Mary Griffin
Garland,TX
Summary
Excellent organizational, problem solving, presentation and analytical skills. Proven self-starter and motivator. Ability to accomplish a heavy workload without direct supervision. Team player with excellent supervisory skills. Great communication skills. Excellent active listening skills to resolve customer concerns in a fast-paced environment. Ability to handle complaints. Tax Practitioner & Quality Control Specialist registered with IRS. Competent Accounts Receivable Specialist bringing 10 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance. Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.
Overview
28
28
years of professional experience
Work History
Accounts Receivable Specialist (Collector)
Viva Pediatrics
06.2022 - Current
- Followed up on unpaid claims for Commercial and Medicaid Payers
- Submitted appeals and reconsiderations for Commercial and Medicaid Payers
- Made sure claims were billed timely
- Billed primary, secondary, and tertiary claims
- Phoned payers if there were any discrepancies in payments (checked payers’ contract and Insurance Policies)
- Kept a log of account write offs
- Identified denial trends for Commercial and Medicaid Payers
- Worked on special projects to reconcile denial trends
- Met daily productivity
- Assisted Billing Manager with MDCP projects when MDCP claims were underpaid
- Assisted with verifying patient eligibility and obtaining authorizations
- Worked Correspondence
- Submitted Medical records to commercial payers
- Adhered to Compliance.
Accounts Receivable Specialist (Collector)
United Surgical Partners
08.2020 - 06.2022
- Insurance follow up for Commercial Claims
- Billed Primary and Secondary claims
- Appealed claims
- Monitored aging of claims to ensure timely follow up and payment
- Ensured claims are processed accurately through review and audits to ensure timely payment
- Ensures follow up and reimbursement appeals of unpaid and inappropriately paid claims (checked Payers’ Contracts and Insurance Policies)
- Identified, researched, and ensured timely processing of billing errors as they relate to claims
- Ensures corrected claims are filed timely
- Worked Correspondence
- Handled Payment Adjustments
- Adhered to Compliance.
Accounts Receivable Specialist (Collector)
Mednax
04.2018 - 08.2020
- Insurance follow up for all claims Government, Commercial and Managed Care
- Billed Primary and Secondary claims
- Appealed claims
- Monitored aging of claims to ensure timely follow up and payment
- Ensured claims are processed accurately through review and audits to ensure timely payment
- Ensured follow up and reimbursement appeals of unpaid and inappropriately paid claims (checked payers’ contracts and Insurance Policies)
- Identifies, researches, and ensures timely processing of billing errors as relate to claims
- Ensured corrected claims were filed timely
- Worked Correspondence
- Handled Payment Adjustments
- Adhered to Compliance.
Accounts Receivable Specialist
Acquisition Billing Services
06.2017 - 03.2018
- Insurance follow up for outstanding out of network claims for Neuromonitoring
- Billed Primary claims
- Appealed claims
- Received Correspondence via mail
- Worked with Commercial Payers
- Handled Underpaid claims (checked payers’ contracts and Insurance Policies)
- Adhered to Compliance.
Accounts Receivable Specialist
US Anesthesia Partners
05.2015 - 06.2017
- Insurance Follow up of outstanding accounts for Government payers
- Billed for Primary, Secondary and Tertiary claims
- Appealed Claims
- Corresponded by e-mail/phone
- Assisted Patients when needed regarding their claims/bills
- Resolved credit balance accounts
- Resolved Rejections
- Handled Underpaid claims (checked payers’ contracts and Insurance Policies)
- Adhered to Compliance.
Accounts Receivable Specialist
HTPN/Baylor Healthcare Systems
07.2014 - 05.2015
- Insurance follow up of outstanding accounts for Commercial and Government payers
- Resolved clearinghouse edits via Realmed/Availity
- Resolved system driven edits before claims are uploaded to the payer
- Researched and resolved credit balance accounts
- Assisted patients regarding their claims/bills
- Adhered to Compliance.
Billing Coordinator II
Ameripath
01.2010 - 07.2014
- Resolved Medicare and Medicaid and Commercial Insurance edits so that they are billed out correctly
- Tracked daily Eligibility edits for Medicare, Medicaid and Commercial Insurance and alerted management of issues
- Proficient in Centricity, Availity, NaviNet, Emdeon, TMHP, Tevix and Cigna
- Quality Control Specialist
- Assisted with Simple Charge Entry Corrections when applicable
- Tested new functions in Centricity IDX for billing
- Adhered to Compliance.
Sales Assistant to Director of Sales/HR Coordinator
LoJack Corporation
01.2003 - 01.2009
- Generated Daily Sales reports
- Conducted new hire orientations for the sales team
- Worked closely with HR regarding employees on the sales team
- Kept Records of Sales teams PTO
- Assisted corporate accounting department with collecting money for outstanding invoices that were billed incorrectly
- Made outbound phone calls to customers (scheduling appointments) for the sales team
- Demonstrated the ability to utilize departmental resources and displayed thorough knowledge of policies and procedures
- Escalated customer issues appropriately and correctly, based on department guidelines
- Delivered trainings as appropriate to account managers and sales director
- Ordered Office Supplies and Planned Company Functions
- Worked closely with Automotive dealers in the Houston and Dallas TX area specifically finance and aftermarket department
- Assisted with Sales Contest
- Kept track of Account Managers individual sales quotas and assisted them in accomplishing their quota for specific territories
- Assisted with Contracts for Product pricing for all dealerships.
Customer Service Representative
LoJack Corporation
01.1997 - 01.2003
- Customer Service resolution specialist
- Appropriately handled complaints regarding service, and/or routed them to the proper personnel for resolution
- Made out-bound phone calls to schedule customers’ appointments as well as receive incoming calls
- Managed and developed the call center training staff
- Assigned daily workloads of Technicians
- Interaction with Account Managers and Sales directors to resolve problems
- Developed and maintained working relationships with car dealerships in the Houston, Dallas Tx area.
Education
Bachelor of Arts -
American Continental Online
Schaumburg, IL07.2014
Skills
- Word, Excel and Power Point
- Microsoft Excel
- Accounts Receivable
- Aging reports analysis
Timeline
Accounts Receivable Specialist (Collector)
Viva Pediatrics
06.2022 - Current
Accounts Receivable Specialist (Collector)
United Surgical Partners
08.2020 - 06.2022
Accounts Receivable Specialist (Collector)
Mednax
04.2018 - 08.2020
Accounts Receivable Specialist
Acquisition Billing Services
06.2017 - 03.2018
Accounts Receivable Specialist
US Anesthesia Partners
05.2015 - 06.2017
Accounts Receivable Specialist
HTPN/Baylor Healthcare Systems
07.2014 - 05.2015
Billing Coordinator II
Ameripath
01.2010 - 07.2014
Sales Assistant to Director of Sales/HR Coordinator
LoJack Corporation
01.2003 - 01.2009
Customer Service Representative
LoJack Corporation
01.1997 - 01.2003
Bachelor of Arts -
American Continental Online
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