Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level NCT Radiologic Technician position. Ready to enhance my knowledge and help team achieve company goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical A/R Specialist II
Methodist Health Systems
2022.01 - Current
Facility claims processing and denial management to ensure proper reimbursement per contract agreements between facilities and payer
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
Submit electronic/paper claims documentation for timely filing
Made contact with insurance carriers to discuss policies and individual patient benefits.
Checked documentation for accuracy and validity on updated systems.
Analyzed and addressed escalated claims to resolve issues quickly.
Maintained confidentiality of patient finances, records, and health statuses.
Enhanced organizational skills through effective multitasking and prioritization of daily responsibilities.
Calculated adjustments
Managed a high volume of insurance claims, ensuring accurate documentation and prompt processing.
Patient Account Representative
Fresenius Medical Care
2020.09 - 2022.01
Insurance claims follow up for government & commercial payers
Submit Claims/Corrected Claims
Appeal claims/Submit medical records as needed or requested
Utilize insurance provider portals & call provider line inquiry
Verify patient coverage, coordination of benefits
Send patient letters and statements
Medical A/R Specialist II
Methodist Health Systems
2019.01 - 2019.07
Submitted electronic/paper claims documentation for timely filing
Monitored and updated claims status in claims processing system
Verified patient insurance coverage and benefits for medical claims
Managed large volume of medical claims on daily basis
Evaluated medical claims for accuracy and completeness and researched missing data
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations
Researched and resolved complex medical claims issues to support timely processing
Made contact with insurance carriers to discuss policies and individual patient benefits
Patient Account Specialist
Cook Children's Physician Network
2018.01 - 2019.01
Insurance claims follow up
Appeal denied claims, submit medical records
Analysis & resolution of insurance payment issues (underpayments & overpayments)
Verify patient coverage, coordination of benefits
Access insurance provider websites & call provider line inquiry
Send statements to patients/Answer patient calls regarding bills or claims
Submit claims/corrected claims within timely manner
Medical Claims A/R Specialist
Family Healthcare Associates
2017.06 - 2018.01
Review insurance claims processing/payments
Appeal denied claims, submit medical records
Verify patient coverage, coordination of benefits
Send statements to patients/Take patient credit card payments via phone
Payment posting of insurance checks to providers
Medical Claims A/R Specialist
Alliance Family Of Companies
2016.09 - 2017.06
Identified payment trends and adjusted billing processes accordingly
Insurance claim follow ups for group of in-network doctors
Appeal denied claims, submit medical records
Verify patient coverage
Access provider websites & call provider line inquiry
Submit claims/corrected claims within timely manner
Medical Claims A/R Specialist
Texas Health Care PLLC
2014.08 - 2016.09
Identified payment trends and adjusted billing processes accordingly
Insurance claims follow up
Appeal denied claims, submit medical records
Verify patient coverage, coordination of benefits
Access insurance provider websites & call provider line inquiry
Submit claims/corrected claims within timely manner
Send statements to patients
Take patient credit card payments via phone
Answer patient calls regarding bills or claims
Insurance Collections Specialist
Dr. Dolar Patolia OBGYN TX Womens
2010.01 - 2014.08
Verified patient eligibility/coordination of benefits
Obtained insurance authorizations prior to patient visits/procedures
Communicated with patient their financial responsibility prior to scheduling
Contacted patients/set up payment arrangements regarding outstanding balances
Utilized online provider portals & provider inquiry line for benefits and claims
Appealed denied claims, submitted medical records for claim processing
Send statements to patients
Take patient credit card payments via phone
Answer patient calls regarding bills or claims
Education
Certificate - NCT Radiologic Technologist
The X-Ray Academy of Texas
Fort Worth, TX
03.2024
Certificate - Medical Administrative Assistant
Everest Institute - Houston Hobby
Houston, TX
2010
High School Diploma -
Deer Park High School
Deer Park, TX
1998
Skills
Organizational skills, Task Prioritization
Time Management, Analytical Thinking
Maintaining confidentiality
HIPAA Compliance
Account Management
Insurance Verification
Insurance Claims
Billing and Invoicing
Account Reconciliation
10-Key Data Entry
Medical Billing
Accounts Receivable
Collections & Denial Management
Deadline Adherence
Insurance Billing, Claim Submission
CMS-1500 & UB-04
CPT Knowledge
ICD-10 Coding
Billing and Collection Procedures
Account Management Software
Conflict Resolution
10-Key Touch
Information Verification
Billing Software
Insurance Coverage Verification
Insurance Claim Forms Review
Certification
TMB Licensed NCT Radiologic Technician
Timeline
Medical A/R Specialist II
Methodist Health Systems
2022.01 - Current
Patient Account Representative
Fresenius Medical Care
2020.09 - 2022.01
Medical A/R Specialist II
Methodist Health Systems
2019.01 - 2019.07
Patient Account Specialist
Cook Children's Physician Network
2018.01 - 2019.01
Medical Claims A/R Specialist
Family Healthcare Associates
2017.06 - 2018.01
Medical Claims A/R Specialist
Alliance Family Of Companies
2016.09 - 2017.06
Medical Claims A/R Specialist
Texas Health Care PLLC
2014.08 - 2016.09
Insurance Collections Specialist
Dr. Dolar Patolia OBGYN TX Womens
2010.01 - 2014.08
Certificate - NCT Radiologic Technologist
The X-Ray Academy of Texas
Certificate - Medical Administrative Assistant
Everest Institute - Houston Hobby
High School Diploma -
Deer Park High School
TMB Licensed NCT Radiologic Technician
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