Marquita Wynter
Jacksonville,Florida
Summary
Accomplished Senior Accounts Payable Specialist with a proven track record at Ventra Health, adept in HIPAA compliance and account reconciliation. Leveraged expertise in CMS-1500 billing forms and professionalism to enhance billing accuracy and patient confidentiality. Achieved significant improvements in billing processes and denial resolution, demonstrating a strong commitment to ethics and efficiency in healthcare finance.
Overview
8
8
years of professional experience
Work History
Senior Accounts Receivable Specialist
Ventra Health
Jacksonville, Florida
09.2020 - 01.2025
- Reconciled codes against services rendered.
- Provided prompt and accurate services through knowledge of government regulations, health benefits, and healthcare terminology.
- Prepared monthly reports summarizing billing activities.
- Worked collaboratively with the finance team to ensure timely completion of month-end closing tasks related to medical billing.
- Reviewed engine-assigned codes and modifiers to update and verify accuracy.
- Distributed and posted financial data to appropriate accounts, and prepared simple reconciliations.
- Assisted in developing new policies and procedures related to medical billing practices.
- Reviewed payment plans with patients according to established protocols.
- Reviewed claims for coding accuracy.
Accounts Receivable Specialist
Gottlieb
Jacksonville, Florida
04.2017 - 09.2020
- Reviewed patient records for accuracy and completeness of information in the medical billing system.
- Updated patient accounts with information obtained from internal departments or external sources.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Determined prior authorizations for medication and outpatient procedures.
- Maintained billing software by updating rate changes, cash spreadsheets, and current collection reports.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Adhered to HIPAA regulations when handling confidential patient information.
Education
High School Diploma -
William M Raines
Jacksonville, FL06-2002
Skills
- HIPAA compliance certification
- CPT knowledge
- CMS-1500 billing forms
- Insurance verification
- Account reconciliation
- Patient confidentiality practices
- Disability claims process
- Professionalism and ethics
- Denial resolution techniques
Timeline
Senior Accounts Receivable Specialist
Ventra Health
09.2020 - 01.2025
Accounts Receivable Specialist
Gottlieb
04.2017 - 09.2020
High School Diploma -
William M Raines
Similar Profiles
WILLYN E. DANGANWILLYN E. DANGAN
Billing Specialist at Ventra HealthBilling Specialist at Ventra Health
Jude Michael YuzonJude Michael Yuzon
Customer Service Specialist at Ventra HealthCustomer Service Specialist at Ventra Health
NANDHAGOPAL SNANDHAGOPAL S
AR TRAINER at VENTRA HEALTHAR TRAINER at VENTRA HEALTH