Competent Accounts Receivable Specialist bringing 10 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.
Processed high volume A/P in a manufacturing company. 3-way match of vendor invoices, purchase orders and receiving.
Followed up outstanding A/R payers, self-pay, including error resolution of denials.
Accountable for handling all correspondences related to an insurance or patient account.
Contacted insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edit and rejection reports. Researched and resolved accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement.
Accountable for electronic and manual billing for all company programs and submit P&I prior to deadline for Regional Centers. Prepared checks and deposit forms; deposit checks electronically into a scanner. Monitored and coordinated with District Managers and Regional Centers regarding any discrepancies on billed accounts versus actual payments received. Prepared and generated unbilled A/R reports for Executive Team. Compiled data and prepared monthly reports and inquiries. Applied cash, checks, electronic payments and reviewed correct entry or proper vendor coding. Reconciled and reported any discrepancies found in records. Prepared and printed Accounts Payable disbursement request daily. Prepared census /revenue reports for the CFO and assisted with forecasting upcoming payments.
Cash application for a specified group of customers on SAP Software. Maintained and input of customer master data with SAP. Assigned trade deductions to the trade owner of the deduction. Identified and analyzed non-trade deduction and unapplied cash. Analyzed and resolved root cause of customer related issues to ensure customer satisfaction. Established working rapport and on-going communication with all levels/ functions within the account team, customers, distribution /manufacturing operations, and Nestle personnel.
Reviewed CMS-500 and UB-04 claims and adjudicate claims in accordance with Healthcare Plan. Processed claims utilizing medical records that required re-review and adjustment in an accurate and timely manner. Ensured primary paper claims have generated for processing; prepare for mailing with any necessary attachments and electronic claim files are created and uploaded. Performed extensive research to process and/or adjust healthcare claims and appeals.
Resolved inquiries regarding disputes from banks and customers using multiple banking systems.
Maintained accurate data records and keep detailed notes on customers records /transactions.
Account Reconciliation. Researched and resolved questions involving credit card activities. Completed task in a timely manner to meet deadlines imposed by bank card inquiries.