GENEVA S. LINDSAY
Edgewood,Maryland
Summary
Accounts Receivable Specialist bringing 9 years of experience carrying out all accounts receivable functions in high volume home health care accounts. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance. Medical collections professional with solid background in revenue cycle management, insurance claims, and patient account resolution. Adept at leveraging analytical skills to optimize collections processes and ensure compliance with regulations. Strong emphasis on teamwork and adaptability, consistently delivering measurable results. Proven track record of effective communication, problem-solving, and handling high-pressure situations.
Overview
9
9
years of professional experience
Work History
Medical Collection Specialist
Sevita
03.2023 - Current
- Achieved timely resolution of delinquent accounts by maintaining open communication lines with clients and diligently following up on payment promises.
- Acted as a liaison between clients and internal departments, coordinating efforts to resolve billing discrepancies and expedite payment processing.
- Billing claims though Avatar application to Waystar portal. Ensuring that any rejected claims addressed and submitted to payer.
- Streamlined the collections process for increased efficiency through regular review and updating of procedures.
Medical Collections Specialist II
Johns Hopkins Homecare Group
03.2019 - 06.2021
- Verified discrepancies to resolve billing issues.
- Submitted electronic/paper claims documentation for timely filing.
- Experience working with medical payers including Medicare, and commercial insurance
- Managed large volume of medical claims on daily basis.
- Responded to correspondence from insurance companies.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Generated, posted and attached information to claim files.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Coordinated with contracting department to resolve payer issues.
- Calculated adjustments, premiums, and refunds.
- Processed online and paper appeal submissions and refund requests
- Processed billing calls and answered questions from patients and third-party carriers
- Corrected, completed and processed claims for multiple payer codes
Medical Collections Specialist
Option Care
08.2016 - 02.2019
- Follow up on invoices submitted to ensure prompt and timely payment and escalates as necessary.
- Identify bad debt write-offs and A/R adjustment in accordance with policies and procedures.
- Audits claims for dates of service, codes, units and pricing before submitting to payers.
- Proficient in multiple payers billing and collection practices, secure payment for home infusion services that have been provided by Option Care and follow-up with third party payers and individuals.
- Follow up on 45-60 claims per day to complete my monthly workbook.
- Work denials immediately to meet payer contract and timely requirement.
- Experience in Medicaid claims including Maryland, Virginia, New York and several private insurances.
- Extensive knowledge of HCFA 1500 and UB04 claims.
- Wide knowledge of CPT and ICD-10 CM coding governmental and HIPPA mandated patient confidentially regulations.
- Identifies any overpayments and/or duplicate payments, and investigates and resolve.
- Process refund request in accordance with policies and procedures.
Student
ManorCare Health Services, Ruxton
02.2016 - 04.2016
- Processed billing for Manor Care patients using Point of Care System.
- Reviewed records for completeness, accuracy, and compliance with current regulations.
- Retrieved all medical records from clinic nursing stations for filing.
- Released information to persons and agencies according to current regulations and standing operating procedures.
- Retrieved patient information using Point Care Operating System.
- Credentials: Member of American Health Information Management Association (AHIMA).
Education
Registered Health Information Technician (RHIT) eligible -
DeVry University
Downers Grove, IL05.2016
Associate - Applied Science, Health Information Technology
DeVry University
Downers Grove, IL2016
Skills
- Billing Inquiries
- Managed care Organizations
- HCN 360 system
- CPR plus systems
- Epic software
- Various payer's systems
- Spreadsheets
- Account Reconciliation
- Aging reports analysis
- Cash application
- Payment Collection
- Computer proficiency
- Self-motivated professional
- Microsoft Office
- MS Office
- Good telephone etiquette
Timeline
Medical Collection Specialist
Sevita
03.2023 - Current
Medical Collections Specialist II
Johns Hopkins Homecare Group
03.2019 - 06.2021
Medical Collections Specialist
Option Care
08.2016 - 02.2019
Student
ManorCare Health Services, Ruxton
02.2016 - 04.2016
Registered Health Information Technician (RHIT) eligible -
DeVry University
Associate - Applied Science, Health Information Technology
DeVry University