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Skills

  • Claims Processing
  • Early identification of delinquent accounts
  • Denial management
  • Developing and implementing billing protocols
  • Interpreting explanation of benefits (EOB)
  • Budgets
  • Team collaboration
  • Operational improvement
  • Medical billing
  • Aging reports analysis

Work Experiences

  • Achieved a 75% reduction in overdue balances in 2018.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Assisted Medical Bill Collectors in properly applying customer remittances while working with Medical Bill Collector.
  • Achieved results over 18 months.
  • Collaborated with insurance companies and patients to ensure timely resolution and payment of aged accounts, improving collections by 50% during 2020.
  • Addressed patient liabilities effectively.
  • Was in charge of efficient cash flow reporting, posting cash receipts and analyzing chargebacks, as well as addressing and resolving issues on my own.
  • Completed recovery within 10 months.
  • Collected past-due balances.
  • Conducted patient outreach.

Summaries

  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Adept at managing aged accounts, utilizing investigative strategies to reconcile discrepancies and improve collection rates for healthcare facilities.
  • Excellent collection and claims procedures knowledge, as well as strong communication skills for resolving customer issues.
  • Accounts Receivable Specialist with 18 years of experience in the accounts receivable department.
  • Medical Bill Collector is a multi-talented Medical Bill Collector who is consistently rewarded for planning and operational improvements.
  • Collaborative and detail-oriented professional.
  • Adept at processing third-party insurance claims accurately and in a timely manner, ensuring initiative maintained a claim acceptance rate above 76%.
  • Communicated effectively with patients.
  • Adept at leading billing system improvements.
  • Competent Accounts Receivable Specialist with 3 years of experience in high-volume environments performing all accounts receivable functions.

Accomplishments

  • Negotiated outstanding account settlements with insurance providers, recovering 13 in overdue payments for 2023.
  • Engaged with patients to establish flexible payment plans, resulting in 53% higher collection rates on outstanding balances.
  • Resolved product issue through consumer testing.
  • Implemented payment reduction strategies which accelerated claim reimbursement time by 18 days.
  • Developed patient payment assistance programs, resulting in 84% increase in timely payments in 2017.
  • Introduced new documentation standards for collection activities, reducing information gaps during audits by 59%.
  • Resolved medical claims for high-volume accounts, leading to a 68% improvement in outstanding collections by the end of 2019.
  • Monitored and followed up on aged invoices, closing accounts that had been overdue by 10 days or more.
  • Led the implementation of improved billing practices that reduced claim rejection rate by 21%, resulting in faster reimbursements.
  • Enhanced claim processing software functionality in collaboration with IT, resulting in a 69% increase in billing productivity.

Affiliations

  • American Medical Informatics Association
  • Finance and Healthcare Management Academy
  • Certified Billing and Coding Specialist (CBCS), National Healthcareer Association
  • American Society of Safety Professionals
  • Institute of Healthcare Policy & Innovation (IHPI)
  • Healthcare Business Management Association (HBMA)
  • Association for Supply Chain Management (APICS)
  • National Association of Social Workers
  • National Association of Medical Auditors
  • American Medical Billing Association (AMBA)

Certifications

  • CompTIA Security+
  • Certified Specialist Business Development in Healthcare (CSBDH)
  • Fundamentals of Medical Billing and Insurance Credential - Northwind
  • Google Certified Professional Cloud Architect
  • Insurance and Billing Specialist Certification Meridian 2023
  • Certified Business Analysis Professional (CBAP)
  • CompTIA Network+
  • Certified Revenue Cycle Specialist (CRCS) 2023
  • Certification in Health Insurance Billing and Reimbursement - process - 2016
  • SHRM Senior Certified Professional (SHRM-SCP)

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