Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Organized Clinical Records Abstractor trained in patient medical records abstracting. Reliably completes accurate work and goes above and beyond to meet daily demands.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented Billing & Collections Specialist with 25+ years experience.
Overview
25
25
years of professional experience
Work History
Clinical Records Abstractor
MDAbstract, Inc.
12.2014 - Current
Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
Supported medical staff by providing organized and accurate medical records.
Maintained patient confidence by keeping patient records information confidential.
Maintained patient records systems by archiving, scanning and indexing important documents and files.
Maintained patient records in compliance with security regulations.
Utilized electronic medical record systems to store, retrieve and process patient data.
Input data into computer programs and filing systems.
Maintained accuracy, completeness, and security for medical records and health information.
Verified accuracy of patient information in medical records.
Transcribed and entered patient medical information into electronic medical records systems.
Medical Payments Poster
PCP Financial Financial Services
09.2010 - 05.2012
Processed payments that had been received from insurance companies and Medicare.
Communicated effectively with others through active listening and dynamic interpersonal skills.
Identified overpayments and processed refunds for insurance carriers and patients.
Accurately posted payments and adjustments both electronically and manually.
Prepared and mailed invoices to customers, processed payments, and documented account updates.
Followed up overdue payments and payment plans from clients to establish good cash flow.
Monitored accounts to verify compliance with payment terms and schedules.
Developed and maintained positive relationships with clients to maximize collections.
Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
Reconciled accounts receivable ledger to verify payments and resolve variances.
Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Generated monthly accounts receivable reports to submit developments for management review.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Negotiated payment arrangements with customers to establish timely receipt of payments.
Safeguarded documents of accounts receivable and payments to enable tracking history and maintain accurate records.
Developed and implemented strategies to improve collection processes and reduce overdue payments.
Medical Billing & Collections Specialist
Jacksonville Family Practice
09.2009 - 09.2010
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
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.
Prepared billing statements for patients and verified correct diagnostic coding.
Delivered timely and accurate charge submissions.
Adhered to established standards to safeguard patients' health information.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Used data entry skills to accurately document and input statements.
Responded to customer concerns and questions on daily basis.
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances.
Monitored outstanding invoices and performed collections duties.
Collaborated with customers to resolve disputes.
Maintained accurate records of customer payments.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Generated monthly billing and posting reports for management review.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Reconciled accounts receivable to general ledger.
Generated accounts payable reports for management review to aid in financial and business decision making.
Created improved filing system to maintain secure client data.
Disbursed petty cash by recording entries and verifying documentation.
Medical Billing & Collections Manager-Ind Contract
Dr Emanual Martinez, MD & Associates
02.2006 - 07.2009
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
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.
Filed and updated patient information and medical records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Liaised between patients, insurance companies, and billing office.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Prepared billing statements for patients and verified correct diagnostic coding.
Delivered timely and accurate charge submissions.
Adhered to established standards to safeguard patients' health information.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Used data entry skills to accurately document and input statements.
Monitored outstanding invoices and performed collections duties.
Handled account payments and provided information regarding outstanding balances.
Audited and corrected billing and posting documents for accuracy.
Responded to customer concerns and questions on daily basis.
Collaborated with customers to resolve disputes.
Maintained accurate records of customer payments.
Utilized various software programs to process customer payments.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Generated monthly billing and posting reports for management review.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Kept vendor files accurate and up-to-date to expedite payment processing.
Reconciled accounts receivable to general ledger.
Generated accounts payable reports for management review to aid in financial and business decision making.
Created improved filing system to maintain secure client data.
Processed vendor and supplier payments on weekly basis.
Disbursed petty cash by recording entries and verifying documentation.
Medical Billing and Collections Manager
Family Medicine & Rehab, Inc
01.2003 - 02.2006
Reviewed billing problems, researched issues, and resolved concerns.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Worked with customers to develop payment plans and bring accounts current.
Performed billing, collection, and reporting functions for office generating over $1,500,000.00 annually.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Conducted performance reviews and implemented improvement plans.
Complied with established internal controls and policies.
Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Performed banking, business administration and financial tasks to guarantee five-star service for clients.
Prepared internal and regulatory financial reports, balance sheets and income statements.
Developed strategic plans for day-to-day financial operations.
Supported financial director with special projects and additional job duties.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Analyzed business processes to identify cost savings and operational efficiencies.
Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
Utilized financial software to prepare consolidated financial statements.
Established and checked coding procedures, monitored reports and updated internal files.
Improved overall financial reporting by streamlining control processes and reporting structures.
Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Evaluated and negotiated contracts to procure favorable financial terms.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
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.
Filed and updated patient information and medical records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Liaised between patients, insurance companies, and billing office.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Prepared billing statements for patients and verified correct diagnostic coding.
Delivered timely and accurate charge submissions.
Adhered to established standards to safeguard patients' health information.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Used data entry skills to accurately document and input statements.
Responded to customer concerns and questions on daily basis.
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances.
Monitored outstanding invoices and performed collections duties.
Collaborated with customers to resolve disputes.
Maintained accurate records of customer payments.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Generated monthly billing and posting reports for management review.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Kept vendor files accurate and up-to-date to expedite payment processing.
Reconciled accounts receivable to general ledger.
Generated accounts payable reports for management review to aid in financial and business decision making.
Created improved filing system to maintain secure client data.
Disbursed petty cash by recording entries and verifying documentation.
Processed vendor and supplier payments on weekly basis.
Medical Billing and Collections Manager
Dr Adelkunle Ogunfuwa, MD
05.2005 - 01.2006
Reviewed billing problems, researched issues, and resolved concerns.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Worked with customers to develop payment plans and bring accounts current.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Conducted performance reviews and implemented improvement plans.
Complied with established internal controls and policies.
Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Performed banking, business administration and financial tasks to guarantee five-star service for clients.
Developed strategic plans for day-to-day financial operations.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Analyzed business processes to identify cost savings and operational efficiencies.
Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
Utilized financial software to prepare consolidated financial statements.
Established and checked coding procedures, monitored reports and updated internal files.
Improved overall financial reporting by streamlining control processes and reporting structures.
Medical Billing & Collections Specialist
Dr Emanual Martinez, MD & Associates
03.2001 - 01.2003
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Filed and updated patient information and medical records.
Posted payments and collections on regular basis.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Liaised between patients, insurance companies, and billing office.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Prepared billing statements for patients and verified correct diagnostic coding.
Delivered timely and accurate charge submissions.
Adhered to established standards to safeguard patients' health information.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Handled account payments and provided information regarding outstanding balances.
Audited and corrected billing and posting documents for accuracy.
Responded to customer concerns and questions on daily basis.
Used data entry skills to accurately document and input statements.
Monitored outstanding invoices and performed collections duties.
Collaborated with customers to resolve disputes.
Maintained accurate records of customer payments.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Generated monthly billing and posting reports for management review.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Reconciled accounts receivable to general ledger.
Generated accounts payable reports for management review to aid in financial and business decision making.
Medical Billing Specialist
Advanced Rehab Center
11.1998 - 03.2001
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Identified and resolved patient billing and payment issues.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Posted and adjusted payments from insurance companies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Precisely evaluated and verified benefits and eligibility.
Precisely completed appropriate claims paperwork, documentation and system entry.
Filed and updated patient information and medical records.
Prepared billing correspondence and maintained database to organize billing information.
Communicated effectively and extensively with other departments to resolve claims issues.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Evaluated patients' financial status and established appropriate payment plans.
Maintained and updated collections tracking spreadsheet to help organize payment information.
Managed collections claims for unpaid bills against estates of debtors.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Education
Psychology
Saint Johns River State College
Palatka, FL
High School Diploma -
Paxon School/Advanced Studies
Jacksonville, FL
Skills
Maintain Patient Confidentiality
Medical Terminology Understanding
Transcribing Medication
EPIC EMR
Medical Histories and Vital Statistics
Coding Error Resolution
Hospital Inpatient and Outpatient Records
Records Review
Client Satisfaction
Patient Data Management Systems
Medical Record Safeguarding
Demographics Information
Customer Service
Complex Problem-Solving
Health Care Industry
Charting and Clinical Documentation
Operational Requirements
Qualitative Analysis
Patient Flow Coordination
Medical Terminology
Computerized Maintenance Management Systems
Clerical Support
Data Extraction
Medical Records Management
Data Communications
New Patient Chart Preparation
Knowledgeable about Diseases
Patient Rights
Patient Medical Histories
NDCMedisoft
Records Accuracy
Data Entry
Diagnostic Codes
Work Well Independently
Data Abstraction
Computerized Indexing Systems
Records Management
Discharge Summaries
Human Anatomy
Data Integrity
Reading Comprehension
Transcribe Updates
HIPAA Compliance
Epic Software
ICD-9 Coding
Release of Information Paperwork
EMR Systems
Patient Information Verification
Patient Data Collection
Protected Health Information
Insurance Eligibility
Document Scanning
Record Retention Guidelines
Customer Advising and Referral
Equipment Monitoring and Troubleshooting
AR Aging Reports
Reviewing Patient Information
Quality Improvement
A/P and A/R Expertise
Accounting and Financial Management
Balance Reconciliations
Organization and Prioritization
Microsoft Office
Monthly Reconciliations
Organizational Skills
Updating Customer Accounts
Correspondence Sorting and Filing
Invoicing Prowess
Medical Abstraction
Coordinate Payment Plans
Correct Errors
Letter of Appeal Writing
Machine-Assisted Statement Preparation
Accounts Payable and Accounts Receivable
Cash Receipt Posting
Overdue Balance Detection
Maintain Records
Process Payments
Project Requirements
Delinquent Account Notification
Correspondence Writing
Denial Appeals Process
Adding, Calculating and Billing Machines
Analytical and Critical Thinking
Petty Cash Disbursement
Legal Compliance
Electronic Patient Medical Record
Desktop Publishing
Customer Experience
Reconciling Accounts
Medical Billing and Collections
Managing Delinquent Accounts
Auditing Proficiency
Customer Satisfaction
10-Key Data Entry
Software Applications
Collections Procedures
Collections
Fair Debt Collections Practices
Patient Chart Management
Professional Correspondence
Inquiry Requests
Medical Transcription
Payroll Administration
Office Supplies and Inventory
CPT Code Modifiers
Electronic Document Management System
Human Resources Knowledge
Commercial Insurance
New Hire Orientation
Healthcare Terminology
Staff Training
Operational Efficiency
Compliance Requirements
Prescription Refills
Patient Reimbursements
Office Organization
Typing and 10-Key Entry
Batch Balances and Reports
Timeline
Clinical Records Abstractor
MDAbstract, Inc.
12.2014 - Current
Medical Payments Poster
PCP Financial Financial Services
09.2010 - 05.2012
Medical Billing & Collections Specialist
Jacksonville Family Practice
09.2009 - 09.2010
Medical Billing & Collections Manager-Ind Contract