Results-driven professional with extensive experience in insurance claim processing and customer service. Skilled in debt collection and maintaining billing accuracy, consistently achieving prompt resolutions and maximizing revenue recovery for organizations.
Overview
6
6
years of professional experience
Work History
Insurance Collection Specialist
Hanger Prosthetics & Orthotics Inc.
Austin, TX
05.2023 - 12.2025
Managed timely follow-up on outstanding insurance claims to ensure prompt resolution.
Analyzed billing discrepancies and collaborated with internal departments for accurate adjustments.
Streamlined collection processes, enhancing efficiency in claim recovery efforts.
Insurance and benefit verification HMO's, PPO's, Managed Care, Medicaid's.
Authorization request and HCPC's, DX codes review.
Billing clean and corrected claims.
Maintained accurate records of customer accounts, payments and payment plans.
Provided excellent customer service by addressing inquiries from both clients and insurance providers in a timely manner.
Maximized revenue recovery by diligently pursuing underpaid or denied claims through appeals and adjustments when necessary.
Intake Coordinator
Mid Valley/Avevo Health
Ceres, CA
07.2022 - 04.2023
Coordinated patient intake processes, ensuring timely and accurate data entry into electronic health record systems.
Facilitated communication between patients, family members and healthcare providers to streamline appointment scheduling and follow-up care.
Managed patient documentation, verifying insurance eligibility and obtaining necessary authorizations for services.
Answered phone calls and provided new clients with required paperwork to initiate service.
Collected patient share of cost, deductibles, co-pays.
Verified insurance eligibility and benefits, ensuring accurate patient information for billing purposes.
Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Insurance Collections Specialist
Pacific Medical, Inc
Tracy, CA
07.2019 - 06.2022
Managed insurance claims processing, ensuring compliance with company policies and regulatory standards.
Conducted detailed account audits to identify discrepancies and resolve outstanding balances.
Reduced aged receivables with diligent follow-up on outstanding insurance claims.
Responded to customer inquiries and provided detailed account information.
Monitored customer accounts for payment delinquency and initiated collection efforts.
Researched billing errors and discrepancies to initiate corrective action.
Maximized revenue recovery by diligently pursuing underpaid or denied claims through appeals and adjustments when necessary.
Patient collections
Maintained accurate records of customer accounts, payments and payment plans.
Resolved customer inquiries through effective communication and problem-solving techniques.