Submit and follow up on claims with health insurance companies to secure payment for services rendered.
Evaluate denied claims to determine accuracy and create paths for resolution.
Monitor payments to ensure compliance with contracted rates.
Review incoming correspondence to assess the status of claims.
Assist customer service and refund specialists in addressing account inquiries.
A/R Follow Up Government Supervisor
American Medical Response
03.2004 - 12.2016
Coordinated electronic claim transmissions, insurance verifications, authorizations, appeals, and denials while managing payment plans.
Prepared documentation for nonpayment cancellation and reinstatement; requested no loss letters.
Investigated and resolved discrepancies promptly.
Collected data from customers and effectively resolved billing issues.
Managed account receivable functions and performed data entry for practice charges, including ICD-9 and CPT coding.
Reviewed medical records, entered patient demographics, prepared healthcare correspondence, and monitored AR reports with a focus on overdue accounts.
Trained and supervised a team of up to 15 Accounts Receivable staff, enhancing productivity by reducing days outstanding (DSO) through analytical problem-solving.
Maintained high standards of data quality by performing rigorous quality control checks.
Collaborated with team members to identify and implement business improvements, ensuring adherence to deadlines and accuracy in processes.