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Medical Collections Representative resume examples

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Skills

  • Monthly performance reporting
  • Communications
  • Account aging investigation
  • Debt reduction strategies
  • Claim denial management
  • Team management
  • Accounts receivable tracking
  • Organization
  • Aging account analysis
  • Project organization

Work Experiences

  • Assisted Medical Collections Representatives in properly applying customer remittances while working with Medical Collections Representative.
  • Audited third-party payer reimbursement data, recovering underpaid claims averaging $13 per quarter by conducting correctional follow ups.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Collaborated with billing staff and IT department.
  • Conducted diligent follow-up with insurance companies.
  • Collaborated with billing staff and IT department to implement an EDI solution for electronic claims, reducing processing errors by 80% %.
  • Achieved a 75% increase in insurance recovery rates by improving relationships with third-party payers and streamlining the appeal process.
  • Acted as a liaison between finance and customer service, creating continuity of care discussions that improved the patient experience and early payments.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Collaborated cross-functionally with patient care coordinators.

Summaries

  • Achieved a claim resolution success rate of 15%.
  • Collaborated with medical providers to clarify patient invoices.
  • Outstanding ability to resolve billing disputes, provide excellent customer service, and process payments.
  • Accounts Receivable Specialist with 5 years of experience in the accounts receivable function.
  • Achieved 31% faster claim resolutions by meticulously following up on outstanding claims and coordinating with both patients and insurance companies.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Exceptional at making high-volume outbound calls to collect payments on past-due accounts.
  • Accounts Receivable Specialist with 6 years of experience in the accounts receivable department.
  • Collaborative team player.
  • Achieved 18% faster claim resolutions.

Accomplishments

  • Monitored changes in insurance compliance, creating and implementing new collections protocols, reducing claim rejection rates by 45%.
  • Improved collection outcomes by automating billing workflows, resulting in a 29% reduction in submission errors.
  • Exceeded monthly recovery goals by 53% by utilizing patient outreach and proactive follow-up strategies.
  • Resolved product issue through consumer testing.
  • Led implementation of an automated claims system, improving efficiency and reducing manual errors, saving the department $2 annually.
  • Effectively managed aging account analysis, resulting in a 58% reduction of balances over 13 days past due.
  • Increased claim resolution effectiveness by 71% through ongoing insurance training and process improvements.
  • Implemented policy changes based on regulatory updates, which reduced accounts sent to collections by 29% year-over-year.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Collaborated with cross-functional teams to fast-track appeals and re-submissions, reducing claim denial re-submissions by 65%.

Affiliations

  • Lions Club
  • Association of Information Technology Professionals
  • American Medical Billing Association (AMBA)
  • International Association of Administrative Professionals
  • Certified Professional Collector (CPC) - ACA International
  • Toastmasters
  • International Council of Nurses
  • Project Management Institute
  • American Medical Informatics Association
  • American Marketing Association

Certifications

  • Medical Billing and Coding Certificate by Vantage
  • Certified Healthcare Financial Professional (CHFP) by process
  • Google Certified Professional Cloud Architect
  • Certified Business Analysis Professional (CBAP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Compliance Technician (CCT) by AAPC
  • CompTIA Security+
  • Registered Health Information Technician (RHIT)
  • First Aid/CPR Certified
  • Handbook Compliance Certificate by Health Care Compliance Association (HCCA)

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