Sandra Crowder
Forney,TX
Summary
Hardworking Medical Debt Collector with extensive experience handling patient charges and payment entries. Familiar with processing online appeals, refund requests and billing audit information. Uses strong customer service skills to communicate with patients and third-party carriers.
Overview
17
17
years of professional experience
Work History
Medical Billing and Collections Specialist
SCP Health
Dallas, TX
09.2018 - Current
- Review Accounts Receivable (AR) by payor on a daily basis to ensure reimbursement goals and days in AR are maintained or achieved
- Prepare reports for management to include but not limited to denial and rejection trend reports and facility analysis
- Provide regular feedback to management, based on research and calls to payors, to establish payor behavior trends.
- Prepare appeals relating to past timely filing, medical necessity, underpayment of invoices, and other various denials, in a timely manner, in order to achieve monthly cash goals.
- Understand payer Explanation of Benefits and identify posting errors of payments and adjustments.
Senior Payment Application Specialist
Ut Southwestern Medical Center
Dallas, TX
11.2006 - 10.2017
- Posts payments received from commercial, government and managed care insurance companies, (Medicare, Medicaid, direct patient payments, etc.) to invoices which may involve: contacting insurance companies, patients and/or other insurance carriers to resolve questions to which invoice payments should be posted.
- Analyzes automatic processes for correctness and posts all edits and rejects as required. Posts rejected and pre-post edits manually for payments received electronically.
- Ensure all batches are completed, balanced, and closed by the 5th business day of the next month.
- Received/Resolved escalated patient calls due to discrepancy in payments posted incorrectly , lost or unapplied
- Performed monthly audits verifying payment and adjustment accuracy
- Investigates and resolves unidentified transactions per patient accounts
- Trained all new department employees
Education
Some College (No Degree) - Medical Insurance Billing
Tarrant County College District
Fort Worth, TXSkills
- Insurance Verification
- HIPAA Compliance
- Account Reconciliation
- Payment Processing
- Customer Service
- Revenue Forecasting
- Discrepancy Resolution
- 10-Key Data Entry
- Auditing Proficiency
- Discrepancy Reconciliation
- Electronic health records
- Medical billing and coding software Medicare, Medicaid, and private insurance claims
- IDX/Centricity
- Epic
- Athena
Timeline
Medical Billing and Collections Specialist
SCP Health
09.2018 - Current
Senior Payment Application Specialist
Ut Southwestern Medical Center
11.2006 - 10.2017
Some College (No Degree) - Medical Insurance Billing
Tarrant County College District
Similar Profiles
Jennifer ThibodeauxJennifer Thibodeaux
Business Intelligence Analyst II at SCP HealthBusiness Intelligence Analyst II at SCP Health
Sherry PerrySherry Perry
Collections Contact Center -Supervisor at SCP HealthCollections Contact Center -Supervisor at SCP Health
JAMIE INNISJAMIE INNIS
Critical Care Physician Assistant at SCP HealthCritical Care Physician Assistant at SCP Health
Sharona PaddioSharona Paddio
Senior Health Information Operations Coordinator- Revenue Cycle at SCP HealthSenior Health Information Operations Coordinator- Revenue Cycle at SCP Health
Vinay Kumar SreenivasanVinay Kumar Sreenivasan
Project Lead at AV EnterprisesProject Lead at AV Enterprises