Microsoft excel
Sharmaine Pinnekins
Medical billing/collections
Houston,TX
Summary
To provide my excellent communication skills in medical billing and collections as well as my outstanding professional caring skills. I am very compassionate and caring of others. I have experience with Meditec, Cubs, Health quest, RESQ, Medicare & Medicaid systems. I have apartment leasing skills and my hospitalities shows for it self. I will always continue to work hard and show my exceptional customer skills and provide my team playing skills as well as my contributions to new and creative ideas in assisting in the companies growth. Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.
Overview
20
20
years of professional experience
1
1
Language
Work History
Medical collections specialist
AMD Global LLC
Houston, TEXAS
11.2021 - 11.2023
- Identified issues, analyzed information and provided solutions to problems.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Excellent communication skills, both verbal and written.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Worked effectively in fast-paced environments.
- Strengthened communication skills through regular interactions with others.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Proved successful working within tight deadlines and a fast-paced environment.
- Proven ability to learn quickly and adapt to new situations.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Skilled at working independently and collaboratively in a team environment.
- Cultivated interpersonal skills by building positive relationships with others.
- Organized and detail-oriented with a strong work ethic.
- Worked well in a team setting, providing support and guidance.
- Self-motivated, with a strong sense of personal responsibility.
PCA
Memorial Hermann University Place
Houston, TEXAS
07.2018 - 04.2022
- S Compensation/Motor vehicle accidents/ All commercial claims
- Work utilizing CollaborateMD, MedHost, Stratec
- ECW/EMR portal
- I collect from attorneys and employment payers
- I call all payers to assist with outstanding claims and patient if needed
- I bill statements to the patient with reduction assist
- I work out of network and In network claims, facility and clinic claims, I collect Aetna, Blue Cross Blue Shield, Cigna, Tri-care VA, United Healthcare claims and follow up on past claims
- Skilled with all medical insurance websites, Verify insurance, Claim re-bills, Update information, Filing, Multitask, work in-patient, outpatient claims, Accounting, Identify mistakes to resolve claims, Update insurance information, Reconciliation, Appeals submissions, EOB’s, eligibility, claims status follow up, I work to resolve all claims to resolutions.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Excellent communication skills, both verbal and written.
- Passionate about learning and committed to continual improvement.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Organized and detail-oriented with a strong work ethic.
- Developed and maintained courteous and effective working relationships.
Dental biller
Quantum dental
03.2018 - 04.2020
- Bill dental bills, follow ups, verify insurance, assist with collecting authorizations, front desk assistant, Customer service.
Medical Collections Representative
Christus Health, Medix
Houston, TX
02.2018 - 03.2018
- Worked meditech system and Cubs
- Claims collections, assist with reconsideration resolutions, Medical claims problem solving, Medicare/Medicaid, work a-z insurance, Verify HCPCS codes for corrections, ICD-10, Navinet, availity
- Skilled with all medical insurance websites, Claims re-bill, Update information as needed, Filing, Accounting, Identify mistakes to resolve claims, Update insurance information, Appeals submissions, Commercial/Governmental, explanation of all benefit plans, eligibility, claims status, exceptional customer service skills.
Medical Collections Representative
Memorial Hermann Systems
Houston, Tx
10.2003 - 12.2017
- Claims collections, assist with reconsideration resolutions, Medical claims problem solving, Medicare/Medicaid, work a-z insurance, Verify HCPCS codes for corrections, ICD-10, Navinet, availity
- Skilled with all medical insurance websites, Claims Rebilling, Update information as needed, Filing, Accounting, Identify mistakes to resolve claims, Update insurance information, Appeals submissions, Commercial/Governmental, explanation of all benefit plans, eligibility, claims status, exceptional customer service skills.
Education
At Home Professional- Medically billing coding specialist - undefined
Theodore Roosevelt High School
1988
CNA - 1994
Timeline
Medical collections specialist
AMD Global LLC
11.2021 - 11.2023
PCA
Memorial Hermann University Place
07.2018 - 04.2022
Dental biller
Quantum dental
03.2018 - 04.2020
Medical Collections Representative
Christus Health, Medix
02.2018 - 03.2018
Medical Collections Representative
Memorial Hermann Systems
10.2003 - 12.2017
At Home Professional- Medically billing coding specialist - undefined
Theodore Roosevelt High School
Skills
- Organization and Prioritization
- Monthly Reconciliations
- Performance Goals
- Insurance Advising
- HIPAA Compliance
- Collections Procedures
- Correspondence Writing
- Accounts Payable and Accounts Receivable
- Quality Improvement
- Customer Satisfaction
- Medical Billing and Collections
- Diagnostic Codes
- Performance Strategies
- Organizational Skills
- Customer Care
- Microsoft Office
- Administration and Management
- New Product Information
- Electronic Patient Medical Record
- Managing Delinquent Accounts
- AR Aging Reports
- Overdue Balance Detection
- Coordinate Payment Plans
- Negotiation and Resolution
- Pleasant Telephone Demeanor
- Software Applications
- Updating Customer Accounts
- Letter of Appeal Writing
- Damage Claims
- Delinquent Account Notification
- Denial Appeals Process
- Multifaceted Research
- Basic Medical Terminology
- Correspondence Sorting and Filing
- Process Payments
- Fair Debt Collections Practices
- Balance Reconciliations
- Returns and Refunds
- Customer Locating
- Persuasive Negotiations
- Terms Review and Enforcement
- Attorney Support
- Problem Identification
- Administrative Support
- Payment Scheduling
- Federal Regulations
- Personalized Financial Reviews
- Training and Teaching
- Quality Standards Compliance
Work Preference
Work Type
Full TimeLocation Preference
On-SiteRemoteImportant To Me
Career advancementPaid sick leaveWork-life balanceCompany CultureHealthcare benefits401k matchPaid time offFlexible work hoursWork from home optionQuote
You will recognize your own path when you come upon it because you will suddenly have all the energy and imagination you will ever need.
Sara Teasdale
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
- Resolved product issue through consumer testing.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with team of [Number] in the development of [Project name].
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Documented and resolved [Issue] which led to [Results].
Software
Interests
Like to make money
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