Motivated Accounts Receivable Specialist with comprehensive knowledge in accounting principles, financial reporting and data analysis. Possess strong problem-solving abilities, excellent communication skills, and adept at managing high-volume accounts while meeting tight deadlines. Past roles have consistently resulted in improved operational efficiency and reduced delinquency on outstanding invoices.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
Triarq Healthcare
Remote
01.2022 - Current
Processed payments, refunds and adjustments to customer accounts.
Posted Charges and worked Claim edit and Claim hold issues.
Meet weekly with the RCM department team to discuss denial trends and ways to resolve and create better processes.
Analyzed customer payment trends and credit worthiness.
Cerner,Epic, QPM and c loud based softwares
Active AAPC Codify member
Prepared monthly statements for customers.
Researched past due accounts and initiated collection efforts in a timely manner.
Reviewed and verified accuracy of invoices and account balances.
Created reports on Accounts Receivable performance for management review.
Assisted in month-end closing process including preparation of journal entries related to Accounts Receivable activities.
Responded promptly to customer inquiries regarding their account status or payment history.
Verified the validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments.
Recommended process improvements that increased efficiency in Accounts Receivable operations.
Utilized specialized software systems for tracking customer accounts receivables activity.
Assisted in developing policies and procedures associated with Accounts Receivable activities.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Medical Biller and Coder
Ocean County Foot & Ankle Surgical Associates
Toms River
09.2020 - 01.2022
Daily charge entry for multiple wound care providers.
inpatient and outpatient charge entry, coding and denial management
Patient and Insurance balance resolution calls.
COmplete workers comp claim processing
Payment posting for all insurance carriers and patient payments
Performed daily audits on all bills submitted for accuracy and completeness.
Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
Resolved denied claims by researching payer requirements and preparing appeals.
Submitted claims to insurance companies electronically or by mail.
Reconciled accounts receivable to ensure accuracy of payments received.
Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
Tracked details such as DME and in office procedures authorizations, pre-certifications or referrals required prior to service delivery.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Quickly responded to staff and client inquiries regarding CPT codes.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Maintained positive working relationship with fellow staff and management.
Mentored junior team members and managed employee relationships.
Verified accuracy of patient information and insurance data in billing system.
Medical Billing Account Representative
Comprehensive Healthcare Solutions
Lakewood
11.2019 - 06.2020
Account Representative for multiple Nursing home facilities
Tasks included Accounts Receivable follow up, Payment postings, Census reports, patient fund deposit postings, Insurance calling and patient collection follow up
Education
Graduated with certificate of completion -
CareerStep Medical Billing and Coding
Online
07.2019
Stockton University
Galloway, N.J
01.2018
High school Diploma -
Central Regional School District
Bayville, N.J
Skills
Investigative research
Audit Procedures
Bill processing
Statement issuing
Adjustment posting
Billing dispute resolution
Financial Management
Payment management
Accounts Receivable
Claims Processing
Dispute Resolution
Process Improvements
Projects
AAPC CPC, I am scheduled to take my CPC exam in March 2024 AAPC Membership, I am an active member for AAPC and have an active Codify subscription to help me provide better services to my providers and to help me continue to educate myself and stay on the yearly changes for coding and claims processing
Personal Information
Title: Medical Billing and Coding Specialist
Certification
Medical Billing and Coding - CarrerStep July 2019
Timeline
Accounts Receivable Specialist
Triarq Healthcare
01.2022 - Current
Medical Biller and Coder
Ocean County Foot & Ankle Surgical Associates
09.2020 - 01.2022
Medical Billing Account Representative
Comprehensive Healthcare Solutions
11.2019 - 06.2020
Medical Billing and Coding - CarrerStep July 2019
Graduated with certificate of completion -
CareerStep Medical Billing and Coding
Stockton University
High school Diploma -
Central Regional School District
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