MICHAEL MOORE-FAILS
TEMPLE,TX
Summary
Experienced with insurance claim follow-up and resolving discrepancies. Utilizes strong analytical skills to manage and track claim statuses. Knowledge of healthcare regulations and effective communication techniques to ensure accurate and timely resolutions.
Overview
12
12
years of professional experience
Work History
AR Insurance Follow-Up Specialist
CONIFER HEALTH SOLUTIONS
Frisco, TX
11.2014 - Current
- Managed follow-up processes for outstanding insurance claims, ensuring timely resolution and payment.
- Analyzed claim denials and discrepancies, facilitating effective communication with payers to resolve issues.
- Managed multiple priorities effectively while working within tight deadlines, ensuring optimal outcomes for both clients and the organization as a whole.
- Maintained thorough documentation of all follow-up activities, ensuring proper tracking and reporting of account status.
- Assisted management in implementing new policies and procedures for streamlining the insurance follow-up process, increasing departmental productivity levels.
- Monitored aged account receivables closely to identify trends affecting payment cycles.
- Mentored junior staff on regulatory compliance and effective follow-up strategies, fostering a culture of continuous learning.
Education
High School Diploma -
Sharpstown High School
Houston, TX05-2001
Skills
- HIPAA compliance
- Software proficiency
- Analytical skills
- Medical terminology fluency
- Claims analysis
- Managed care principles
- Insurance billing knowledge
- Critical thinking capacity
- Communication skills
Timeline
AR Insurance Follow-Up Specialist
CONIFER HEALTH SOLUTIONS
11.2014 - Current
High School Diploma -
Sharpstown High School