CAROL Winters
Conifer Health Solutions LLC
Chicago,IL
33
years of professional experience
Accomplished Credit Analyst with expertise in billing and collections, driving continuous improvement through streamlined processes and optimized cash flow. Developed best practices for managing aged receivables and enhancing collections outreach, while effectively analyzing and processing insurance claims to ensure compliance and timely resolution of complex cases.
Work History
Integration Insurance Claims Analyst
19 Years- Assist with negotiations of settlement offers between the facility and the insurance carrier
- Handling of high-dollar Workers' Compensation claims
- Reviewed invoices, payment requests, advance requests, expense reimbursements and proper coding prior to approval
- Utilized ACE to manage and confirm patient data, such as insurance, demographic and medical history information
- Communicated effectively with staff and insurance companies by email and telephone
- Kept an accurate log of all requests for medical information and records
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
- Assisted with the creation of the Workers' Compensation job aid
- Trained new hires
- Remote
Senior Collector
2 Years 7 Months- Reduced aged accounts by collecting approximately 75+ accounts daily
- Created repayment plans based on account holders’ financial status
- Recovered lost revenue by persistently reaching out to customers with past-due accounts
- Followed fair debt practices and regulatory guidelines when managing the collections process
- Delivered exceptional customer service on all calls while maintaining calm and professional demeanor in challenging circumstances
- Worked in call center environment handling manual and automatically dialed outbound calls
- Processed payments and applied to customer balances
- Performed administrative tasks such as record keeping writing correspondence and gathering materials.
- Reviewed collection reports to determine status of collections and amounts of outstanding balances.
- Trained new team members on scripts, company services, and performance strategies
Data Entry Clerk
10 Years 11 Months- Repriced government and commercial claims according to fee schedule
- Complied with all HIPAA privacy and security regulations to protect patients' medical records and information
- Worked in a call center environment handling manual and automatically dialed outbound calls
Education
Clinical Medical Assistant
Medical Billing and Coding Diploma
Skills
Account management
Accounts payable and receivable
Repayment negotiations
Call center experience
Skip tracing
Maintaining files
Collections regulatory guidelines
HR policies
Aged account reporting
Scheduling
Team leadership
Payment posting
Medical term
Athena Software
Billing statement review
Meditech Software
Medicare and Medicaid process
Care Tracker Software
Charting and clinical documentation
Epic Software
New hire training
NextGen Software
Insurance verification
Mariette Software
Gmed Software
AdvancedMD Software
Cerner
GE centrix
DNA software
Microsft Excel
Timeline
Integration Insurance Claims Analyst
Conifer Health Solutions LLC
10.2007 - CurrentRead More
Senior Collector
Nationwide Collection Agency
02.2005 - 09.2007Read More
Data Entry Clerk
Health Star Insurance, LLC
01.1994 - 12.2004Read More
Computer Systems Institute
Medical Billing and Coding Diploma
Read More
Career Academy School of Allied Health Technicians
Clinical Medical Assistant
Read More