Tonita Richard

Payment plan negotiation

Track and monitors delinquent accounts

Contact clients and discuss overdue payments

Customer account reconciliation

Contact clients to collect overdue payment

Familiarity with collection software and tools

Updating and maintaining customer records

• Responsible for Insurance follow up, denial tracking and trending and total AR management.
• Billing for Internal Medicine, OB/Gyn. and specialty areas for Ortho. Researched unpaid claims, EOB denials and insurance correspondence.
• Resolved accounts, including rebilling referrals, reimbursement insurance, filing corrected claims billing to next responsible or other payer, posted payments and adjustments to account if needed. Made sure that the necessary data for submitting an accurate claim has been obtained.

• Responsible for liaison between the patients, clinics, billing office and insurance companies. Followed up on overdue patient balances receive patient payments over the phone, answered patient resolve billing disputes provided financial counseling to patients. Setup patient with federal, state and community assistance programs and approve financial assistance to qualify patients.
• Trained and assisted clinical staff on Epic system and billing process up to three clinics total of 90 staff members. Identified issues within the workflow process and created action plans to resolve these issues.
• Performed and monitor quality assurance audits on clinics to ensure that patient's insurance verification were up to standard and achieved.

• Perform follow up and collection activity to resolve patient inquires on unpaid balances. Corresponds with patient in person and via telephone inquiries concerning insurance denials, coding and billing issues.
• Appropriately assess uninsured patient and qualify recipients for financial assistance and or refer applicants to a medical eligible agency for potential assistance through federal state or local healthcare agency programs. Interact with front desk staff, assisting with scheme corrections and account receivable collections.
• Research and resolved daily audits and post prompt payment adjustments if needed.

• Billing for physician and hospital, pediatric, family physicians, and specialty areas of Pediatric Urology, Pediatric Gastroenterology, Neurological, Dermatology and OB/Gyn.
• Researched unpaid claims, EOB denials and insurance correspondence.
• Resolved accounts, including rebilling referrals, reimbursement insurance, filing corrected claims billing to next responsible or other payer, posted payments and adjustments to account.