Summary
Overview
Work History
Education
Skills
CERTIFICATIONS
Timeline
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Anna King

Atlanta,GA

Summary

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
Anna King