Objective:
To secure a challenging position that will utilize my skills and other attributes such as a proven medical collections track record, thriving in a fast paced environment, prioritization abilities, excellent analytical skills, and willingness to build on my existing knowledge.
Software Skills:
Windows operating systems through Windows 7, MS Excel and Word through 2010, Internet Explorer, Outlook
Medisoft versions 5.31 through version 19, Gemini, Mestamed, Medical Manager, VitalWorks, Intergy, Imagine, Zirmed, BayCareMD, EDM, Nexus, Call Pilot
Basic medical terminology, software installation, minor PC trouble shooting, proficiency in the use of common office machines
Experience:
1. American Vascular Access, Palm Harbor, FL 34683
Duration: Feb. 2013 - Present
Designation: Billing Office Specialist
Responsibilities:
Billing, payment posting, AR review and resolution of denied and unpaid claims. Trending of issues that caused denied or delayed claims and conferring with management regarding resolution of those issues.
Accomplishments:
Within the first six months of holding this position, I reduced the total over ninety day AR by more than fifty percent. In one year I recovered one million dollars in over 90 day revenue.
2. Worldwide Medical Services, Inc., Tampa, FL 33634
Duration: Aug. 2012 - Jan. 2013
Designation: Medical Accounts Receivable Specialist
Responsibilities:
Review, research and follow up and resolution of denied and past due medical claims filed to insurance carriers. Trending of issues that caused denied or delayed claims and conferring with management regarding resolution of those issues.
Accomplishments:
Within my ninety day probationary period, I recovered payment on claims that totaled more than my salary for an entire year.
3. Medical Management Professionals, Clearwater, FL 33761
Duration: Sep. 2005 - Aug. 2012
Designation: Medicare Specialist / Insurance collections
Responsibilities:
Review, research and resolution of accounts reported delinquent that are insurance carrier responsibility for a group of thirty-seven radiologists. Conferring with A/R manager, office manager and/or team leader regarding contract, systems, client issues and client, physician and carrier profile issues. Analyzing recurring trends to determine cause and possible solutions. Special projects on an as needed basis.
Accomplishments:
In less than one year, I reduced the Medicare, Hospice and Medicare HMO AR over 210 days old from over $500,000.00 to less than $100,000.00. I also mentored new employees and made suggestions to improve training created training materials which were approved and utilized by management. This helped my team exceed their cash goal every month from January 2006 to the end of my employment.
4. Custom Staffing, Tampa, FL 33607
Duration: Dec. 2004 - Aug. 2005
Designation: AR Specialist
Responsibilities:
Cleanup of Clients AR whose contract was ending and not being renewed. Analysis and resolution of reports for AR review: EMC Prebill edit report, Ingenix edit report, Web MD rejection report. Correction of claims and refilling, trending, EOB denial review and resolution.
5. Per-Se Technologies, St. Petersburg, FL 33701
Duration: May 2002 - Dec. 2004
Responsibilities:
Designation: Accounts Receivable Supervisor
Supervision of 11 employees (eight A/R analysts, two incoming call customer service representatives and one paper claim biller. Producing reports for claims follow up and scheduling due dates. Organizing work assignments, reporting and monitoring of quantity of incoming correspondence and completion windows, reporting and monitoring of number of incoming customer service calls and general voicemail messages. Conferring with account Managers, Operations Manager, Regional VP and other supervisors to resolve issues.
Designation: Accounts Receivable Analyst
Review, research and resolution of accounts reported delinquent that are insurance carrier responsibility including managed care (with or without contract) Medicare and Florida Medicaid. Conferring with Accounts manager and operations manager regarding contract, systems, client issues and client, physician and carrier profile issues. Analyzing recurring trends to determine cause and possible solutions. Radiology specialty.
6. HCA Patient Account Services, Palm Harbor, FL 34684
Duration: Jan. 2001 - May 2002
Responsibilities:
Designation: Underpayment Analysts
Review of accounts that are reported as underpaid to determine if additional payment is due from insurance company per contract guidelines. This position required knowledge of Florida collection law and ability to understand and interpret contracts.
Designation: High Dollar / Bad Debt Collections Specialist
Responsibilities:
Performed resolution of accounts over $10,000.00 or more than 90 days old.
Accomplishments:
Within my ninety day probationary period, I recovered payment on claims that totaled more than my salary for two years.
7. Sunfactors, Inc., Largo, FL 33777
Duration: Nov. 1999 - Jan. 2001
Designation: Collections Specialist
Responsibilities:
I performed claim resolution of all primary, secondary and patient self-pay balances, regardless of insurance carrier based on a patient last name alpha split in a pharmaceutical and DME setting. Performed correction of coding, certification and modifier errors utilizing Medicare guidelines and review procedures. Review of claim denials and patient accounts for best course of action for maximum reimbursement, Issue trending to find the source of any issues with individual payers.
Education:
