Toni Silletti
Cedar Grove,NJ
Summary
Motivated Account Receivable Insurance Collection Rep with over 22 years of experience in health operations management and billing. Expertise in HMO/PPO knowledge and fostering client relations. Excelled in reducing outstanding balances by efficiently analyzing managed care contracts and ensuring compliance. Demonstrated expertise in medical billing and teamwork, significantly enhancing collection processes and payer communication.
Overview
24
24
years of professional experience
Work History
Account Receivable Insurance Collection Rep
Ereceivables
10.2000 - 08.2024
- Hospital timely follow up for all assigned accounts utilizing A/R reports and account maintenance activities to ensure speedy collections of all outstanding balances
- Reviews unpaid accounts and follows up with appropriate payer for claims resolution and documents accurate collection activity utilizing guidelines in place.
- Telephones insurance companies for follow up and collect payments within the established time frame
- Informs management of those payors who are causing reimbursement delays and report all contract discrepancies to the appropriate level of management
- Understand and analyze the various managed care contracts and the various CPT,HCPS, DRG codes to ensure proper reimbursement. Identify uncollectible accounts for possible bad debt and submit to supervisor for approval.
Skills
- HMO/PPO Knowledge
- Medical claims submission
- Billing and Collection Procedures
- Claims review
- Medical Terminology
- Regulatory Compliance
- Time Management
- Client Relations/Services
- HIPAA Compliance Understanding
- ICD-10 Knowledge
- Medical Billing
- Teamwork and Collaboration
- Insurance Verification
- Eagle software
- Epic softwre
Timeline
Account Receivable Insurance Collection Rep
Ereceivables
10.2000 - 08.2024
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