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Skills

  • Organization
  • Negotiation and payouts
  • Financial reporting and reconciliation
  • Aging reports analysis
  • Team building
  • Claim rejection rate reduction
  • First Aid/CPR
  • Budgets
  • Time management and prioritization
  • Process improvement

Work Experiences

  • Achieved a 25% increase in efficiency.
  • Achieved timely payout.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved a 49% reduction in delinquent balances.
  • Looked for industry trends on social media and through online sources.
  • Addressed complex billing issues.
  • Achieved a 72% overturn success rate.
  • Collected aged balances from insurance companies.
  • Assisted Medical Collections Specialists in properly applying customer remittances while working with Medical Collections Specialist.
  • Assisted the financial department with generating monthly reports that reconciled over $6 in disputes, settlements, and claims adjustments.

Summaries

  • Adept at negotiating payment plans with financially distressed patients, resulting in collections exceeding $12 while ensuring patient satisfaction and maintaining compliance with HIPAA.
  • Medical Collections Specialist is a multi-talented Medical Collections Specialist who is consistently rewarded for planning and operational improvements.
  • Within Healthcare, senior Medical Collections Specialist and outstanding performer in team leadership and performance reporting.
  • Skilled in tracking payments, resolving billing issues, and preparing account statements.
  • Achieved a recovery rate of 45%.
  • Achieved up to 32% in revenue recovery.
  • Costs were consistently reduced while profits were increased.
  • Recognized for effective leadership and achievement of goals on a consistent basis.
  • Accurately posted payments.
  • Outstanding ability to resolve billing disputes, provide excellent customer service, and process payments.

Accomplishments

  • Achieved a 34% reduction in accounts receivable balances by collaborating with insurance payors to streamline claims approval processes.
  • Performed detailed audit of account histories, correcting discrepancies and ensuring billing compliance with procedure.
  • Assisted in refining collection processes, enabling the team to successfully recover over $8 in previously uncollected funds.
  • Used Microsoft Excel to monitor and reduce aged accounts by 22%, leading to an overall decrease in outstanding balances.
  • Leveraged Salesforce to track and analyze historical payments, enabling more informed decision-making during dispute resolutions.
  • Developed a patient-friendly billing resolution process, addressing overdue balances and reducing patient complaints by 31%.
  • Developed and maintained relationships with insurance companies to successfully negotiate payment terms, recovering an additional $6 in claims.
  • Prepared and submitted aged claims reports that highlighted areas for improvement, reducing overdue receivables by $7.
  • Led process improvement projects that reduced late payments by 46% and increased the efficiency of follow-up procedures.
  • Collaborated with the appeals team to resolve denied claims, recovering $8 in outstanding payments within 18 months.

Affiliations

  • Toastmasters
  • Cardiovascular Credentialing International (CCI) Affiliation
  • Lions Club
  • Healthcare Compliance Association (HCCA) Member
  • American Association of Healthcare Administrative Management (AAHAM) Certification
  • Collaborative Care Networks Seminar Participant
  • Active Involvement in National Academy of Ambulance Coding (NAAC)
  • Revenue Cycle Optimization Workshop Attendee at 2015
  • Jaycees
  • International Council of Nurses

Certifications

  • Certified Patient Account Manager (CPAM) - Harbor & Co.
  • Advanced Certified Payment Representative (ACPR) – Brightline
  • Certified Healthcare Financial Professional (CHFP) - Summit Group
  • Health Care Collection Specialist Certificate – Beacon Labs
  • Healthcare Financial Management Association Certification (HFMA) – Harbor & Co.
  • Registered Medical Manager (RMM) – Beacon Labs
  • Microsoft Certified Systems Engineer (MCSE)
  • CompTIA A+ Technician
  • ServSafe
  • Certified Business Analysis Professional (CBAP)

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