Skilled Accounts Receivable Representative with expertise in payment coordination, receivables management, and customer relations. Proven ability to analyze aging reports and resolve account discrepancies efficiently. Eager to leverage strong financial software skills and attention to detail to support and enhance a dynamic financial team. Highly organized and results-driven, bringing deep expertise in managing accounts receivable processes. Skilled at reconciling customer accounts, processing invoices, and handling collections with accuracy and efficiency. Strong work ethic ensures timely completion of tasks while maintaining minimal errors, contributing to smooth and orderly accounting environment.
Overview
27
27
years of professional experience
Work History
Accounts Receivable Representative
R1 RCM Inc.
remote usa
01.2026 - Current
Reviewed healthcare claim denials within R1 RCM revenue cycle work queues.
Posted patient and payer payments using billing system procedures.
Followed up with insurance carriers on unpaid account balances.
Resolved claim discrepancies through EOB and remittance review.
Accounts Receivable Clerk
Foundation Medical Partners
Nashua, NH
01.2021 - 12.2025
Managed collections process for past due invoices using telephone calls, emails, letters.
Applied customer payments correctly to appropriate accounts.
Followed up on delinquent accounts in accordance with company policies and procedures.
Assisted customers with inquiries regarding billing or account status.
Performed data entry functions including entering new customer information into system database.
Processed payments accurately and efficiently utilizing various payment methods.
Developed strong customer relationships through effective communication and problem resolution techniques.
Monitored aging receivables to ensure timely collection of all outstanding monies due.
Analyzed customer accounts to identify any discrepancies or issues that needed to be addressed promptly.
Maintained customer accounts, reconciled statements and resolved discrepancies in a timely manner.
Researched and corrected errors related to misapplied payments or credits.
Collaborated with other departments to resolve invoice discrepancies and disputes.
Contacted customers by mail or telephone concerning past due balances.
Precertification Specialist
Monadnock Community Hospital
Peterborough, NH
12.2019 - 01.2021
Accurately documented all activities associated with pre-authorization requests within the appropriate systems and databases.
Reviewed reports generated by system applications for accuracy prior to submission for processing.
Researched various payor websites for policy guidelines related to precertification requests.
Monitored the status of pending authorizations through follow up calls with providers offices.
Documented all conversations related to authorization requests into system notes as needed.
Maintained a high level of knowledge regarding insurance plans, policies, regulations and requirements related to precertification.
Successfully collaborated with providers to obtain authorization for treatments and procedures.
Provided excellent customer service by responding promptly to inquiries from members and providers regarding pre-certifications.
Identified trends in denied claims due to lack of proper documentation or coding errors by providers.
Assisted in training new staff on pre-authorization processes, protocols, policies, and procedures.
Proactively identified issues that could impact timely approvals or denials of services requested.
Performed detailed reviews of medical records prior to approval or denial of services requested.
Efficiently managed and maintained patient records to ensure accuracy in data entry and precertification process.
Processed appeals when necessary after obtaining additional supporting documentation from provider offices.
Developed and implemented new processes for precertification of services, resulting in improved efficiency and accuracy.
Interviewed applicants to obtain and verify information to determine eligibility.
Approved or denied applications, informing applicants within required time frames.
Navigated through computer screens to complete and review documents and other forms.
Answered telephones and directed calls to appropriate staff.
Collaborated closely with doctors, nurses and other staff members to ensure smooth operations within the practice.
Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations.
Scheduled tests and procedures for patients, such as lab work and x-rays, based on physician orders.
Operated office equipment, such as voice mail messaging systems and used word processing, spreadsheet and other software applications to prepare reports, invoices, financial statements, letters, case histories, and medical records.
Completed documents, case histories, and forms, such as intake and insurance forms.
Assisted with coding procedures and billing processes while ensuring compliance with HIPAA regulations.
Completed insurance or other claim forms.
Arranged hospital admissions for patients.
Precertification Specialist
Foundation Medical Partners
Nashua, NH
11.1999 - 01.2019
Efficiently managed and maintained patient records to ensure accuracy in data entry and precertification process.
Reviewed reports generated by system applications for accuracy prior to submission for processing.
Participated in meetings with internal departments such as Utilization Management and Quality Assurance teams.
Provided excellent customer service by responding promptly to inquiries from members and providers regarding pre-certifications.
Performed detailed reviews of medical records prior to approval or denial of services requested.
Documented all conversations related to authorization requests into system notes as needed.
Assisted in training new staff on pre-authorization processes, protocols, policies, and procedures.
Researched various payor websites for policy guidelines related to precertification requests.
Developed and implemented new processes for precertification of services, resulting in improved efficiency and accuracy.
Successfully collaborated with providers to obtain authorization for treatments and procedures.
Accurately documented all activities associated with pre-authorization requests within the appropriate systems and databases.
Processed appeals when necessary after obtaining additional supporting documentation from provider offices.
Proactively identified issues that could impact timely approvals or denials of services requested.
Monitored the status of pending authorizations through follow up calls with providers offices.
Maintained a high level of knowledge regarding insurance plans, policies, regulations and requirements related to precertification.
Approved or denied applications, informing applicants within required time frames.
Navigated through computer screens to complete and review documents and other forms.
Documented communications and contacts with clients in computer system.
Answered telephones and directed calls to appropriate staff.
Collaborated closely with doctors, nurses and other staff members to ensure smooth operations within the practice.
Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations.
Performed various clerical and administrative functions, such as ordering, and maintaining inventory of supplies.
Scheduled tests and procedures for patients, such as lab work and x-rays, based on physician orders.
Operated office equipment, such as voice mail messaging systems and used word processing, spreadsheet and other software applications to prepare reports, invoices, financial statements, letters, case histories, and medical records.
Education
High School Diploma -
Nashua Senior High School
Nashua
06-1991
Skills
Payment coordination
Financial software
GL entries
Problem-solving
Attention to detail
Time management
Team collaboration
Customer relations
Microsoft Excel
Financial records and reporting
Insurance verification
Information gathering and analysis
Database updates
Payment posting
Aging report analysis
Receivables management
Data entry and management
Spreadsheets and journal entries
Insurance confirmation
Receivables forecasting
Claims processing
Accounts receivable
Aging reports analysis
Codes reviewing
Accounts receivable expertise
Adjustment posting
Personal Information
Title: ACCOUNTS RECEIVABLE REPRESENTATIVE
LANGUAGES
Spanish, Fluent, Fluent from Birth
VOLUNTEER EXPERIENCE
Southern nh medical center, Letter Carrier, Nashua, nh, 1999-12, 2000-02