Adaptable professional with 6 years of work experience and a proven knowledge of executive support, staff training and development, and workflow prioritization. Aiming to leverage my abilities to successfully fill Workers Compensation Adjuster role at your company. Experienced with managing accounts receivable and collections processes to ensure timely payments. Utilizes negotiation skills and financial analysis to improve cash flow and minimize outstanding debts. Track record of building strong relationships with clients and internal teams to resolve payment discrepancies efficiently.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Workers Comp/AR Collection Specialist
Center For Sports Medicine & Orthopaedic Surgery
05.2023 - Current
Conducted periodic reviews of customer credit limits, adjusting as needed based on payment history and business needs. Insurance claims processing and case management.
Enhanced cash flow for the company by consistently meeting or exceeding collection targets.
Investigated and assessed damage to property and reviewed property damage estimates.
Working knowledge of Employee Health practices.
Supported cash application team by providing accurate remittance information, enabling prompt posting of payments to appropriate accounts.
Developed customized reports for management to track key performance indicators related to AR collections.
Effectively resolved chargeback disputes through thorough research and documentation of supporting evidence.
Knowledge and understanding of FMLA, ADA, Workers Compensation laws and leave-related regulations.
Partnered with legal counsel on escalated collection matters involving litigation or bankruptcy proceedings, maximizing recovery efforts where possible.
Reduced A/R aging by consistently monitoring outstanding invoices and following up with clients.
Coordinated closely with other departments such as sales, customer service, and finance to ensure a seamless flow of information and timely resolution of any discrepancies.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
AR Billing Specialist/Medical Coder- Remote
MedSrv LLC
01.2022 - 06.2025
Reconciled and noted and reported discrepancies found in records.
EPIC Systems
Athena
Cerner
Performed general office duties, such as filing, answering telephones and handling routine correspondence.
Processed patient admission and discharge documents.
Transcribed medical reports.
Posted medical insurance billings.
Resolved and clarified codes and diagnoses with conflicting, missing and unclear information by consulting with doctors and others and by participating in coding team's regular meetings.
Inpatient & Outpatient coding
Processing 50-75 claims per day
IP & OP coding
Profee Coding
Hospital & Physician Billing and Coding
VA Profee Coding
Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
Medical Coder
Med- Metrix
06.2019 - 10.2023
Demonstrated expertise in resolving coding issues and responding to inquiries from healthcare providers.
Used ICD-10-CM and CPT coding to complete records.
Reviewed medical records and identified relevant diagnoses and procedures for accurate coding of claims.
Maintained a working knowledge of current ICD-10-CM and PCS guidelines and CPT code sets.
Completing 50-70 claims per day and/or 10 charts per hour.
IP/OP Coding
Cerner, Epic systems, 3M Encoder Pro and Medisoft
Vascular and Cardiology coding
Pro fee coding
Helped review insurance denials related to diagnosis issue.
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Medical Coding/ AR Insurance Specialist- Remote
Viant/Multiplan
10.2017 - 09.2018
Identified, compiled, abstract and code patient data, using standard classification systems.
Consulted classification manuals to locate information about disease processes.
Scanned patients' health records into electronic formats.
Resolved and clarified codes and diagnoses with conflicting, missing and unclear information by consulting with doctors and others and by participating in coding team's regular meetings.
Transcribed medical reports.
Posted medical insurance billings.
VA , Cardiovascular, & Surgery claims
DME Claims
UB04 Claims and 1500 Forms
Medical, Dental and vision claims
Used ICD-10-CM and CPT coding to complete records.
AR Medical Insurance Specialist
Cigna
03.2013 - 10.2017
Performed administrative tasks, such as maintaining records and handling policy renewals.
Medisoft
Availity
Hospital Billing
Submitted forms to obtain binder coverage.
Obtained and provided information when claims were made on policy.
Processing 50 claims per day
ICD - 9 & 10
Assigned codes to diagnoses and procedures, using ICD and CPT codes.
Certified Clinical Medical Assistant at Center For Sports Medicine & Orthopaedic SurgeryCertified Clinical Medical Assistant at Center For Sports Medicine & Orthopaedic Surgery