Accounts Receivable Specialist II that possesses an instable drive to achieve and exceed goals. Skilled in problem solving and maintaining accuracy with a solid background in data entry and claims analysis for 20 plus years. Great work ethic and strength in boosting company morale. Knowledgeable Customer service/Data Entry with strong background in accounts receivable, ensuring accurate and timely billing and collections. Proven ability to resolve discrepancies and improve cash flow through effective reconciliation processes. Demonstrated skills in financial analysis and customer relationship management. Vigilant Accounts Payable Clerk with 20 years of experience working with patients accounts. Committed to on-time payments, maintaining detailed records and paying vendors on time. Detail-oriented worker with proven resourcefulness and reliability.
Work History
Medical Data Entry/AR Specialist, Customer Service
6 Years 8 Months
SAGIS PLLC, | 01.2020 - Current
Received, Input, update and maintained large quality of data entry login of patient demographics, clinical information and charge for Pathology, Radiology, Podiatry
Managed, Verified large volumes of data efficiently with high speed and accuracy.
Received error spreadsheet of 100 patients accounts daily, made sure patients policy information, patients name, DOB and other information for a clean claim.
Filing and updating medical records, ensuring accurate data entry into electronic health systems, and handling requests.
Contact clients via phone or email to follow up on overdue invoices and past-due balances.
Creating data entry standards by constantly updating filing systems in order to increase data quality.
Reconcile the AR sub-ledger with the general ledger and verify the accuracy of daily transactions.
Making sure all data has been completed by month end.
Provider Enrollment Specialist
11 Months
Radiology Partners | 02.2019 - 01.2020
Monitored and updated Provider license and Insurance before expiration, Check and process incoming paperwork, financial records, or medical/academic history to ensure qualifications are met.
Managed incoming calls, emails and faxes per Providers application, onboarding, and registration processes for clients, students, joining a program, school, or healthcare plan.
Check and process incoming paperwork, financial records, or medical/academic history to ensure Providers qualifications are met.
Reviewed statistic enrollment data and prepared reports.
Updated, entered, and reviewed provider data.
Researched and identified potential new markets, Collected providers premiums on or before effective date of
Claim Processing Specialist
15 Years 7 Months
Orion-MBS Healthcare | 04.2003 - 11.2018
Answer departmental phone calls and assist clients as needed.
Followed up with customers on unresolved issues.
Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Evaluated accuracy and quality of data entered into agency management system.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Monitored claims processing trends to identify potential areas of improvement.
Organized, sorted, and checked input data against original documents.
Completed data entry tasks with accuracy and efficiency.
Entered numerical data into databases with speed and accuracy using 10-key pad.
Patient Payment Poster
4 Years 7 Months
Aetna/Prudential Healthcare | 08.1998 - 03.2003
Posted approximately 50-100 patient payments and adjustments both electronically and manually on a daily basis.
Communicated effectively with others through active listening and dynamic interpersonal skills.
Identified overpayments and processed refunds for insurance carriers and patients.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Prepared and mailed invoices to customers, processed payments, and documented account updates.
Reconciled accounts receivable ledger to verify payments and resolve variances.
Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
Charge Entry Specialist
6 Years 5 Months
G.C. Services | 03.1992 - 08.1998
Verified insurance eligibility and information to update database.
Worked with revenue cycle team to identify denial trends.
Posted patient payments to accounts and maintained records.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Assisted patients with understanding personalized insurance coverage and benefits.
Education
GED
Houston Community College | Houston, TX | 01.1998
Skills
Medical billing knowledge
Proficiency in Microsoft Excel
Effective communication skills
Payment entry completion
Transaction reporting
HIPAA regulation observance
Accurate data entry
Payment Processing
Insurance Verification
High-volume transaction posting
Credit and collections
Aging reports analysis
Timeline
Medical Data Entry/AR Specialist, Customer Service
Customer Service Representative Team Lead/Billing Specialist at Innovative Lab SolutionsCustomer Service Representative Team Lead/Billing Specialist at Innovative Lab Solutions