PracticeSuite
Naomi McCowan
Medical Accounts Receivable Specialist
Dallas,TX
Summary
Competent Medical Accounts Receivable Specialist bringing 12 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. Over the course of my career, I have developed extensive expertise in insurance verification, referrals, obtaining pre-certification, & writing appeals.
Overview
13
13
years of professional experience
Work History
Medical Accounts Receivable Specialist
PAM Health
Plano, Texas
10.2023 - Current
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
- Responsible for managing CBO Aging Report properly to ensure appeals are followed up timely to prevent past filing deadlines.
- Assist in coaching and development as a mentor for new training initiatives.
- Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
- Interpretation of Managed Care Contracts.
- File complaints when appropriate for delays in reimbursements, discrepancies in reimbursements, or underpaid accounts.
- Responsible for timely medical records requests and submission of appeals.
Medical Collections Specialist
STRATUS NEURODIAGNOSTICS
Irving, Texas
9 2022 - 8 2023
- Conduct thorough examination of outstanding accounts for purpose of initiating collection procedures
- Address any concerns pertaining to client billing and promptly rectify overdue accounts receivable, all while ensuring superior customer service
- Proactively pursue claim reviews and appeals with appropriate insurance carrier, ensuring timely resolutions.
Accounts Receivable Billing Specialist
M & D CAPITAL PREMIER BILLING
Plano, Texas
08.2021 - 09.2022
- Implemented measures to guarantee reception, accurate processing, and timely payment of all medical claims by insurance companies.
- Organized and conducted 25 conference calls between insurance providers and patients weekly.
- Initiated negotiations with different negotiation services to arrive at a fair claim settlement.
- Enhanced cash flow by efficiently managing accounts receivable billing and collections processes.
- Trained junior staff members on best practices for accounts receivable management, enhancing overall team performance.
Accounts Receivable Billing Specialist
YOUR MEDSOURCE INC
Carrollton, TX
10.2019 - 08.2021
- Compiled and submitted 50-75 billing data and medical claims to insurance companies daily.
- Review Explanation of Benefits (EOB) forms for accurate payment by insurance companies
- Familiar with managed care authorizations and coverage limitations, including visit quotas
- Utilize medical claim billing software to record insurance and patient payments.
Accounts Receivable Billing Specialist
Dallas Endoscopy Center
Dallas, Texas
09.2018 - 10.2019
- Ensure accuracy and compliance of insurance payments by conducting thorough reviews and analysis
- Take responsibility for addressing denials or partially paid claims and collaborate with relevant parties to resolve any discrepancies
- Foster effective communication with healthcare providers and insurance claim representatives to ensure prompt and proper payment processing
- Deliver exceptional customer service to both internal and external stakeholders while maintaining professional demeanor.
Accounts Receivable Billing Specialist
Specialists in Gastroenterology
Saint Louis, MO
05.2012 - 05.2018
- Conduct thorough research and diligently pursue resolution for insurance denials
- Communicate with insurance providers to address any coding errors, mislabeled bundling, coordination of benefits (COB) issues, or ICD-10 issues, adhering to prescribed deadlines for claims submission
- Stay up to date with evolving insurance policies and guidelines, consistently conduct research, and promptly incorporate any necessary modifications to ensure compliance.
Education
Associate of Applied Science - Medical Billing and Coding -
Vatterott College
Berkeley, MOSkills
Medical billing knowledge
Software
NextGen Healthcare
EclinicalWorks
Kareo
WellSky
Epic Systems
Practice Fusion
Athena
Ring Central
Waystar
Timeline
Medical Accounts Receivable Specialist
PAM Health
10.2023 - Current
Accounts Receivable Billing Specialist
M & D CAPITAL PREMIER BILLING
08.2021 - 09.2022
Accounts Receivable Billing Specialist
YOUR MEDSOURCE INC
10.2019 - 08.2021
Accounts Receivable Billing Specialist
Dallas Endoscopy Center
09.2018 - 10.2019
Accounts Receivable Billing Specialist
Specialists in Gastroenterology
05.2012 - 05.2018
Medical Collections Specialist
STRATUS NEURODIAGNOSTICS
9 2022 - 8 2023
Associate of Applied Science - Medical Billing and Coding -
Vatterott College
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