Skilled professional with experience in collections, customer service, and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates insurance payment disputes promptly.
Overview
25
25
years of professional experience
Work History
Business Services Representative II Insurance Collector
Henry Mayo Newhall Hospital
10.2016 - Current
Knowledge of health insurance contracts and reimbursements.
Understanding of Medicare guidelines for Hospital admissions and outpatient services
Experience with all major health insurance payer websites.
Make outgoing calls to insurance companies to determine claims status.
Making and receiving patient calls as needed.
Verification of health insurance eligibility and benefits
Review over 30 accounts daily and process reconsiderations and appeals of unpaid and or underpaid accounts.
Process contractual adjustments as needed.
Training of new insurance collectors and providing support to new staff as needed.
Collaborated with cross-functional teams to develop innovative solutions that met client needs and expectations.
Self-Employed Medical Billing and Collections Consultant
Interim HealthCare
04.2004 - 09.2016
Medicare billing and collections for multiple Interim Offices Collection of over $250,000 of debt that was considered bad debt.
Insurance phone inquiries for unpaid and underpaid accounts
Assist with training of new accounting/billing staff.
Assist with obtaining authorizations for services
Monthly reporting of AR collection efforts
Payment, posting, and reconciliation to bank deposits as needed.
Managed multiple deadlines across several businesses to meet dynamic needs of multiple clients.
Human Resources & Accounting Supervisor
Interim Healthcare of Tulsa
07.1999 - 01.2004
Supervised annual $1.5M billing of Home Health, Private Duty, Medicare, and commercial insurance.
Cash postings and reconciliation.
Responsible for ensuring accounts receivable balances were reviewed and accurate
Processing payer denials
Insurance denials follow-up
Responsible for management of Workers' Compensation modified duty assignments for injured staff.
Ensured accuracy of weekly payroll and assisted with payroll processing as needed
Responsible for interviewing, hiring, and training new office staff.
Skills
Microsoft Office (Excel, Word, Outlook)
Written Communication
Process Analysis
Time Management
Self Motivation
Professional Demeanor
Team Collaboration
Continuous Improvement
Analytical Skills
Hospital System Meditech & Epic
Insurance payer websites
Project Planning
Volunteer Experience
Old Orchard I Homeowners Association, Board Member, 2010, 2024
Timeline
Business Services Representative II Insurance Collector
Henry Mayo Newhall Hospital
10.2016 - Current
Self-Employed Medical Billing and Collections Consultant