Melissa A. Hoffmann
Massapequa Park,NY
Summary
Dynamic RCM AR Specialist with a proven track record at Recco Home Care Service, enhancing billing accuracy and fostering strong insurance provider relationships. Excelled in accounts receivable and client communication, significantly improving cash flow and customer satisfaction. Demonstrates reliability and expertise in Microsoft Excel, ensuring meticulous account reconciliation and efficient payment tracking.
Overview
20
20
years of professional experience
Work History
RCM AR Specialist
Help at Home
Massapequa, NY
05.2024 - Current
- Coordinated with external collections agencies when necessary, ensuring seamless handoff of delinquent accounts while protecting company interests at all times.
- Increased customer satisfaction levels by promptly addressing inquiries regarding billing issues or adjustments needed on their accounts.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Performed targeted collections on past due accounts aged over [Number] days.
- Maintained strict confidentiality of sensitive financial data and client information at all times, adhering to company policies and industry regulations.
- Ensured timely revenue recognition by monitoring contract details, milestones, and billing schedules for multiple projects simultaneously.
RCM AR Billing Specialist
Recco Home Care Service
Massapequa, NY
07.2004 - 05.2024
- Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
- Improved cash flow, consistently monitoring and resolving outstanding accounts receivable balances.
- Maintained strong relationships with insurance providers through effective communication to ensure timely reimbursement for services rendered.
- Collaborated with interdisciplinary teams to resolve any discrepancies or concerns related to invoicing or payment collection processes.
- Sustained a high level of professionalism when dealing with sensitive financial matters, upholding patient confidentiality and adhering to HIPAA guidelines.
- Expedited the resolution of complex claims by working closely with healthcare providers, patients, and insurance companies.
- Contributed to a positive work environment with open communication channels for addressing questions or concerns related to AR tasks.
- Demonstrated adaptability during periods of high volume or increased workload demands without sacrificing accuracy or efficiency in task completion.
- Provided exceptional customer service when addressing inquiries from patients regarding billing questions or concerns, fostering trust and satisfaction.
- Reduced overdue payments by consistently following up on unpaid claims within standard billing cycle timeframe.
- Managed multiple priorities effectively by maintaining strong organization skills while handling competing deadlines within a fast-paced environment.
- Collaborated with the coding department to ensure accurate charge capture for all services rendered, minimizing claim denials due to coding errors.
- Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
- Reconciled company bank, credit card and line of credit accounts, investigating, and resolving discrepancies to keep accounts audit-ready.
- Generated invoices upon receipt of billing information and tracked collection progress.
- Managed complex problem-solving for upper management in order to complete projects on-time and within budget.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
Education
High School Diploma -
Massapequa High School
Massapequa, NY06.2002
Skills
- Relationship Building
- Strong client relations skills
- Client Communication
- Accounts Receivable
- Claims Processing
- Microsoft Excelau
- Accurate payment posting
- Account Reconciliation
- Bookkeeping
- Aging reports analysis
- Write-Off Procedures
- Reliability
- Prior authorization processing
- Medicaid knowledge
Timeline
RCM AR Specialist
Help at Home
05.2024 - Current
RCM AR Billing Specialist
Recco Home Care Service
07.2004 - 05.2024
High School Diploma -
Massapequa High School
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