Efficient billing professional with 30 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
⦁ Manually review all remittance from insurance payors.
⦁ Match payments to appropriate invoices, making sure payments has been received,
⦁ Responsible for timely and accurate posting of payments from insurances companies.
⦁ Effective Communicator.
⦁ Problem Solving Skills.
⦁ Time Management.
⦁ Assembly Line. Manufacturing of Candies/Nuts Products.
⦁ Packaging for shipping/receiving.
⦁ Cleaning machinery and work areas.
⦁ Janitorial cleaning of Construction Sites/Staff Zone Office.
⦁ Troubleshoot service issues.
⦁ Answer incoming customers' calls.
⦁ Process-applied payments to account.
⦁ Mailed 100-200 letters to patients daily to help recover outstanding medical bills.
⦁ Processed 7 debts packets transferred to Government Treasury daily.
⦁ Worked with patients to set up payment plans for outstanding debts.
⦁ Applied account receivable adjustments and write-offs.
⦁ Reviewed delinquent accounts.
⦁ Liaised with United Healthcare to review and collect claims that were delinquent for over 360 days totaling over 100K in net revenue.
⦁ Explain benefits.
⦁ Resubmitted denied claims with additional information to insurance to reverse denial decisions.
⦁ Analyzed account balances and reported general finding to leadership.
⦁ Researched and resolved payments discrepancies and preformed account reconciliations.
⦁ Followed up with insurance companies to ensure timely payment collection and processing.
⦁ Process medical claims per insurance companies claims filing(paper/electronically).
⦁ Reviewed rejected claims-per clearing house claims rejection reports.
⦁ Received verified Nevada Medicaid Authorization numbers for rendering of medical services and Insurance Claims filing.
⦁ Posted insurance remittances and patient payments efficiently and accurately. Demonstrating a strong understanding of EOMB statements.
⦁ Ensured accurate entry of payments on an individual line-items basis when received in batches.
⦁ Denied claim follow-up and resolutions
⦁ Medicare and Medicaid collections
⦁ Patient benefits interpretation
⦁ Update demographic information and validate Medicare eligibility
⦁ Statement reviews
⦁ Claim analysis and filing
⦁ Reporting and analysis
Interior Designs is a hobby I truly enjoy. I feel that I am artist entering into a empty room and the room(s) reflects a blank canvas. I see myself standing in the middle of the room. There I am scanning the room with decor ideals, painted wall colors, selected furniture textures, floor rugs and how each ideals will compliment each other. Knowing that end results will bring enjoyment of the labor of love. That will be shared by all who enters. HJB