To obtain a position that will enable me to use my strong organizational skills, work experience, and ability to work well with people and to demonstrate my ability to multitask while continuously performing at a high level of service.
Overview
2026
2026
years of professional experience
1
1
Certification
Work History
Medical Collector
Collected on 90 days or older accounts for 7 physicians; reducing aged account receivable by 75%
Contacted insurance companies to check eligibility and confirm claim status to ensure timely payment
Completed a total of 50 or more accounts per day to successfully meet and/or exceed established goals
Negotiated settlements with insurance company on accounts that company was not contracted with
Submitted written appeals to payers on denied claims for adjudication and resolution; successfully overturning insurance decision by 50%
Successfully generated over $100k in revenue in collections; totaling $1.1 million in accounts monthly
Revenue Cycle Specialist II-Remote
Legacy Community Health Services
12.2018 - Current
Account Receivables follow up with Commercial and government payers on claims that have denied or have received partial payments
Perform appeals
Accounts Receivable Clerk
Tailored Brands
11.2016 - 12.2018
Responsible for billing and mailing invoices and statements
Responsible for monthly bank reconciliation
Responsible for assisting Program Manager and Customer Service with various inquiries
Responsible for processing manual credit memos
Responsible for making collection calls, emails, researching and analyzing account discrepancies
Collections Specialist
The Care Group
02.2016 - 08.2016
DME: Performed AR following up with insurance companies for payments on medical equipment and supplies provided to Medicaid clients
Business Office Manager
Heidi Seifert, MD
10.2015 - 02.2016
Pain Management/Performed duties in business office to include but not limited to scheduling, obtaining authorizations for pain management surgeries and visits
Account Receivables
Collections Department Supervisor/Revenue Cycle Management
Houston Pain Centers
03.2012 - 10.2015
Responsible for auditing denial trends, recording changes pertaining to insurance requirements and regulations; implementing those changes immediately
Works with various departments, making sure that any additional billing information needed is given within a timely manner
Ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to respective manager
Responsible for tracking co-payments and updating financial deposit log daily
Responsible for providing month end reports
Tracking unpaid claims, reimbursement analysis from insurance carriers
Responsible for auditing monthly payment detail report for collections performed by outsourced company
Responsible for A/R follow-up with Commercial, Medicare, Medicaid and Managed Care programs; making sure claims are paid within a timely manner
Responsible for appealing claims that denied for specific reasons, and making sure that maximum reimbursement is reached for the denied claims
Responsible for posting patient/insurance payments; managing alerts through medical billing software; managing and processing returned checks
Responsible for managing and processing refund requests for patients and insurances; performed appeals and denials for refunds requested after the 120-day rule, per TDI guidelines
Security Officer
Allied Barton Security Services
02.2005 - 06.2008
Provided security for company assets
Patrolled and monitored inside and outside perimeters to meet the needs of employees
Provided training to new employees
Correctional Officer
Texas Department of Criminal Justice
04.2001 - 06.2006
Maintained the safe keeping of offenders
Monitored the offenders' daily activities
Participated in yearly in-service training sessions intended to refresh skills as well as introduce new skills, policies and procedures
Education
Diploma - Medical
Everest Institute
Houston, TX
06.2008
Skills
Bank Reconciliation
Insurance Verification
Stocking
Managed Care
Medical Collection
Allscripts
Microsoft Word
Medical Billing
Cash register
Medical Coding
ICD-10
Fact
Basic math
Accounts Receivable
Excel
Epic
EMR Systems
CPT Coding
HIPAA compliance
Claim submission
Patient confidentiality
Professionalism and ethics
Insurance verification
Data entry proficiency
Certification
Driver's License, 12/01/23, 06/01/30
Additional Information - Skills
Identifies and gathers appropriate resources; thoroughly researches background information; develops strategies; thinks critically to solve problems; handles details; coordinates and completes tasks; manages projects effectively; meets deadlines; multitasks., Demonstrates ability to work with large quantities of statistical data and convert it into understandable results; known for thinking 'out of the box' and handling problem resolutions with tact and appropriateness; exceptional reporting skills with a view to chart down information to emit effectiveness of a project; Excellent fact finding skills along with a great ability to focus on analytic components of projects; track record of collecting and analyzing information and implementing actions with a view to meet goals., Microsoft Word and Excel; Allscripts MyWay; Allscripts PM; AdvancedMD; Payerpath; RealMed; Citrix; Blue Cherry; Epic, Leads and direct others; teaches/trains/instructs; counsels/coaches; manages conflict; helps team members set and achieve goals; delegates effectively; makes and implements decisions.
Timeline
Revenue Cycle Specialist II-Remote
Legacy Community Health Services
12.2018 - Current
Accounts Receivable Clerk
Tailored Brands
11.2016 - 12.2018
Collections Specialist
The Care Group
02.2016 - 08.2016
Business Office Manager
Heidi Seifert, MD
10.2015 - 02.2016
Collections Department Supervisor/Revenue Cycle Management