Summary
Overview
Work History
Education
Skills
Timeline
Generic

Letchrie Mccullough

Rowlett

Summary

Dynamic Accounts Receivable Specialist with proven expertise in billing and invoicing at RX Compass. Skilled in insurance verification and coding, I excel in cross-department collaboration and effective communication. Achieved timely reimbursement of claims while maintaining HIPAA compliance, enhancing operational efficiency and customer satisfaction.

Overview

18
18
years of professional experience

Work History

Accountant Receivable Specialist

RX Compass
Louisiana
04.2023 - 03.2025
  • Monitored accounts receivable aging reports on a regular basis.
  • Maintained accurate records of all patient account activity within the system database.
  • Contacted patients via telephone, mail, and email to discuss payment options.
  • Collaborated with other departments within the organization to resolve any billing issues.
  • Assisted in the resolution of credit balances due to overpayment or incorrect coding issues.
  • Performed data entry tasks related to patient account information updates.
  • Verified accuracy of invoices prior to submitting them for payment processing.
  • Participated in weekly meetings with management team members to review progress towards goals.
  • Worked with insurance companies to ensure timely reimbursement of claims.
  • Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Wrote appeal letters to insurance companies for denial of claims.
  • Recorded information about status of collection efforts.

Accounts Receivable Accountant

SCP Health
Dallas
11.2019 - 02.2025
  • Ensured proper CPT and ICD-10 code selection based on documentation present in the medical record.
  • Performed periodic audits of medical records to ensure compliance with regulatory standards.
  • Collaborated with other departments within the organization on various projects involving medical record coding.
  • Completed abstracts from patient records for submission to state and federal agencies as required.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Prepared written summaries outlining findings from audit reviews conducted on various sections of the medical record.
  • Reviewed clinical documentation for accurate coding of diagnosis and procedures.
  • Reviewed physician queries regarding correct code assignment based on documentation provided.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Reviewed patient records and assigned accurate codes for diagnoses and procedures.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
  • Entered coded data into electronic health record (EHR) systems.
  • Resolved coding discrepancies and denials to maximize reimbursement.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Located and retrieved files, assisting public with general information.
  • Verified record copies before handing each over to check for and remove unnecessary details.
  • Pulled patient records and transferred information to appropriate parties.
  • Safeguarded medical records to maintain patient confidentiality.
  • Handled incoming calls and directed callers to appropriate department or employee.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Maintained positive working relationship with fellow staff and management.
  • Transmitted information or documents to customers through email, mailings or facsimile machine.

REP PCS 2

Conifer Health
Dallas
03.2021 - 03.2023
  • Ensured that the most current version of provider contracts were stored in the database.
  • Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
  • Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
  • Researched third party payer guidelines related to prior authorizations, coding and billing processes.
  • Monitored changes in government regulations affecting healthcare reimbursement systems.
  • Provided timely follow up with payers regarding payment status of claims.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
  • Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
  • Participated in training sessions on new software programs used for verification purposes.
  • Evaluated policies and procedures related to Insurance Verification activities.
  • Assisted in resolving claim issues related to billing and reimbursement inquiries.
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
  • Responded promptly to customer inquiries regarding their benefits and eligibility status.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Maintained accurate documentation on all pre-authorization requests, denials and appeals.
  • Updated patient and insurance data and input changes into company computer system.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Liaised with insurance companies to obtain pre-authorizations for procedures and medications.
  • Conducted follow-ups with insurance companies to expedite verification processes.
  • Educated patients on their insurance benefits and coverage limitations.
  • Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
  • Accessed third-party insurance databases to identify coverage of benefits.
  • Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
  • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
  • Entered data in EMR database to record payer, authorization requirements and coverage limitations.
  • Developed and maintained professional relationships with insurance representatives.
  • Ensured compliance with federal and state regulations regarding insurance verification.
  • Updated patient accounts with insurance verification information to ensure accurate billing.
  • Monitored and tracked the status of pending insurance verifications and authorizations.
  • Contacted patients to confirm demographic information and communicate financial responsibilities.
  • Navigated through multiple online systems to obtain documentation.
  • Collaborated with healthcare providers to communicate insurance coverage and authorization details.
  • Examined claims, records and procedures to grant approval of coverage.
  • Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
  • Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
  • Handled billing related activities focused on medical specialties.
  • Utilized electronic medical records (EMR) systems for documenting verification processes.
  • Coordinated with the billing department to ensure correct insurance information is applied to claims.
  • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Compiled and coded patient information or data in appropriate computer system.
  • Arranged hospital admissions for patients as required.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Completed relevant insurance and other claim forms.
  • Scheduled and confirmed patient appointments and consultations.
  • Answered telephones and directed calls to appropriate medical or administrative staff.
  • Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.

Customer Service Representative

MoblieX USA
Dallas
10.2013 - 11.2020
  • Resolved customer complaints promptly and efficiently.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Identified areas of improvement in customer service processes and suggested changes accordingly.
  • Developed strong relationships with customers by providing personalized assistance and support.
  • Provided exceptional customer service to ensure customer satisfaction.
  • Maintained detailed records of customer interactions, transactions and comments for future reference.
  • Answered customer inquiries via phone, email, and chat.
  • Maintained a high level of professionalism when dealing with difficult customers.
  • Performed administrative tasks such as filing paperwork, updating databases and generating reports.
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
  • Facilitated communication between different departments within the organization.
  • Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
  • Provided administrative support to the executive team, including scheduling meetings and managing calendars.
  • Scheduled appointments between clients and customers and internal staff members.
  • Created travel arrangements and distributed travel details to appropriate personnel.
  • Maintained office supplies inventory by checking stock to determine inventory level.
  • Updated contact lists regularly when changes occur in employee status or contact information.
  • Processed invoices for payment using accounting software applications.
  • Assisted with the planning of special events by arranging catering services, securing venues and ordering promotional materials.
  • Entered data into spreadsheets using Microsoft Excel or other similar programs.
  • Developed and maintained filing systems for confidential documents and records.
  • Managed incoming calls while providing information or transferring callers to appropriate personnel.
  • Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
  • Greeted visitors and provided general information about the company.
  • Managed daily office operations and maintained office supplies inventory, ensuring efficient workplace functionality.
  • Assisted with month-end closing activities as needed.
  • Developed processes and procedures related to accounts payable operations.
  • Monitored accounts receivable aging reports to ensure timely payments.
  • Ensured proper authorization for all purchases made by the organization.
  • Collaborated with vendors, suppliers and staff members across departments to resolve any issues that arose.
  • Researched and responded to inquiries from vendors regarding invoice status or payment issues.
  • Verified accuracy of coding on invoices prior to processing payments.
  • Performed account reconciliations as required including bank statement reconciliation, credit card reconciliations.
  • Entered data into accounting system to maintain accurate financial records.
  • Processed invoices and payments in accordance with company policies and procedures.
  • Prepared checks for payment of vendor invoices on a timely basis.
  • Identified areas where operational efficiencies can be improved in the accounts payable process.
  • Analyzed purchase orders, contracts, invoices, check requests and other documents related to the accounts payable cycle.
  • Reviewed employee expense reports for compliance with company policy guidelines.
  • Kept detailed records of accounts payable by creating reports and updating vendor balance sheets.
  • Worked with purchasing group to resolve purchase order matching issues.
  • Analyzed invoice and expense reports, identified variances and researched issues to correct problems and maintain financial compliance.
  • Compiled reports related to personnel activities such as attendance tracking, turnover rates, disciplinary actions.
  • Conducted new hire orientations and onboarding processes for incoming employees.
  • Advised managers on best practices related to performance management processes.
  • Organized and conducted new hire orientation sessions to introduce policies and procedures to employees.
  • Developed and implemented effective recruitment strategies to attract qualified candidates.
  • Performed background checks on potential hires to ensure compliance with company standards.
  • Participated in job fairs and other recruitment events to source potential candidates.
  • Monitored timekeeping records for accuracy and completeness.
  • Reviewed resumes submitted by applicants for open positions.
  • Assisted in recruiting and hiring processes by conducting phone screens, scheduling interviews, and completing reference checks.
  • Responded to inquiries from current or prospective employees regarding human resources policies or procedures.
  • Provided guidance and support to management team on various HR matters such as compensation packages or employee handbook updates.
  • Processed paperwork associated with personnel transactions such as promotions or terminations.
  • Assisted in developing training programs for staff members.
  • Ensured compliance with applicable laws such as Equal Employment Opportunity regulations.
  • Maintained accurate records of employee information such as wages, performance reviews, benefits, leaves of absence.
  • Prepared job postings for open positions on the company website and other job boards.
  • Assisted with planning, organizing and coordinating company events.
  • Posted job announcements and pre-screened applicants to candidates for available positions.
  • Guided employees through automated self-service platform for real-time attendance tracking and queries.
  • Tracked vehicles using GPS technology and provided real-time status updates as needed.
  • Monitored radio frequencies to ensure proper communication between personnel in the field and dispatch office.
  • Coordinated with other dispatchers to ensure efficient delivery schedules were met.
  • Maintained logs of all incoming calls and assigned tasks.
  • Participated in team meetings discussing changes in procedures or processes.
  • Performed administrative duties such as filing paperwork, updating databases, and preparing documents for review by management staff.
  • Received and dispatched calls for emergency services.
  • Managed a large volume of phone calls while ensuring accuracy in data entry.
  • Organized paperwork associated with deliveries including manifests, bills of lading, packing slips.
  • Utilized computer systems to locate addresses, calculate estimated arrival times, and provide directions when necessary.
  • Ensured compliance with safety regulations and company policies.
  • Updated records of driver locations, delays, and cancellations.
  • Verified driver credentials prior to assigning them a route or task.
  • Provided timely updates to customers regarding their orders or requests.
  • Developed strategies for improving efficiency within the dispatch department.
  • Assigned drivers to appropriate routes based on customer needs.
  • Resolved customer complaints related to service issues or delays.
  • Supervised driver dispatching, route planning, and vehicle tracking for driving team.
  • Alerted personnel of road and weather hazards to minimize accidents and delays.
  • Trained employees on triaging and dispatching procedures to properly handle daily calls.
  • Answered customer requests with information about product availability, shipping information and status updates.
  • Tracked changes in computer system to keep records current and accurate.
  • Reviewed orders from referring physicians to determine appropriate examinations or treatments.
  • Produced images using fluoroscopy techniques including angiography, arthrography, and myelography.
  • Reviewed images for accuracy prior to submitting them for interpretation by the physician.
  • Maintained patient records and updated information in the radiology database.
  • Processed requests from outside providers for copies of radiological images or reports.
  • Scheduled appointments based on patient needs and availability of resources.
  • Verified type of radiology procedure prior to exams using HIPAA guidelines for two identifiers.
  • Wrote reports outlining findings of diagnostic testing and imaging services.
  • Adhered to strict HIPAA guidelines to maintain patient and medical record confidentiality.

Third Key Manager

Vision Works Corp
Dallas
08.2007 - 09.2013
  • Maintained accurate records of daily sales transactions and inventory levels.
  • Created weekly schedules based on projected staffing needs while adhering to budget requirements.
  • Trained new employees on store policies, procedures and daily operations.
  • Assisted with recruiting, interviewing and onboarding new staff members.
  • Implemented loss prevention protocols to protect against shoplifting or theft.
  • Performed opening and closing duties including cash handling, setting alarms.
  • Developed strategies to increase sales volume, reduce costs and improve efficiency.
  • Resolved customer complaints in a professional manner.
  • Conducted regular inventories to maintain accurate stock levels.
  • Assisted Store Manager in training team members on product knowledge and merchandising techniques.
  • Ensured compliance with company policies and regulations at all times.
  • Maintained accurate records of inventory, sales and customer information.
  • Processed returns and exchanges according to company policy.
  • Identified potential areas for improvement in processes or procedures.
  • Controlled access to store keys and monitored security systems.
  • Collaborated with other departments within the organization to ensure effective communication between teams.
  • Assisted Store Manager with scheduling shifts and managing staff.
  • Provided feedback on employee performance reviews as requested by the Store Manager.
  • Provided exceptional customer service by helping customers find the right products for their needs.
  • Managed store operations in the absence of the Store Manager when necessary.
  • Inspected and verified all merchandise prior to accepting shipment from vendors.
  • Leveraged weekly sales data and forecasts to plan staff schedules and promotions.
  • Opened and closed store in absence of senior managers.
  • Assisted customers with locating and securing desired products.
  • Helped senior management achieve retail store targets by monitoring and motivating front-line staff.
  • Boosted sales through effective merchandising and consistent restocking of high-traffic items.
  • Maximized customer satisfaction by empowering staff to handle customers' issues and deliver top-notch service.
  • Accomplished sales goals by engaging customers, delivering top-notch service and promoting special items.
  • Trained and helped supervise staff to develop and maintain store revenue, team customer service skills and product knowledge.
  • Supervised bank deposits and security procedures to support store opening and closing.
  • Used Point of Sale register system to complete transactions.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Coached staff on strategies to enhance performance and improve customer relations.
  • Delegated work to staff, setting priorities and goals.
  • Conducted department walkthroughs to assess and remedy factors such as cleanliness, inadequate stock levels and poor merchandising.
  • Counted and balanced registers.
  • Processed credit card payments and counted back change and currency with accuracy rate.
  • Devised, implemented and managed promotions to enhance store profits and drive customer engagement.
  • Collaborated with company departments to guarantee cohesive branding and strategic product placement.
  • Built lasting client relationships by organizing and planning sales events.
  • Researched out-of-stock items to find additional inventory in other store locations.
  • Trained, managed and motivated employees to promote professional skill development.
  • Determined complete order accuracy by examining merchandise to verify price and quantity.
  • Supervised successful, well-supplied and highly organized establishment thanks to consistent oversight and regular cleanliness inspections.
  • Mentored newly hired staff in upselling techniques to improve sales.
  • Supported long-term business strategies, generating guest relations feedback for process improvements.

Education

Associate of Arts - English Education

El Centro College
Dallas, TX
06-1990

High School Diploma -

W. T White Highschool
Dallas, TX
06-1989

Skills

  • Accounts receivable management
  • Billing and invoicing
  • Insurance verification
  • Word processing software
  • Data entry accuracy
  • Financial reporting
  • Customer service
  • Attention to detail
  • Cross-department collaboration
  • Effective communication
  • Electronic health records
  • Medicare and Medicaid billing
  • UB-04 form completion
  • HIPAA compliance
  • Data entry and management
  • Insurance claims analysis
  • Insurance coding (ICD-9 and CPT)
  • Medical coding expertise

Timeline

Accountant Receivable Specialist

RX Compass
04.2023 - 03.2025

REP PCS 2

Conifer Health
03.2021 - 03.2023

Accounts Receivable Accountant

SCP Health
11.2019 - 02.2025

Customer Service Representative

MoblieX USA
10.2013 - 11.2020

Third Key Manager

Vision Works Corp
08.2007 - 09.2013

Associate of Arts - English Education

El Centro College

High School Diploma -

W. T White Highschool

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Letchrie Mccullough