Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Delores Ramsey Fry

Fort Worth,TX

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

34
34
years of professional experience
1
1
Certificate

Work History

Billing Specialist-Remote

Brownstone Associates
Orland Park, IL
05.2006 - Current
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.

Medical Biller/ Collector

North Texas Surgical Assistant
Fort Worth , TX
06.2014 - 08.2017
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted payments and collections on regular basis.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.

Physician Medical Collector II

Ut South Western (contract)
Dallas, TX
06.2015 - 09.2015
  • Processed billing calls and answered questions from patients and third-party carriers.
  • Corrected, completed and processed claims for multiple payer codes.
  • Assisted in reconciling deposit and patient collections.
  • Processed online and paper appeal submissions and refund requests.

Medicaid Claims Recovery Specialist

Health Management Systems, HMS
Irving, TX
06.2012 - 07.2013
  • Performed skip tracing on all past due accounts to locate responsible individuals.
  • Maintained equipment and facilities in optimal condition to support optimal launch and recovery operations.
  • Set up drafts and processed immediate payments after conducting thorough research and analysis of account.
  • Monitored accounts for compliance with established payment plans and flagged non-compliances.

Medical Biller

Unique Medical Biller
Chicago, IL
02.2006 - 02.2012
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted payments and collections on regular basis.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.

Insurance Specialist

Greater Chicago
Burr Ridge, IL
01.2003 - 01.2006
  • Researched and resolved routine and complex issues.
  • Processed eligibility and benefits verification and authorization requests.
  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
  • Followed up on denials, late payments, extensions and other special circumstances.

Claims Customer Service Representative

Insurance Overloads
Chicago, IL
03.2001 - 01.2003
  • Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
  • Reviewed and adjusted customer coverage levels to address, identify and resolve customer conflicts.
  • Responded to customer requests for products, services and company information.

Medical Claims Processor

Private Health Care
Rosemont, IL
05.1999 - 02.2001
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.

Education

TX All-lines Adjuster License

Claims Adjuster Academy
Fort Worth, Tx

Diploma -

Penn Foster Career School
Scranton, PA
07.2018

Skills

    Interpersonal Skills

    Communication

    Negotiations

    Decision Making

    Property & Casualty

    Investigating

    Estimating

    Policy Knowledge

    Notary Public

Certification

  • Licenses By States
  • All Lines Adjuster Licenses: Texas, Florida, Michigan, Louisiana
  • Certifications
  • State Farm Certifications: Fire/Auto/Telephony/Property

Timeline

Physician Medical Collector II

Ut South Western (contract)
06.2015 - 09.2015

Medical Biller/ Collector

North Texas Surgical Assistant
06.2014 - 08.2017

Medicaid Claims Recovery Specialist

Health Management Systems, HMS
06.2012 - 07.2013

Billing Specialist-Remote

Brownstone Associates
05.2006 - Current

Medical Biller

Unique Medical Biller
02.2006 - 02.2012

Insurance Specialist

Greater Chicago
01.2003 - 01.2006

Claims Customer Service Representative

Insurance Overloads
03.2001 - 01.2003

Medical Claims Processor

Private Health Care
05.1999 - 02.2001

TX All-lines Adjuster License

Claims Adjuster Academy

Diploma -

Penn Foster Career School

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Delores Ramsey Fry