HEATHER L WILSON
Largo
Summary
Detail-focused A/R Specialist known for maintaining high productivity levels and efficiently completing tasks. Skilled in invoice processing, account reconciliation, and financial reporting, ensuring accuracy and compliance with company policies. Excel in time management, problem-solving, and communication, which facilitate successful resolution of billing issues and enhancement of client satisfaction.
Overview
20
20
years of professional experience
Work History
A/R Specialist
Newsom Eye And Laser Center
Tampa
05.2024 - Current
- Resolved high-volume claim denials and underpayments through proactive follow-up and appeals
- Generated and analyzed A/R aging reports to track outstanding claims and identify trends
- Collaborated with payers, providers, and internal teams to resolve claim issues and improve workflow
- Consistently met or exceeded monthly collection goals, improving overall revenue cycle performance
A/R Specialist
Sight 360, Inc.
St
03.2023 - 04.2024
- Engaged third-party payers to resolve unpaid claims.
- Addressed billing inconsistencies promptly.
- Appeals processed through multiple carrier platforms.
- Processed medical claims using electronic and paper methods via clearinghouse and billing software.
- Met weekly billing and collections quotas by diligently pursuing payments.
- Created departmental procedures and best practices to support billing consistency.
- Posted payments efficiently.
A/R Specialist
The Eye Institute of West Florida
Largo
03.2016 - 03.2023
- Examined patient insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies.
- Communicated with insurance providers to resolve denied claims and resubmit corrected claims
- Identified and resolved patient billing and payment issues with friendly and knowledgeable patient communication
- Analyzed complex explanation of benefits forms to verify correct billing of insurance carriers
- Precisely evaluated and verified benefits and eligibility
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy
- Deposited insurance checks into bank through electronic check reading
Insurance Authorization & Benefit Coordinator
St. Michael's Eye & Laser Institute
Largo
04.2014 - 03.2016
- Verified out-patient surgery benefits, medical office visits and routine vision benefits
- Analyzed medical records and other documents to determine approval of requests for authorization
- Communicated verification and authorization status updates with surgery department to facilitate decision-making for patient's surgery
- Made contact with insurance carriers to discuss policies and individual patient benefits
Medical Legal Department
VSAS Orthopedic
Allentown
02.2006 - 01.2014
- Applied administrative knowledge and courtesy to explain procedures and services to patients and legal offices
- Scheduled Independent Medical Evaluations and legal depositions
- Sorting of received medical records from multiple specialist offices for our Doctors to use in medical deposition
- Traveled with Doctors to off-site offices for IME appointments
Education
Associate in Science (A.S.) - Specialized Business Degree Secretarial Science
Berks County Institute
Wyomissing, PA07.1996
Skills
- Effective patient communication
- Accurate payment posting
- Financial collections coordination
- Problem solving
- Attention to detail
- Revenue cycle management
- A/R aging analysis
- Insurance verification
Timeline
A/R Specialist
Newsom Eye And Laser Center
05.2024 - Current
A/R Specialist
Sight 360, Inc.
03.2023 - 04.2024
A/R Specialist
The Eye Institute of West Florida
03.2016 - 03.2023
Insurance Authorization & Benefit Coordinator
St. Michael's Eye & Laser Institute
04.2014 - 03.2016
Medical Legal Department
VSAS Orthopedic
02.2006 - 01.2014
Associate in Science (A.S.) - Specialized Business Degree Secretarial Science
Berks County Institute
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