
Self-motivated with extensive experience in the medical reimbursement field, including accounts receivables, credit recovery and collections specialist. Offering a strong work ethic and determination to complete tasks in a timely manner. Unique ability to work with diverse personalities, including customers, vendors, management and staff.
• Maintaining and coordinating cash sheet
• Entering daily bank deposits to Excel balance sheet
• Obtained all remittance/EOB corresponding to the EFT deposit by payer
• Distribute payment batches to team • Monitor and approve all teammate PTO
• Assist team mates in posting accurate payments
• Balancing of Medicare/recoups and short paid items
• Identified consistent fee schedule allowable and reported any discrepancies to management
• Identified primary payment (EOB) when a secondary payor is present and referred accordingly
• Analyzed misapplied or duplicate payments and acted accordingly
• Analyzed credit accounts to determine if refund should be processed
• Work diligently to meet month end goals
• Training of new systems to teammates in remote locations
• Respond to overpayment letters from Medicare and private insurance carr
• Complete research of account activity (primary, secondary, tertiary) to determine true refund to the correct payer
• Enter adjustments to complete refunds
• Apply all debit’s to refunded accounts
• Analyze accounts to discover discrepancies and resolve variances
• Worked aged A/R reports
• Contact insurance carriers to reviewed unpaid claims to determine resolution
• Applied adjustment write offs when necasarry
• Direct maintenance for client/physician billing
• Act as liaison between different lab sites, marketing reps and physicians
• Preserve rapport with clients and medical staff
• Maintain A/R excel sheet for all client accounts
• Review of all monthly invoices prior to sending to clients