Talented Accounts Receivable Specialist with 7 years' experience in financial services, collections and customer care management across diverse industries. Knowledgeable, analytical and personable with excellent problem solving skills and strengths in areas of credit and collections. Proven to improve workflow efficiencies while maintaining high standards in customer service.
Overview
9
9
years of professional experience
Work History
Client Resolution & Billing Specialist
RxNT Networking Technology
Maryland, Annapolis
10.2023 - Current
Serve as a product specialist providing consults during customer onboarding.
Provide live, online customer training as needed.
Perform triage, troubleshooting and information gathering on bug or issue reports in order to determine if a bug report should be opened with the technical team and provide sufficient information for effective identification of root cause and resolution by the technical team.
Coordinated with vendors to resolve all account issues and escalate all unresolved issues to management.
Provided support to other departments within the organization as needed.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Advise clients on how to prepare itemized statements, bills, or invoices.
Executed account updates and noted account information in company data systems.
Manage tickets through Zendesk across live chat, email, and phone channels.
Consistently surpassed weekly chat resolution goals, achieving 138% of target in peak weeks.
Closed tickets at a rate exceeding 110% of the weekly goal, improving customer satisfaction.
Maintained a one touch resolution rate of 79-119%, reducing customer wait times and improving efficiency.
Billing/Authorization Coordinator
Cardiology of Atlanta
Sandy Springs, GA
12.2022 - 10.2023
Maintained positive working relationship with fellow staff and management.
Evaluated needs of departments and delegated tasks to optimize overall production.
Managed and obtained insurance authorizations for patient referrals from physicians.
Kept detailed reports of client and account data, consistently updating database with latest information.
Implemented new initiatives, which resulted in quicker payments and better turnaround times to resolve customer issues.
Processed refund requests and reconciled deposit and patient collections.
Protected medical office operations and integrity by keeping patient information confidential.
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
Entered procedure codes, diagnosis codes and patient information into Greenway - Prime Suite software.
Routed calls and correspondence to appropriate medical staff.
Secured pre-authorizations and pre-certifications for cardiac testing procedures performed in office settings.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Leveraged EMR software to post payments received for medical services.
Patient Account Coordinator
The Linde Group
01.2016 - 12.2022
Skilled benefit verification specialist, authorization and billing specialist who prepares paper and electronic claim forms and related documentation
Reviews insurance policies to determine eligibility and benefits
Drafts itemized statements, bills/invoices
Record amounts due for items purchased or services rendered and resolve discrepancies in billing records
Averaging an above 90% claims collection rate and 100% completion rate on multiple monthly reports
Conducts data analysis to detect duplicate billing, over-payments, non-compliance with laws, policy regulations, and management policies
Maintained over 55+ accounts per day documenting all work performed in company computer systems software
Initiates outbound calls to insurance companies, guarantors, patients, doctors offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol
Auditing account payment factors and payor codes that reduced the error rate from 20% to less than 8%
Proficient in electronic and paper claim submission
Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests
Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc
Ability to multitask in several applications and systems simultaneously and demonstrates competency with Microsoft Suite and assorted internet browsers required
Maintains departmental productivity and quality standards and encourages team members to do so as well
Identifies and communicates A/R trends, payer behavior, workflow inconsistencies or other barriers to account resolution to team and engagement leadership
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Juggled multiple projects and tasks to ensure high quality and timely delivery.
Prioritized and organized tasks to efficiently accomplish service goals.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Education
Bachelor of Arts Coursework - Fashion Retail Management, Business and Marketing
The Art Institute
08.2011
Diploma -
Miller Grove High School
08.2008
Skills
ICD-9/ICD-10 and CPT/HCPCS
Time Management
Active Listening
Conflict Management
Claim Denial Management
Insurance Knowledge
Payment posting
Monthly billing management
CRM platform (Hubspot & Zendesk)
CERTIFICATIONS
Excel: Conditional Formatting for Beginners
September 2022 No Expiration Date
SAP Accounts Receivable Boot Camp
September 2022- No Expiration Date
ProHIPPA - Certification Number #173047495877232
November 2024- November 2025
Timeline
Client Resolution & Billing Specialist
RxNT Networking Technology
10.2023 - Current
Billing/Authorization Coordinator
Cardiology of Atlanta
12.2022 - 10.2023
Patient Account Coordinator
The Linde Group
01.2016 - 12.2022
Bachelor of Arts Coursework - Fashion Retail Management, Business and Marketing
The Art Institute
Diploma -
Miller Grove High School
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