Organized and dependable Senior Accounts Receivable Specialist with 20 years of experience in working multiple specialties. Knowledgeable of government, commercial and TPL payers. Experience in denials, appeals, payment posting, patient collections, credits, data entry. Skilled in preparing monthly reconciliation reports. Self started and teamplayer.
Overview
20
20
years of professional experience
Work History
Senior Accounts Receivable Specialist
Optum, UnitedHealth Group
North Carolina
11.2003 - 11.2023
Reviewed outstanding accounts for AR follow up, identify discrepancies and resolve them in a timely manner
Checked postings and documents for correctness, accuracy and proper coding
Submitted appeals with documentation
Contant payers via phone or website
Reviewed and processed patient and payer payments, keyed credit cards, refunds, recoups/offset and adjustments
Responded promptly to the client and patient inquiries via phone or email
Handling escalated patient phone calls or emails
Reconciled bank account activity on a daily basis
Provided support with month-end close activities such as journal entries, reconciliations, running reports
Performed charge entry for multiple clients and specialties
Prepared monthly patient statements and sent out invoices
Initiated collection efforts for overdue accounts by sending reminder letters
Performed weekly review of unapplied cash receipts for accuracy and completeness
Provided training to new team members on AR processes, procedures, PM systems and scanning systems
Worked with venders to build scanning systems for client needs
Performed monthly audits on offshore AR staff
Participated in special projects as assigned by management team
Reviewed documentation for adjustments for Bankruptcy and Charity Care accounts.
Education
High School Diploma -
Stratford Career Institute
Skills
Epic
Allscripts
Medical Manager
MD4
Imagine
Outlook
Payer Websites
Microsoft Office
Clearing House
EHR
Fast Learner
Organized
Time Management
Research
Training
Medical Claims
Data Entry
Payment posting
Bank Reconciliation
Problem-Solving
References
Heather Ulick, Director of Operations with Optum, huhlick70@gmail.com
Angie Mastin, AR Supervisor with Optum, almastin1@gmail.com
Donna McLean, Lead AR Specialist with Optum, (571) 316-9562
Director of Clinical Quality and Patient Safety at Optum (UnitedHealth Group)Director of Clinical Quality and Patient Safety at Optum (UnitedHealth Group)