Marvin Stinson

Understand and adhere to state and federal regulations and company policies
regarding compliance, integrity, patient privacy and ethical billing and collection
practices.

Research outstanding balances and take necessary collection action to resolve in
a timely manner; recommend necessary demographic changes to patient
accounts to ensure future collections.

Research assigned correspondence; take necessary action to resolve requested
information in a timely manner; establish appropriate follow up.

Resubmit accurate and timely claims in formats including, but not limited to,
CMS-1500 and electronic 837.

Utilize the mose efficient resources to secure timely payment of open claims or
invoices, giving priority to electronic solutions.

Negotiate payment plans with patients in accordance with company collection
policies.

Identify patterns of short-payment or non-payment and bring them to the
attention of appropriate supervisory personnel.

Review insurance remittance advices for accuracy. Identify billing errors, shortpayments, overpayments and unpaid claims and resolve accordingly,
communicating any needed system changes.

Review residual account balances after payments are applied and generate
necessary adjustments (within eligible guidelines), overpayment notifications,
refund requests and secondary billing.

interact with third party collection agencies.
Communicate consistently and professionally with other Amerita employees.
Work within specified deadlines and stressful situations. Work overtime when necessary to meet department goals and objectives

• Complete 30 patient phone calls and 50 tasks daily.
• Performed collection activities on delinquent accounts through telephone contact, mail correspondence, and other available resources.
• Maintained up-to-date documentation of all collection activities in patient files.
• Researched and responded to customer inquiries regarding outstanding balances or payment arrangements.
• Processed credit card payments over the phone using secure encryption technology.
• Participated in team meetings and training sessions related to collections procedures.
• Ensured compliance with federal and state laws governing collections practices.
• Set up patient budget plans when balance in full cant be paid.
• Perform daily tasks from various departments and satellite locations regarding billing issues and payment issues.
• Voiding charges that were erroneously billed to patient
• Transfer overpayments to patient encounters that have due balances.
• Prepare non-paid accounts to be transferred to third party collection agency.

• Monitor customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
• Write off patient charges for claims that weren't submitted to insurance companies in a timely filing period.
• Make adjustments on patient responsibilities that were incorrectly billed to patients.
• Send correspondence via email and USPS statements to patients with outstanding balances.
• Refer accounts to third party collection agency that have patient refusal to pay.

• Advise hiring managers on the process for creating job requisitions, posting vacancies, and preparing for recruitment.
• Assist recruiters with sourcing, screening, and scheduling phone interviews with candidates to find the highest qualified candidate.
• Coordinate the onboarding and compliance of new hires.

• Assisting patients understand their patient responsibilities based on their insurance policies.
• Re-filing medical claims to various insurance companies that denied payment due to errors.
• Making adjustments to patient accounts that aren’t billed correctly to the patients.
• Collected patient responsibilities after insurance payments and set up payment plans
• Offered patients self-pay discounts if they did not have any medical insurance
• Submitted patient accounts to various billing departments if there were any coding issues.

• Registration of Pediatric and Adult patients.
• Collect and distribute patient demographics, billing information, and patient payment information.
• Made patients and family members aware of hospital policies and procedures.
• Set up patient accounts on payment plans before services rendered based on insurance policy of patient responsibility.
• Verified insurance policy was active via RET (Real Time Eligibility) system
• Advised patients of preparations for any test that had special instructions.

• Take inbound patient calls and make outbound calls to patients via automated dialer 50-70 calls.
• Review accounts and EOBs to resolve patient issues and to ensure accurate billing.
• Assist patients with various options to resolve patient responsibilities.
• Collect full amount or set up payment plans for patients that can’t resolve full patient responsibilities.
• Contact insurance companies regarding any claim processing issues.
• Offered patient public resource information to help assist them with medical bills.
• Mailed patients Financial Assistance applications from the Hospital.