Summary
Overview
Work History
Education
Skills
Timeline
Generic

Marie H Berger

Summary

Dynamic and detail-oriented professional with extensive experience in collections and billing, notably at HCA. Proven ability to analyze complex accounts and resolve payment issues efficiently. Proficient in medical billing software and skilled in communication, ensuring timely collections and enhancing patient satisfaction. Committed to achieving results in fast-paced environments.

Overview

16
16
years of professional experience

Work History

Rideshare Driver/Uber Partner

Independant Contractor
04.2019 - Current
  • Provided safe and efficient transportation for passengers in urban areas.
  • Maintained vehicle cleanliness and performed routine inspections for safety compliance.
  • Provided friendly customer service during trips, including offering assistance with luggage loading and unloading and answering questions about local attractions.

Collection Specialist

HCA
11.2018 - 04.2019
  • Research each account using company records and internet resources that are made available
  • Compiles appropriate information for appeals, requests for reconsideration and demand for additional payment.
  • Types, assembles, copies, files and processes data required in an accurate and timely manner
  • Handling, interpreting and analyzing medical documentation and other attached pull medical records.
  • Record accurate account updates on computer files.
  • Other duties within the department as assigned.

Account Receivable

ENTSF
10.2016 - 10.2018
  • Perform the daily task related to AR department aging, denial management and credit balance for multiple doctors, review remittance advice for payment errors, denials, and under payment.
  • Correct errors identified to submit a corrected claim.
  • Follow up on claim through final resolution and initiates reconsideration or appeals with commercial and government insurance when necessary.
  • Review all order documents to ensure payer coverage and requirement were met prior to claim submission and investigate account status and initiate collections.
  • Contact the responsible parties to resolve past due accounts
  • Post patient credit cards payment daily.
  • Adheres to documentation protocol, notate accounts and report appropriately.

Collection Specialist

Broward Health
05.2016 - 08.2016
  • Follow up on unpaid claims with standard billing cycle time frame.
  • Performed insurance verification and billing update when payer change has occurred identified denial reason and follows appeal process to get the claim paid.
  • Performed high volume collection phone call to insurance companies.
  • Accesses billing software to analyze rejection reasons and communicate findings

Patient Refund

Team Health
04.2014 - 05.2016
  • Performed patient refund and credit analysis, audit and reimbursement function for patient credit.
  • Responsible for follow up on credit balance and create refund file.
  • Request EOB to review, validate refund and determine credit due to patient.
  • Performed adjustment reverse and charity reverse when needed.
  • Create payment transfer when applicable.
  • Organized daily and weekly production/action reports in file share

Insurance & Self pay collection

Health Care Financial System
11.2009 - 04.2014
  • Collect payment from patient for responsibility such as deductible. Co insurance and co pay.
  • Review and prepared claims for electronic and hard copy billing submission.
  • Review remittance advice for payment errors, denials, and underpayments.
  • Identified and corrects billing errors and resubmit claim to insurance carrier.
  • Executes and delivers special projects from management and other duties assigned.
  • Understand and comply with HIPAA rules and regulations.

Education

HS Diploma -

Erasmus Hall H.S
Brooklyn, N.Y
01.1990

Skills

  • Intermediate knowledge of commercial and government insurance programs
  • Understanding of health care technologies
  • Ability to plan and meet deadlines
  • Strong detail-oriented
  • Ability to work effectively with deadlines
  • Knowledge of billing and collections procedures
  • Excellent written and verbal communication abilities
  • Ability to prioritize and manage multiple responsibilities
  • Experience working with online payers
  • Proficiency using Microsoft Office Products
  • Knowledge of reimbursement claim forms (HFCA-1500 & UB4)
  • Experience with medical billing software (Greenway, IDX, NexGen, Medsuites, Advantx, Waystar)
  • Familiarity with commercial and government portals
  • Experience with EMR (Ema, Centrix, Cerner, Epic, SharePoint)

Timeline

Rideshare Driver/Uber Partner

Independant Contractor
04.2019 - Current

Collection Specialist

HCA
11.2018 - 04.2019

Account Receivable

ENTSF
10.2016 - 10.2018

Collection Specialist

Broward Health
05.2016 - 08.2016

Patient Refund

Team Health
04.2014 - 05.2016

Insurance & Self pay collection

Health Care Financial System
11.2009 - 04.2014

HS Diploma -

Erasmus Hall H.S

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Marie H Berger