Michele Pasquale
Medical Biller
Clermont,FL
Summary
Proactive collections specialist with a proven track record of maximizing collections and reducing outstanding balances. Experienced in handling customer inquiries, negotiating payment arrangements, and maintaining accurate records. .
Overview
21
21
years of professional experience
Work History
Collection Specialist
The PromptCare Companies, Inc.
New Jersey
02.2023 - Current
- My current position title is a Collection Specialist, I work on getting claims paid by all types of insurance as well as patients
- Researched customer accounts for errors or discrepancies and corrected them as necessary.
- Solving issues with claims and customer service skills.
- Negotiated repayment terms with customers based on their individual circumstances.
- Maintained accurate records of all collection activities in the computer system.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Answered customer inquiries regarding billings, payments, account status.
- Worked closely with patients to discuss payment arrangements when needed.
- Resolved discrepancies between customers' remittances and invoices received.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Answered customer questions to maintain high satisfaction levels.
- Collected, posted and managed patient account payments.
Billing Manager
LAKE CARDIOLOGY
Mount Dora, FL
08.2016 - 02.2023
- I verified the Insurance & notated the accounts on collection amount for each appointment
- We were usually two days out for verification of Insurance.
- I would make sure balances were collected, credit applied and authorizations done when needed.
- Worked all denials, entered insurance, discussed financials & patient responsibility
- Assisted in the development of new policies and procedures related to collections activities.
- Posted insurance payment paper checks and electronic payments.
- Setting up auto charges on accounts & setting up Collections if needed.
- Insurance & Patient A/R denials worked on daily & quickly to keep our aging in check
- Customer service duties which are integral to building a trust with our patients and ensuring them complete understanding of their bill in person or by phone.
- Working with them on payment arrangements that would ensure both for them and us a steady payment on account.
- All required office duties.
- Negotiated repayment terms with customers based on their individual circumstances.
- Identified delinquent accounts and initiated appropriate collection action in accordance with the company's policies.
- Researched customer accounts for errors or discrepancies and corrected them as necessary.
- Initiated legal proceedings against delinquent customers when necessary.
- Maintained accurate records of all collection activities in the computer system.
- Processed returned checks promptly according to established procedures.
- Developed solutions to resolve customer payment disputes or discrepancies.
- Handled incoming calls from customers regarding account status, billing inquiries, payment arrangements.
- Generated reports detailing customer delinquency trends and other relevant information for management review.
- Created letters and emails requesting payment from delinquent customers using approved templates.
- Utilized problem-solving skills to address complex issues that arose during collection efforts.
Billing & Collection Specialist
Cardiacare Services
Orlando, FL
12.2007 - 06.2016
- Billing & Collections for all accounts
- Insurance & Patient A/R
- Denials worked on daily & quickly to keep our aging in check
- Customer service duties which are integral to building a trust with our patients and ensuring them complete understanding of their bill in person or by phone
- Working with them on payment arrangements that would ensure both for them and us a steady payment on account
- All required office duties.
Billing Manager
Leesburg Family Medicine
Leesburg, VA
02.2005 - 08.2007
- Attended industry conferences, seminars, and meetings to stay abreast of current trends in healthcare finance.
- Maintained detailed records of all payments received from patients or third-party payers.
- Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
- Assisted in developing policies and procedures related to medical billing operations.
- Developed training programs for new hires and existing staff in order to improve performance and efficiency.
- Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
- Reviewed appeals processes and assisted in preparing appeal letters when necessary.
- Coordinated efforts between departments regarding patient follow up activities associated with denials or rejections.
- Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
- Resolved billing issues by applying knowledge and completing in-depth research.
Dental Office Manager
Beautiful Smiles Dental Group
Mount Dora, FL
09.2003 - 02.2006
- Responsibilities Billing and collections on insurance policies as well as patient accounts.
- Implemented new policies related to billing processes when required.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Maintained accurate records of collections, adjustments and denials in the system.
- Set up dental treatments and went over financials with patients
- Front desk duties when needed , answered phones.
- Assisted in the development of new policies and procedures related to collections activities.
- Negotiated repayment terms with customers based on their individual circumstances.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Verified insurance coverage and identified third-party payers for billing purposes.
Education
High school diploma - Business
Hoboken High School
01.1984
Skills
- HIPAA Compliance Certification
- CPT Knowledge
- Patient Collections
- ICD-9
- Medical Terminology
- Medical coding understanding
- CPT code modifiers
- Insurance claims processing
- Insurance collections
- Submission of medical claims
- Reimbursements
- Insurance Billing
- Collections Management
- Electronic Claims
- Critical Thinking
- Claim review
- Medicaid and Medicare Knowledge
- Data security procedures
- Payment posting
- Payment Processing
- Correspondence Preparation
Personal Information
Title: Medical Biller & Collector
Languages
Spanish - Fluent
Affiliations
- Disney
- Travel
- Going to the Beach
- Exercising
- Reading
Accomplishments
Best Mom Award
Best Grandmother Award
Recognition for "Leadership" "Team Player"
Timeline
Collection Specialist
The PromptCare Companies, Inc.
02.2023 - Current
Billing Manager
LAKE CARDIOLOGY
08.2016 - 02.2023
Billing & Collection Specialist
Cardiacare Services
12.2007 - 06.2016
Billing Manager
Leesburg Family Medicine
02.2005 - 08.2007
Dental Office Manager
Beautiful Smiles Dental Group
09.2003 - 02.2006
High school diploma - Business
Hoboken High School