA:
Status -
High School Diploma: College Prep, Expected in 2003
-
Mayo High School for Math, Science & Technology - Darlington, SC
GPA:
Status -
Skills

Analytical Skills

Detail Oriented

Interpersonal Skills

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Resume Overview

School Attended

  • Bellevue University
  • Mayo High School for Math, Science & Technology

Job Titles Held:

  • Payment Entry Specialist
  • Cash & Credit Posting Patient Account Representative
  • Collections Patient Account Representative
  • Order Entry Administrator
  • Pricing Specialist 1
  • Tier 1 Customer Service Representative & Claims Associate Specialist

Degrees

  • Bachelor of Arts
  • High School Diploma

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