Experienced with managing and collecting outstanding accounts, ensuring timely payments and reducing delinquencies. Utilizes effective negotiation techniques to resolve payment issues and maintain client relationships. Track record of implementing strategic approaches to account management and achieving high recovery rates.
Professional with strong background in collections, prepared for this role. Adept at resolving outstanding debts and facilitating payments. Strong team collaborator with focus on achieving results and adapting to changing needs. Skilled in negotiation, communication, and conflict resolution. Reliable, efficient, and results-driven with keen eye for detail, focused on Customer Service and Resolutions for the organization.
Overview
13
13
years of professional experience
Work History
Accounts Receivable Clerk
Plimpton & Hills
06.2024 - 07.2025
Processed customer invoices accurately and efficiently to ensure timely payments.
Managed collections for overdue accounts, fostering positive customer relationships.
Reconciled monthly statements and handled discrepancies with attention to detail.
Utilized accounting software to track receivables and streamline reporting processes.
Collaborated with the finance team to improve cash flow management strategies.
Provided support during audits by compiling necessary documentation and reports.
Quality Assurance Assistant
Advance Behavioral Health
02.2019 - 05.2024
Clinical oversight, processes prior authorization requests for CSCs in order to generate an authorization to credentialed providers for services requested. Acts as a liaison between CSC, MFP, DSS and providers.
Provides telephone support to the CSCs, to ensure prompt, live responses to Providers requesting assistance with executing tasks associated with the WISE Recovery Plan.
Conducted quality assurance reviews to ensure compliance with behavioral health standards.
Assisted in identifying and documenting discrepancies in patient care processes.
Maintained accurate records of inspection results, ensuring traceability and compliance with internal and external standards.
Helped with customer complaint investigations to improve quality and [Type] processes.
Patient Accounts Analyst / A/R Specialist
Connecticut Children's Medical Center
05.2016 - 12.2019
Provides verification and account feedback on complex patient accounts. Performs variety of administration duties. Schedules appointments, processing payments for co pays, and provides accurate feedback on patient relations to insurance coverage for network services. Works directly with families and other hospital departments to approved financial balance relief in accordance to state and hospital regulated programs. Performs advanced knowledge in Epic, Pre certification and patient accounts. A/R duties: Performs advanced knowledge in Epic, Pre certification and patient accounts.
Create and maintain tracking of codes billed on UB04 forms, Creating Work orders to review specific details created for billing. Completing & submitting several coding forms with supporting researched documents to apply modifiers to hospital cpt codes. Assuring Accident free submission -of modifiers. Attentive to details, verify authorizations obtain to match - services provided. Reprocess accounts with obtain retro Authorization with research and policy reference. Create spreadsheets for work flow on high dollar, complex accounts. Working closely with Management in several departments, hospital coders & Commercial Insurance Provider Representatives. Prepare and submit Appeals for denied claims based on contracted rates and policy. Process contractual adjustments for claims with/ or in need of allowances, variances and Denials. Work in multiple systems at the same time. Email various Management and supervisor for updates and reporting stats.
Analyzed financial data to support budgeting and forecasting activities.
Collaborated with cross-functional teams to streamline accounts payable processes.
Medical Billing / Charge Poster
Connecticut Children’s Medical Center
03.2015 - 02.2018
Ensured medical services rendered by patients are charged with supporting records, and maintained.
Create and maintain tracking of codes billed on UB04 forms. Research Policy for Charges Posting for Ambulatory Surgery and Hemoc Medication that require Modifier for payment.
Creating and Submitted Authorizations and Appeals directly to Insurance companies to support payment on high dollar claims.
Processed and posted charges to patient accounts using electronic health record systems.
Reviewed insurance claims for accuracy and compliance with billing regulations.
Collaborated with healthcare providers to resolve discrepancies in billing statements.
Maintained organized electronic filing systems for easy retrieval of patient records during audits or internal reviews.
Customer Service / Self Pay Collector
Connecticut Children's Medical Center
05.2012 - 12.2014
Worked directly with Physician’s, Nurses and Insurance Providers on escalated high dollar accounts, to determine if members are in or / out of network for services provided.
Negotiated with account holders to devise repayment plans and minimize collections receivables.
Maintained accurate records of customer accounts, payments and payment plans.
Managed patient accounts to ensure timely collection of outstanding balances.
Communicated effectively with families regarding payment options and financial assistance programs.
Education
High School Diploma -
New Britain High School
New Britain, CT
01.2002
Certificate of Technical Studies - Accounting And Finance
Goodwin Community College
East Hartford, CT
04-2018
Skills
Experience: Epic, Track, Word, Excel, Payer portals in A/R denials Denial Follow up, customer service
Call center experience
Customer research
Assertiveness
Repayment plan structuring
Issue investigation
Safety procedures
Account analysis
Payment schedules
Collections processing
Account auditing
Staff development
Account reviews
Delinquent account management
Communication
I work fast & efficient. Enjoy working with others in group projects always open to learning, and very outgoing. Very Positive and Outgoing team player.
Leadership
I am experienced in Marketing Sales, Customer service Management and Data Entry. Accounts Receivable, Contracting, And Self Pay.
Timeline
Accounts Receivable Clerk
Plimpton & Hills
06.2024 - 07.2025
Quality Assurance Assistant
Advance Behavioral Health
02.2019 - 05.2024
Patient Accounts Analyst / A/R Specialist
Connecticut Children's Medical Center
05.2016 - 12.2019
Medical Billing / Charge Poster
Connecticut Children’s Medical Center
03.2015 - 02.2018
Customer Service / Self Pay Collector
Connecticut Children's Medical Center
05.2012 - 12.2014
High School Diploma -
New Britain High School
Certificate of Technical Studies - Accounting And Finance