Adrian Solomon
Montclair,CA
Summary
Credit balance specialist experienced in account reconciliation, refund processing, and revenue cycle management. Resolved discrepancies to improve financial accuracy and support compliant billing operations.
Overview
18
18
years of professional experience
Work History
Credit Balance Specialist
Guidehouse LLC
El Segundo, California
10.2021 - Current
- - Reviewed and processed adjustments for credit balance accounts and insurance contracts, ensuring compliance and accuracy.
- - Developed methods to decrease outstanding credit balances, improving financial accuracy.
- - Assigned patient credit balances to specific accounts, enhancing integrity of financial records. to multiple open account balances.
- - Prepared refund cover letters and supporting documents for insurance companies and patients.
Self Pay Collector
USC Keck Medical Center
Alhambra, California
02.2020 - 10.2020
- Established payment plans and financial arrangements for patient accounts to facilitate timely collections.
- Communicated with patients and insurers regarding unpaid balances and claim status to expedite resolution.
- Reviewed patient accounts for USC Keck Medical Center to support billing accuracy.
- Documented all collection activities in the medical center's account records to ensure accuracy. in medical center account records.
- Collaborated with registration and billing teams to resolve account discrepancies, enhancing accuracy in records.
- Followed HIPAA and hospital policies during collection outreach.
- Stayed calm, remained professional, and provided strong service on calls with difficult individuals.
- Maintained comprehensive and precise records of all collection activities in the system database. of all collection activity in the system database.
- Built repayment plans based on account holders' financial status and repayment ability.
Credit Balance Specialist
USC Verdugo Hills Hospital
Glendale, California
05.2018 - 02.2020
- Investigated credit balance discrepancies across patient accounts and payment postings to ensure accurate financial records.
- Reviewed customer accounts and processed credit balance refunds.
- Resolved pending credits through comprehensive account review and document matching, facilitating timely refunds.
- Reviewed account ledgers to identify duplicate payments and overpayments.
- Communicated account findings with patients, payers, and internal departments.
- Compiled monthly reports on outstanding credit balances and payments received to inform management decisions.
- Drafted correspondence related to credits or refunds due to customers.
- Reviewed invoices for accuracy before processing payments. before release of funds for payment.
Medical Billing and Collections Specialist
USC Verdugo Hills Hospital
Glendale, California
08.2015 - 05.2018
- Collected patient balances via phone and mail, ensuring timely resolution of outstanding accounts.
- Reviewed insurance denials and fixed billing discrepancies.
- Prepared appeals for unpaid and underpaid claims to secure appropriate reimbursements.
- Monitored unpaid or denied claims, conducting follow-up to expedite resolution and payment.
- Checked coverage and authorization details before claim submission.
- Supported processing of hospital claims for USC Verdugo Hills patient accounts.
Medical Collections Representative
BHC Alhambra Hospital
Rosemead, California
03.2009 - 05.2015
- Conducted collection activities on delinquent accounts via phone and mail, ensuring timely resolution of outstanding balances.
- Reviewed insurance claim denials and account balances, identifying discrepancies to resolve billing issues.
- Checked insurance coverage and claim status for outstanding medical accounts.
- Processed claims and sent information to Medicare, Medicaid, and commercial insurance carriers.
- Updated patient accounts with collection notes and payment details.
- Answered billing questions from patients, guarantors, and hospital departments.
Education
Associate of Arts - Cyber Security
University of Phoenix
Tempe, AZ06-2023
Skills
- Credit balance resolution
- Account reconciliation
- Refund processing
- Payment posting
- Revenue cycle management
- Denial management
- Claims follow-up
- Insurance verification
- Financial analysis
- Billing software
- Patient collections
- Collections strategies
- Microsoft Excel proficiency
- Attention to detail
- Problem-solving
- Conflict resolution
- Customer service excellence
- Reliability
- Goal-oriented mindset
- Insurance confirmation
Timeline
Credit Balance Specialist
Guidehouse LLC
10.2021 - Current
Self Pay Collector
USC Keck Medical Center
02.2020 - 10.2020
Credit Balance Specialist
USC Verdugo Hills Hospital
05.2018 - 02.2020
Medical Billing and Collections Specialist
USC Verdugo Hills Hospital
08.2015 - 05.2018
Medical Collections Representative
BHC Alhambra Hospital
03.2009 - 05.2015
Associate of Arts - Cyber Security
University of Phoenix