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Skills

  • AR aging reduction strategies
  • Organization
  • Ability to meet and exceed collections targets
  • Multitasking in a fast-paced environment
  • Budgets
  • Team building
  • Cross-department coordination
  • Closing processes
  • Negotiation and payouts
  • Aging reports analysis

Work Experiences

  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Accurately posted payments.
  • Achieved a 49% reduction in delinquent balances.
  • Conducted extensive account research.
  • Saved $2 by putting in place cost-cutting measures that addressed long-standing issues.
  • Assisted 14 patients daily.
  • Collaborated with internal departments.
  • Collaborated closely with finance teams on month-end closing by updating accurate AR balances and identifying discrepancies amounting to $16.
  • Transported Workday to one year customer locations.
  • Consistently monitored claim statuses.

Summaries

  • Achieved AR recovery goals consistently.
  • Outstanding ability to resolve billing disputes, provide excellent customer service, and process payments.
  • Committed to reducing denials from appeals by 28%.
  • Strengths in client relations and cross-functional collaboration backed up by Healthcare training.
  • Achieved reductions of up to 34%.
  • Within Healthcare, senior Medical Collections Specialist and outstanding performer in team leadership and performance reporting.
  • Achieved up to 32% in revenue recovery.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Costs were consistently reduced while profits were increased.
  • Adept at negotiating payment plans with financially distressed patients, resulting in collections exceeding $12 while ensuring patient satisfaction and maintaining compliance with HIPAA.

Accomplishments

  • Used Microsoft Excel to monitor and reduce aged accounts by 22%, leading to an overall decrease in outstanding balances.
  • Achieved a 34% reduction in accounts receivable balances by collaborating with insurance payors to streamline claims approval processes.
  • Reconciled payment discrepancies on patient accounts that exceeded $4, consistently maintaining high accuracy in billing information.
  • Collaborated cross-functionally with billing teams and insurance specialists to resolve discrepancies and collect outstanding payments.
  • Collaborated with the appeals team to resolve denied claims, recovering $8 in outstanding payments within 18 months.
  • Successfully posted and reconciled payments and charges on accounts valued over $10 using system, ensuring data integrity.
  • Developed and maintained relationships with insurance companies to successfully negotiate payment terms, recovering an additional $6 in claims.
  • Generated comprehensive monthly financial reports that reconciled billing discrepancies and reduced outstanding claims by $14.
  • Implemented time-saving workflows that reduced the turnaround time for payment postings by 52% while maintaining compliance with industry regulations.
  • Ensured compliance with process by maintaining accurate and confidential patient records when communicating with insurance payors and medical professionals.

Affiliations

  • Certified Revenue Cycle Specialist (CRCS) through AAHAM
  • Participated in Revenue Cycle Bootcamp Austin
  • Certified Specialist in Managed Care (CSMC) Certification
  • Collaborative Care Networks Seminar Participant
  • Volunteer in Patient Financial Counseling Program
  • Association for Computing Machinery
  • Completion of HIPAA Compliance Certification
  • National Association of Social Workers
  • Association of Information Technology Professionals
  • International Association of Administrative Professionals

Certifications

  • Certified Healthcare Collections Supervisor (CHCS) – Vantage
  • Certified Healthcare Access Associate (CHAA) - Ironclad Systems
  • Advanced Medical Collections Professional (AMCP) – Beacon Labs
  • Healthcare Financial Management Association Certification (HFMA) – Harbor & Co.
  • CompTIA Network+
  • Medical Claims Professional Certification – Lakeside Partners
  • Certified Professional Biller (CPB) – Beacon Labs
  • Google Certified Professional Cloud Architect
  • First Aid/CPR Certified
  • Microsoft Certified Systems Engineer (MCSE)

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