- Volunteering
- Gardening
- Outdoor Recreation
- Growing herbs, vegetables, or fruits in home gardens
Emelinda McConnell
Port Richey,FL
Summary
Dynamic and detail-oriented Medical Billing/Accounts Receivable Specialist with over 10 years of experience in healthcare financial operations. Proven track record in handling complex billing problems. Proficient in leveraging extensive knowledge of healthcare billing and insurance processes to resolve billing issues, ensure compliance, and support financial operations.
Overview
12
12
years of professional experience
Work History
Medical Billing/AR Specialist
Metro Inclusive Health
10.2023 - Current
- Efficient Billing Management: Researched and resolved routine billing inquiries using Clearinghouse and Insurance Portals, enhancing the accuracy of billing statements and customer satisfaction.
- Support and Collaboration: Provided vital support to the Accounts Receivable department, assisting analysts, team leaders, and supervisors with daily dashboard reviews and invoice processing
- Working denials and ageing accounts. Exited 120 Accounts Daily
- Collect patient payment, provide customer service and assist with payment posting
- Documentation and Compliance: Ensured meticulous assembling and forwarding of backup documentation for weekly billing statements, maintaining compliance with industry standards and organizational policies
- Compliance with HIPPA
- CMS and State Regulations
- Performed targeted collections on past due accounts aged over 180 days.
- Ability to increase Revenue by 30% through finding errors for coding and billing applications.
- Analyzed, prepared, and issued chargeback notices for payment to prevent third-party collection agency involvement.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Followed up overdue payments and payment plans from clients to establish good cash flow.
- Monitored accounts to verify compliance with payment terms and schedules.
- Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing, and resolving issues.
Case Management
Metro Inclusive Health
03.2021 - 10.2023
- Comprehensive Care Coordination: Assessed service needs and developed individualized plans to address barriers to treatment adherence, significantly improving patient health outcomes
- Educational Initiatives: Implemented group education curricula on HIV/AIDS adherence, utilizing evidenced-based research and culturally appropriate materials to enhance patient knowledge and engagement
- Community and Medical Collaboration: Worked collaboratively with medical providers and community partners to coordinate medical care and support services, facilitating a holistic approach to patient health
- Maintained heavy caseload of approximately 70-90 cases by utilizing effective time management and organizational skills.
Patient Financial Representative
BAYCARE HEALTHCARE
05.2013 - 03.2021
- Front-End Operations: Managed front-end registration and insurance verification, streamlining billing processes and improving the revenue cycle efficiency
- Claims and Customer Service: Handled complex claims adjustments, rebills, and insurance follow-ups, ensuring compliance with policies and enhancing customer service quality
- Process Improvements and Training: Contributed to the development and implementation of operational policies and trained new staff on billing procedures and customer interaction protocols
- Accurately reviewed and updated patient and financial information.
- Efficiently posted payments and adjustments in accounting system.
Education
Associate of Science - Health Information Technology
Rasmussen College
New Port Richey, FL01.2020
Skills
- Billing Software Proficiency
- Insurance Verification
- Ability to read EOB
- ICD 10/CPT Codes/HCPCS Codes
- Medical Terminology
- Insurance Portals
- Detailed Oriented
- Medicaid/Medicare Billing
- Payment Posting
- Time Management
- HIPAA Regulations/PHI
- Insurance Compliance
- Experienced in FQHC
- Bilingual
- Communication
- Microsoft Office
- Customer Service
- Aging reports analysis
- Client communication
- Payment posting
- Collections management
- Invoice processing
- Relationship building
Interests
Timeline
Medical Billing/AR Specialist
Metro Inclusive Health
10.2023 - Current
Case Management
Metro Inclusive Health
03.2021 - 10.2023
Patient Financial Representative
BAYCARE HEALTHCARE
05.2013 - 03.2021
Associate of Science - Health Information Technology
Rasmussen College
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