DENISE BAIR
PORT SAINT LUCIE
Summary
Looking for a great place to work and grow with my extensive experience in medical AR and collections I have 29 years experience in the medical field, holding various positions in medical billing, collections, claims adjudication, insurance verification, patient registration and payment posting, claim filing, Accounts receivables. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Medical AR Specialist
Advanced Wellness Solutions
10.2021 - Current
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Managed monthly reconciliation schedules for assigned accounts.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Followed up overdue payments and payment plans from clients to establish good cash flow.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Responded to inquiries from callers seeking information.
- Answered phone promptly and directed incoming calls to correct offices.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
Medical Insurance/AR Specialist
Cobb Pediatric Associates
1 2002 - 10.2021
- Responsible for retrieving and posting payments(insurance & patient) billing & verifying proper coding of office visits, transmit claims electronically, sending patient statements, follow up on unpaid and incorrectly paid claims, assist patients on past due balances, monthly AR reports, refund reports.(Centricity Physician Office) EncountePro.
(Telecommute).(Centricity Physician Office) EncountePro. - Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Posted payments and collections on regular basis.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Account Manager
Specialty Health Associates
02.2017 - 05.2019
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Prepared billing correspondence and maintained database to organize billing information.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies, and billing office.
Education
Certificate Of Medical Office Administration -
Medix School
Marietta, GA, Diploma(GED) -
South Fork High School
Stuart, FL1987
Skills
- Organizational Skills
- Customer Relations
- Task Prioritization
- Organization
- Critical Thinking
- Troubleshooting
- Dependable and Responsible
- Problem-Solving
- Multitasking Abilities
Timeline
Medical AR Specialist
Advanced Wellness Solutions
10.2021 - Current
Account Manager
Specialty Health Associates
02.2017 - 05.2019
Medical Insurance/AR Specialist
Cobb Pediatric Associates
1 2002 - 10.2021
Certificate Of Medical Office Administration -
Medix School
Diploma(GED) -
South Fork High School