Competent Accounts Receivable Specialist bringing 30 years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives.
Overview
27
27
years of professional experience
Work History
Healthcare Billing Specialist
Chesapeake Regional Healthcare
06.2020 - Current
Worked with outside entities to resolve issues with billing, claims, and payments.
Monitored flags and resolved urgent items with accuracy and efficiency.
Utilized computer programs to create invoices, letters, and other documents.
Researched billing errors and discrepancies to initiate corrective action and reduced AR days by 58%.
Communicated with insurance providers to resolve denied claims and resubmitted.
Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
Liaised between patients, insurance companies, and billing office
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable
Reimbursement Manager
Surgery Center Of Chesapeake
11.2016 - 06.2020
Reviewed billing and collections process and determined improvements to streamline workflows.
Maintained strong knowledge of medical terminology and procedures.
Monitored accounts receivables reduced denials for untimely filing by 93%.
Observed strict data confidentiality procedures to protect patients' information.
Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.
Proven ability to learn quickly and adapt to new situations.
Created rewards and recognition programs for acknowledging employees' achievements.
Patient Financial Counselor
Elizabeth Place Surgery Center
02.2014 - 06.2015
Verified patient insurance eligibility and entered patient information into system.
Engaged with patients to provide critical information.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Helped address client complaints through timely corrective actions and appropriate referrals reduced approval denials by 45%.
Followed document protocols to safeguard confidentiality of patient records.
Billing Specialist
Dayton Urology Group
06.2010 - 02.2014
Worked with outside entities to resolve issues with billing, claims, and payments.
Contacted patients after insurance were calculated to obtain payments.
Processed debtor payments and updated accounts to reflect a new balance
Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurance to obtain timely and accurate payments.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Researched and resolved billing discrepancies to enable accurate billing and reduced AR by 27%.
Team Supervisor
Hospital Support Services
07.1996 - 09.2000
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Handled customer complaints, resolved issues, and adjusted policies to meet changing needs reduced patient complaints by 53%.
Monitored workflow to improve employee time management and increase productivity.
Evaluated employee performance and coached and trained to improve weak areas.
Evaluated staff performance and provided coaching to address inefficiencies.
Educated staff on organizational mission and goals to help employees achieve success.
Researched accounts and completed due diligence to resolve collection problems reducing AR by 47%.
Maintained understanding of overall business goals, tailoring new hires and continuing training towards reaching prescribed targets.
Interacted with cross-functional support groups to manage day-to-day operations and identified and resolved operational problems using defined processes, expertise and judgment.
Education
Master of Science - Industrial And Organizational Psychology
University of Phoenix
Tempe, AZ
05.2017
Bachelor of Science - Psychology
University of Phoenix
Tempe, AZ
06.2012
Skills
AR Aging Reports
Organizational Skills
Insurance Company Communication
Verbal and Written Communication
Conflict Mediation
Timeline
Healthcare Billing Specialist
Chesapeake Regional Healthcare
06.2020 - Current
Reimbursement Manager
Surgery Center Of Chesapeake
11.2016 - 06.2020
Patient Financial Counselor
Elizabeth Place Surgery Center
02.2014 - 06.2015
Billing Specialist
Dayton Urology Group
06.2010 - 02.2014
Team Supervisor
Hospital Support Services
07.1996 - 09.2000
Master of Science - Industrial And Organizational Psychology