Anna Pena
Deer Park
Summary
Efficient Medical Collections Representative recognized for high productivity and ability to complete tasks efficiently. Skilled in medical billing procedures, insurance verification, and patient communication. Excel in negotiation, problem-solving, and time management, ensuring smooth collections process and maximizing revenue recovery. Adapt at leveraging interpersonal skills to resolve disputes and maintain positive relationships with patients and insurance companies.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Collections Representative
Gulf Coast MRI & Diagnostics, Inc
Houston, Texas
04.2006 - Current
- Currently managing the Insurance verification and authorization department along with billing duties.
- Established communication channels with insurance companies to resolve claim denials or disputes.
- Prepared letters requesting additional information from third-party payers when needed.
- Followed up on unpaid claims in a timely manner while adhering to HIPAA regulations.
- Provided support to other departments within the organization as needed.
- Took billing calls, questions and concerns from patients and third party carriers.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Corrected, completed and processed claims for payer codes.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Answered customer questions regarding account discrepancies or problems.
- Arranged debt repayment or established schedules for repayment based on customer's financial situation.
- Contacted insurance companies to check status of claim payments.
- Wrote appeal letters to insurance companies for denial of claims.
- Medical records and Texas Notary.
Education
Certificate of Completion - Billing And Coding
National Institute of Technology
Houston, Tx11-2005
High School Diploma - undefined
Galena Park High School
Galena Park, TX05-1989
Skills
- Investigative research
- Payment Processing
- Account Monitoring
- Adjustment posting
- Insurance Company Communication
- Billing dispute resolution
- Negotiation and Resolution
- Updating Customer Accounts
- Training and Teaching
- Teamwork orientation
- Professionalism and ethics
- Teamwork
Certification
Billing and Coding certificate of completion. (non certified)
Timeline
Medical Collections Representative
Gulf Coast MRI & Diagnostics, Inc
04.2006 - Current
High School Diploma - undefined
Galena Park High School
Certificate of Completion - Billing And Coding
National Institute of Technology