Lynne Frederickson
Hampstead,NH
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
Home Care Specialists
01.2017 - Current
- Responsible for working knowledge of computer applications as pertains to billing functions of organization. Brightree, Ring central, Microsoft Outlook, all insurance portals pertaining to billing functions.
- Responsible for follow up on workflow tasks, other pending requests, follow ups with calls out to insurances and misc. tasks.
- Responsible for creating all manual deposits, from folder. Going through bank spreadsheet and checking off funds confirmed button for any ERN deposits that we received money on. Creating manual deposits based off payments on bank spreadsheet.
- Responsible for reviewing all patient money deposits. Making sure that all patient money is assigned to correct invoice or assigned to correct sales order if under unapplied.
- Responsible for all Lockbox and SARS deposits making sure that all payments were processed and that totals match each deposit.
- Responsible for submitting refund request for patients who HCS received money for when they do not have any invoices open or equipment renting or money in collections. Researching patients account to make sure there is no financial due.
- Responsible for assigning all manually created deposits. Creating receipt for uploaded Explanation of Benefits and assigning payment to all patient accounts listed on it.
- Responsible for obtaining Explanation of Benefits if manual deposit is created and it was not uploaded.
- Responsible for all credit card payments from Insurance companies or Health Saving Account companies. Obtaining EOB either from already created deposit or finding it in Fax billing folder and creating deposit. Running Credit Card amount in Brightree Patient collections and then posting money in patient accounts once we see money went through next business day.
- Responsible for reviewing and post all ERN deposits. Making sure that Receipt amount balances and that all payments are linked to patient's account. Going into ERN tab and checking if there are any invoices with balances on them that need to be adjusted. This often happens due to few different reasons.
- Responsible for reviewing all deposits weekly for any duplicate deposits or to see if there were any deposits that we were already paid on however, Funds Confirmed tab was not checked off. Responsible for adding any deposits we are deleting due to duplicates or any other issues to our deleted deposit log.
- Responsible for running weekly Unapplied report to see if there is any unapplied money that needs to be refunded to patient or unapplied money that needs to be attached to order so that patient invoice gets paid right away.
- Responsible for calling insurance companies or going on insurance portals if Explanation of benefits is missing information or if research is needed.
- Responsible for checking tasks daily and completing those tasks.
- Perform other duties as deemed appropriate by management.
Reimbursement Coordinator
Mediware Reimbursement Services
06.2011 - 01.2017
- Generate medical home infusion and / or durable medical claims submissions to patients and/or third party payers (commercial insurance and federal/state government sponsored programs). These claims result from products and services administered to patients from customers.
- Perform collection follow up on primary and secondary claims as well as self-pay letters.
- Request write-offs to Billing Center Manager if uncollectible amount is identified. Principal duties and responsibilities:
- Obtain billing information from Customers on daily or weekly basis (depending on frequency of data transfers) to generate claims Perform Q.A. of charges received from Customers Track claims that are pending due to missing or incomplete documentation (ie: CMN, RX, authorization, etc.)
- Mail claims to insurance companies in timely fashion and within individual insurance company's timely filing period. Create secondary claims and or self-pay letters upon receipt of primary insurance payment or denial
- Perform routine follow-up calls to insurance company to determine status of claims that are not paid within 30 days or within normal claim processing time frame for payor
- Perform collection calls on outstanding accounts and prepares write-off form with description of reason for write-off when bad debt is identified
- Excellent communication skills, both verbal and written
- Passionate about learning and committed to continual improvement
- Proved successful working within tight deadlines and fast-paced environment
- Demonstrated respect, friendliness and willingness to help wherever needed
- Managed time efficiently in order to complete all tasks within deadlines
- Proven ability to learn quickly and adapt to new situations
- Self-motivated, with strong sense of personal responsibility
- Skilled at working independently and collaboratively in team environment
Assistant Reimbursement Coordinator
Mediware
11.2009 - 06.2011
- Assist Reimbursement Coordinators with mailing and re-mailing claims for submissions to third party payers (commercial and federal/state government sponsored programs) along with submitting claims via Internet for Home Medical and Durable Medical Equipment.
- Proven ability to learn quickly and adapt to new situations
- Worked effectively in fast-paced environments
- Managed time efficiently in order to complete all tasks within deadlines
- Demonstrated respect, friendliness and willingness to help wherever needed
- Excellent communication skills, both verbal and written
- Passionate about learning and committed to continual improvement
- Proved successful working within tight deadlines and a fast-paced environment
- Skilled at working independently and collaboratively in a team environment
- Self-motivated, with a strong sense of personal responsibility
Education
High School Diploma -
Haverhill High School
Haverhill, MA06.1983
Skills
- Accounts Receivable Expertise
- Multi-tasking
- Detail Orientated
- Time Management
- Good oral and written communication skills
- Proactive and Self-Motivated
- Cash Application
- Spreadsheets and Journal Entries
- Payments Posting
- Precision and Accuracy
Certification
Customer Service
Timeline
Accounts Receivable Specialist
Home Care Specialists
01.2017 - Current
Reimbursement Coordinator
Mediware Reimbursement Services
06.2011 - 01.2017
Assistant Reimbursement Coordinator
Mediware
11.2009 - 06.2011
High School Diploma -
Haverhill High School
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