Summary
Overview
Work History
Education
Skills
Certification
Certified Jewelry Designer
Timeline
Generic

Mattie Lovely

Dallas,TX

Summary

Adept at navigating the complexities of revenue cycle management, I significantly enhanced financial performance by mastering HIPAA compliance and leveraging exceptional analytical problem-solving skills. Proactive approach in establishing strong insurance collaborations and optimizing accounts receivable processes underscored commitment to continuous improvement and professional excellence, driving substantial improvements in claim resolution efficiency.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Revenue Cycle Representative

Steward Healthcare
08.2018 - Current
  • Researched, Completed and Resolved Legal Attorney Affidavits and Depositions.
  • Worked and Maintained weekly Excel Vendor Document Report . MRO/ROI Record Request Portal.
  • Upload/Scan Correspondence
  • Verified HIPPA Compliance prior to processing any and all Attorney Balance Verification Billing Request
  • Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.
  • Collaborated with cross-functional teams to improve overall revenue cycle performance.
  • Audited patient accounts for discrepancies, resolving issues for timely reimbursement.
  • Proactively identified underpayments by comparing remittance advice against contracted rates.
  • Maintained up-to-date knowledge of payer policies, regulations, and guidelines, ensuring compliance throughout the revenue cycle process.
  • Identified root causes of claim denials through thorough analysis, implementing corrective actions for improved results moving forward.
  • Established strong working relationships with insurance representatives to expedite claim resolution.
  • Analyzed financial data to identify trends and areas of improvement within the revenue cycle process.
  • Managed patient account collections for increased revenue recovery.
  • Provided exceptional customer service to patients, addressing concerns and answering inquiries related to billing and insurance coverage.
  • Balanced and reconciled accounts.
  • Reached out to insurance companies to verify coverage.
  • Contacted responsible parties for past due debts.
  • Identified and resolved payment issues between patients and providers.
  • Managed and responded to correspondence and inquiries from customers and vendors.
  • Entered figures using 10-key calculator to compute data quickly.
  • Negotiated payment arrangements with patients experiencing financial difficulties, reducing write-offs and maintaining positive relationships with clients.
  • Submit adjustment req when necessary to resolve credit balance.
  • Analyze, researched and resolved Insurance and patient refunds due to overpayment.

Accounts Receivable Specialist

Kforce
07.2018 - 08.2018

Reviewed accounts on monthly aging collection report.

  • Followed up overdue payments and payment plans from clients to establish good cash flow 30 to 160 day outstanding.
  • Aided in the reduction of bad debt write-offs through diligent monitoring of aging reports and proactive collections efforts.
  • Optimized revenue recovery efforts by utilizing negotiation skills in resolving complex issues related to past due invoices or disputed charges.
  • Effectively communicated with Commercial Insurance payers about Aging / Outstanding Balance.

Revenue Cycle Specialist

Lumin Health
10.2017 - 04.2018
  • Increased revenue by identifying and resolving billing errors in a timely manner 30 to 160 Aging Trial Balance.
  • Ensuring smooth communication for proper revenue cycle management.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.
  • Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
  • Contacted responsible parties for past due debts.
  • Streamlined the revenue cycle process for improved efficiency and faster payment collection.
  • Identified and resolved payment issues between patients and providers.
  • Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
  • Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
  • Maintained clear documentation of all activities related to unpaid claims or denied services.
  • Provided regular updates on billing status.
  • Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
  • Collaborated with cross-functional teams to improve overall financial performance of the organization.
  • Participated in client meetings to discuss financial analysis and investment strategies.
  • Followed the the appropriate company claims rebills and adjustment procedure.

Accounts Receivable Specialist

US Anesthesia Partners Of Texas
04.2016 - 10.2017
  • Provided customer service to patients inquiring about their patient statements. Generated and discussed medical claims with insurance companies while making the appropriate adjustments to patient accounts in accordance with company policies to ensure compliance.
  • Exhibited strong analytic, oral, and written communication when reviewing account history, making the appropriate recommendations to the Business Manager or Billing Team.
  • Demonstrated the ability to define problems, collect data, establish facts, and draw valid conclusions for Benefits Eligibility and Verification. Requested claims for secondary insurance filings and made appropriate copies of explanation of benefits.
  • Interacted with patients, insurance companies, physicians, and their staff.
  • Updated and corrected demographic information, documented account activity, including contractual write-offs.
  • Entered figures using 10-key calculator to compute data quickly.
  • Effectively communicated with clients about payment needs and kept updated, detailed and accurate account notes.

Accounts Receivables Specialist

Trident USA Health Services
12.2014 - 04.2016
  • Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
  • Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
  • Ensured the accuracy of customer records in internal systems by updating contact information, payment terms, and other relevant data as needed.
  • Prepared and mailed invoices to customers, processed payments, and documented account updates.
  • Reviewed accounts on monthly basis to assess aging and pursue collection of funds 30 to 160 Aging Balance.
  • Managed and responded to correspondence and inquiries from customers and vendors.
  • Gathered, evaluated and summarized account data in detailed financial reports.
  • Contacted clients via telephone or fax to obtain the correct insurance or policy information.
  • Totaled past due invoices weekly and reported to management or supervisor.
  • Initiated collections proceedings against accounts past due more than six months.
  • Analyzed accounts to discover discrepancies and resolves all variances promptly for re-billing, charge corrections, post zero pay denials while updating and correcting demographic information.

Refund Specialist

South Diagnostic Dallas
02.2012 - 12.2014
  • Followed up on denied and unpaid claims to resolve problems and obtain payments 30 to 160 days.
  • Compiled department-specific reports to help senior managers identify trends and improve progress.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Prevented patient statement delays correcting information prior to submission.
  • Improved accuracy of refund calculations by regularly reviewing company policies and guidelines.
  • Tracked and analyzed trends in customer complaints to identify areas for improvement in the refund process.
  • Developed strong working relationships with colleagues across various departments, facilitating smooth resolution of cross-functional issues involving refunds.
  • Adhered strictly to data privacy regulations while handling sensitive customer information during the refund process, minimizing potential risks or breaches.
  • Maintained accurate records of all refunds processed, ensuring proper documentation for auditing purposes.
  • Increased customer satisfaction by efficiently processing refund requests and resolving disputes.
  • Utilized advanced Excel skills pertaining to refunds processed, enabling quick retrieval of relevant information when needed.
  • Minimized errors in refund documentation by implementing a thorough review process before submission.
  • Responded to customer concerns and questions on daily basis.
  • Used data entry skills to accurately document and input statements.
  • Handled account payments and provided information regarding outstanding balances.
  • Audited and corrected billing and posting documents for accuracy.
  • Collaborated with customers to resolve disputes.
  • Utilized various software programs to process customer payments.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.

Education

No Degree - Health Information Management

Asher College
Dallas, TX
12.2019

High School Diploma -

Lincoln High School
Dallas, TX
06.1984

Skills

  • HIPAA Compliance
  • Claim submission
  • Accounts Receivable
  • Denial Management
  • Medical Billing Expertise
  • Revenue Cycle Management
  • Claims review
  • Verifying insurance
  • Collecting payments
  • Coordinating documents
  • Records coordination
  • Medical Billing
  • Insurance collaboration
  • Teamwork and Collaboration
  • Problem-Solving and Time Management
  • Attention to Detail
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Excellent Communication
  • Critical Thinking
  • Organizational Skills
  • Team Collaboration
  • Active Listening
  • Adaptability and Flexibility
  • Proactive and Self-Motivated
  • Decision-Making
  • Customer Relations
  • Microsoft Office
  • Data Entry
  • Handling Confidential Materials
  • Self Motivation
  • Interpersonal Skills
  • Analytical Thinking
  • Time management abilities
  • Data Entry and 10-Key
  • Vendor relationships
  • Data Analysis
  • Professional Demeanor
  • Problem-solving aptitude
  • Word Processing
  • Analytical Skills

Certification

Certificate #E6P7M6Q3

Certified Jewelry Designer

Handcrafted Beaded Jewelry

Timeline

Revenue Cycle Representative

Steward Healthcare
08.2018 - Current

Accounts Receivable Specialist

Kforce
07.2018 - 08.2018

Revenue Cycle Specialist

Lumin Health
10.2017 - 04.2018

Accounts Receivable Specialist

US Anesthesia Partners Of Texas
04.2016 - 10.2017

Accounts Receivables Specialist

Trident USA Health Services
12.2014 - 04.2016

Refund Specialist

South Diagnostic Dallas
02.2012 - 12.2014

No Degree - Health Information Management

Asher College

High School Diploma -

Lincoln High School

Certificate #E6P7M6Q3

Mattie Lovely