Elinore K. Palumbo
Delray Beach,Florida
Overview
30
30
years of professional experience
Work History
Collections Specialist
Bethesda Hospital
Boynton Beach, FL
09.2015 - 03.2025
- Collections Specialist for both Bethesda East and West hospitals which are now part of Baptist Health South Florida.
- My position responsibilities include working claims for Blue Cross, Cigna, Coventry, CarePlus and also any other Medicare HMOs.
- Followed fee schedules to make sure claims were paid correctly according to individual contracts with Baptist.
- When not processed correctly, did follow up Reconsiderations on Web sites and if denied again an appeal would be submitted to the company with needed Medical Records, Authorizations and a letter of grievance for not paying correctly.
- Also able to handle any other insurance plan such as Aetna, Humana, United Healthcare, Medicare and Medicaid Plans.
- Able to assist patients when questions arose, with my knowledge of billing, CPT and ICD 10 coding.
- Collections Specialist for both Bethesda East and West hospitals which are now part of Baptist Health South Florida.
Billing Specialist
Caron Renaissance
Boca Raton, FL
02.2015 - 07.2015
- Billing for Substance Abuse Treatment each month to families of patients.
- Follow up to insure payment has been received and posted to patient account properly.
- These payments included room, board, therapeutic sessions (individual and group) transportation, and pharmacy charges.
- This facility did not accept insurance, so families had to pay for these services one month in advance upon admission.
- Would bill insurance at time of release but it was up to family to appeal if denied.
- Insurance payments went to family.
- Responsible for end of month closings which included making sure all services paid and posted.
- Position was relocated to main office in Pennsylvania.
Medical Billing and Collections Specialist
Medpro Billing
Tamarac, FL
02.2014 - 02.2015
- Medical Billing and Collections and Accounts Receivable- verifying benefits, payment posting, and collections for Substance Abuse Treatment Centers.
- Making sure insurance is paying contracted rates and if not, appealing with documentation as well as making sure benefits is active.
- Run aging reports weekly to make sure accounts fall within MGA guidelines.
- Reviewing patient accounts and forward to self-pay administrator (the Treatment Center).
- I am responsible for three Centers, two here in Florida and the other in California.
- Since starting with this company have brought the AR for these Centers down considerably.
Medical Billing and Collections Specialist
IHBS
Boca Raton, FL
02.2010 - 01.2014
- Medical Billing and Collections- verifying health Benefits for Orthopedic patients and billing charges for procedures performed.
- Once payments or denials posted, did appeals and resubmissions in order to get correct payment according to contracted rates with Medicare and other Insurance Companies.
- Prepare daily and weekly reports documenting the MGA standards of the accounts, which must be within the guidelines.
- Aging reports are run weekly on insurance and patient balances.
- I do billing and collections for 2 orthopedic doctors specializing in pain management as well as another orthopedic doctor who specializes in Stem Cell studies and procedures.
Accounts Receivable Specialist
Medical Oncology and Hematology
Woodbridge, CT
06.2003 - 07.2009
- Accounts Receivable Department - Applied Insurance checks from Title 19, Health Net, Wellcare, Hospices and small insurance companies;
- Followed-up with contracted insurance companies reimbursements, non-payments and incorrect payments from various insurers;
- Managed coding projects and corrected past books and records;
- Completed daily audits and insurance agings over 90 days.
Customer Service Representative of Contracts
American Medical Response of CT
New Haven, CT
08.2000 - 06.2003
- Handled approximately 150 contracts including Hartford Hospital, Saint Francis Hospital and many other major Hospital Contracts throughout the Northern part of CT;
- Handled all Hospice Contracts for the state of CT, the VA contract with Newington VA for transports between facilities, PPS contracts for the nursing homes in CT and all Mental Health facilities that are State funded;
- Managed Athletic or scheduled Standby services provided by AMR including major concerts at the Hartford Civic Center, Arena at Harbor Yard, Meadows Music Theater and several others;
- Responsible for follow-up of accounts to insure payments received timely and minimized defaults in excess of 90 days;
- Solely responsible for reducing the AR (average return) from 90% to 25%.
Customer Service Representative and Dispatcher
Connecticut Motor Club (AAA)
Hamden, CT
09.1995 - 07.2000
- Dispatcher and travel planner for members making plans for road travel, including road maps and TripTiks for their destinations;
- Top producer in TripTiks and mapping clients destinations every month;
- Managed Emergency Road Service calls for members, efficiently obtaining proper verification and location for dispatch services.
Timeline
Collections Specialist
Bethesda Hospital
09.2015 - 03.2025
Billing Specialist
Caron Renaissance
02.2015 - 07.2015
Medical Billing and Collections Specialist
Medpro Billing
02.2014 - 02.2015
Medical Billing and Collections Specialist
IHBS
02.2010 - 01.2014
Accounts Receivable Specialist
Medical Oncology and Hematology
06.2003 - 07.2009
Customer Service Representative of Contracts
American Medical Response of CT
08.2000 - 06.2003
Customer Service Representative and Dispatcher
Connecticut Motor Club (AAA)
09.1995 - 07.2000