Experienced Collections Specialist bringing 10-years of success in medical billing,collections, prior authorization positions. Eager to take on new role with long-term growth and advancement potential. Dynamic problem solver with first-rate skills in building relationships and resolving problems.
Overview
10
10
years of professional experience
Work History
MEDICAL BILLER, COLLECTOR
Healthimax LLC, Atlantic Spine Center
11.2012 - 06.2022
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Posted payments and collections on regular basis.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Liaised between patients, insurance companies, and billing office.
Prepared billing statements for patients and verified correct diagnostic coding.
Contacted customers to discuss payment schedules and set up or immediately process payments.
Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
Trained new collections representatives on collections processes and incentivized team members to achieve production goals.
Negotiated with account holders to devise repayment plans and minimize collections receivables.
Monitored accounts for compliance with established payment plans and flagged non-compliances.
Education
No Degree - Liberal Arts And General Studies
Hunter College of The City University of New York
New York, NY
Skills
Critical Thinking
Data Entry
ICD-9
CMS-1500 Billing Forms
ICD-10
Collection Calls
Obtaining Authorizations
Workers' Compensation Knowledge
Billing Codes
Insurance Claims
Claims Review
CPT Code Modifiers
Microsoft Office
Medical Records Security
Fluent in Russian language
Moved to USA when I was 14 years old from Russia. Fluent in speaking, reading and writing.