Aleta Hobbs
Reno
Summary
Detail-oriented Insurance Collector skilled in resolving claim disputes and ensuring financial record accuracy. Expertise in negotiation and problem-solving drives successful outcomes in complex collections. Experienced Premium Billing Manager with a solid background in accounts receivable and financial auditing, optimizing billing operations to enhance efficiency.
Overview
26
26
years of professional experience
Work History
Insurance Collector/Biller
Saint Mary’s Medical group
Reno
10.2024 - Current
- Negotiated payment collections with insurance payers to secure payments at correct contracted rates.
- Collected payments from insurance payers, ensuring accuracy within administration-set thresholds.
- Worked closely with management on insurance denials, appeals submission withinsurance carriers for proper contracted reimbursement.
- Worked with patients in collecting copay, deductibles and collection agency issues.
- Strong working knowledge of current patient accounting and claims billing applications & payer websites
- Ability to recognize and identify payer trends and communicate with team.
- Contributed to team success through strong communication and collaboration.
- Recipient of the Tulip award at Saint Mary's Medical group for quality and compassionate care to the patient and their families.
- Trainer of new hires within the billing/collection
AR/AP/UM
BRISTLECONE FAMILY RESOURCES
Reno
05.2024 - 10.2024
- Handled accounts receivable tasks
- Managed vendor payments effectively
- Facilitated transaction authorization processes
- Executed day-to-day duties with accuracy and efficiency, ensuring smooth operations.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Coordinated with cross-functional teams to meet service goals and improve collaboration.
- Collaborated with diverse coworkers to resolve product and service issues, enhancing team effectiveness.
Premium Billing Manager
Prominence Health Plans
Reno
03.2009 - 04.2024
- Developed billing practices and procedures for commercial, Medicare, and self-funded lines of business.
- Review rates upload for commercial and Self-funded group to ensure accuracy to contracts.
- Execute monthly invoices on appropriate billing and audit for accuracy.
- Oversaw collection efforts for delinquent insurance premium accounts, ensuring timely recovery.
- System implementation with vendors on Desk Top deposit, Lockbox function, online bill pays, Wipro Medicare platform.
- Streamlined processes between sales, enrollment, and finance departments to enhance collaboration and efficiency.
- Established work process for AR & AP for all Lines LOB
- Provide Month end reporting on premiums and membership to upper management.
- Trained new employees to enhance their skills within the organization.
- Supervising Billing Staff
- Worked with other insurance carriers with services and remittance advice on self-funded line of business.
Patient Services Collector
Saint Mary’s Regional Center
Reno
08.2007 - 03.2009
- Negotiate payment collection with insurance providers to ensure payment was payable at the correct contracted rates
- Collaborated with case management to resolve insurance denials and submit appeals for contracted reimbursement.
- Collected payments from insurance providers, ensuring compliance with hospital administration's payment thresholds.
- Assisted patients in hospital with collecting copays, deductibles, and establishing payment plans.
- Strong working knowledge of current patient accounting and claims editing applications in a hospital environment.
- Ability to recognize and identify payer trends and communicate to PFS Leadership Team.
Financial Representative
Tahoe Forest Hospital
Truckee
03.2000 - 08.2007
- Invoiced physician and hospital claims, ensuring timely submission to provider carriers.
- Managed EMDEON data transmission between AS400 and hospital billing system.
- Updated insurance information and re-processed claims.
- Actively calls insurance providers on claims and delinquent payments
- Communicate with customers in a courteous, professional, cooperative and mature manner.
- Perform mild provider engagement responsibilities; update active/inactive physicians list
- Operated front office by opening and closing daily, while accurately balancing cash transactions.
Education
Associate's Degree - General Studies With Business Efface
Truckee Meadows Community College
Reno, Nevada12-2017
Skills
- Accounts receivable and payable
- Collections management
- Customer invoicing
- Billing expertise
- Cash application processes
- Insurance process knowledge
- COBRA compliance
- Audit processes
- Financial reporting
- Payment planning
- Customer relationship management
- Customer service
- Follow-up techniques
- Kronos proficiency
- Data entry proficiency
- Systems implementation
- Analytical thinking
- Multitasking abilities
- Team building initiatives
- Service quality standards adherence
- Collaborative teamwork
- Conflict resolution
- Employee training
- Microsoft Office suite proficiency
- Banking liaison
Accomplishments
Tulip awarded for customer service with Saint Mary's Medical Group.
Timeline
Insurance Collector/Biller
Saint Mary’s Medical group
10.2024 - Current
AR/AP/UM
BRISTLECONE FAMILY RESOURCES
05.2024 - 10.2024
Premium Billing Manager
Prominence Health Plans
03.2009 - 04.2024
Patient Services Collector
Saint Mary’s Regional Center
08.2007 - 03.2009
Financial Representative
Tahoe Forest Hospital
03.2000 - 08.2007
Associate's Degree - General Studies With Business Efface
Truckee Meadows Community College