To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
Work History
Physician Collector II
Children's Hospital Of Los Angeles Medical Group
Los Angeles, CA
02.2015 - Current
Processed billing calls and answered questions from patients and third-party carriers.
Charge Entry
Assisted in implementing procedures and policies to facilitate timely payments.
Processed online and paper appeal submissions and refund requests.
Corrected, completed and processed claims for multiple payer codes.
Posted payments and collections on regular basis.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Update patient information and medical records.
Maintain Aging reports
Managed over 60 accounts per day.
Transplant billing/collections
Dental Billing
Hospital Collection Specialist
ABEO
Pasadena, CA
02.2005 - 02.2015
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Liaised between patients, insurance companies, and billing office.
Collected payments and applied to patient accounts.
Communicated with insurance providers to resolve denied claims and resubmitted.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Posted and adjusted payments from insurance companies.
Prepared billing correspondence and maintained database to organize billing information.
Electronic and paper claim submission to various payors
Achieved performance goals on consistent basis
Education
Some College (No Degree) - Medical Billing
American Career College, Anaheim, CA
Skills
EMR / EHR
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Software
Athena
Dentrix
KIDS
Timeline
Physician Collector II - Children's Hospital Of Los Angeles Medical Group
02.2015 - Current
Hospital Collection Specialist - ABEO
02.2005 - 02.2015
American Career College - Some College (No Degree), Medical Billing
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