Vernita Belfield
Clifton,NJ
Summary
Accounts Receivable Specialist with extensive experience in insurance billing and collections, providing effective resolutions. Delivered accurate monthly reconciliation and statistical reports while reducing bad debt write-offs. Managed account payments and billing processes, ensuring client requests and administrative functions were handled efficiently.
Overview
25
25
years of professional experience
Work History
Account Receivables Specialist
Care Plus NJ Inc
Paramus, NJ
02.2018 - Current
- Conducted collections on outstanding mental health claims, ensuring timely payment.
- Resolved delinquent accounts with Medicare, Medicaid, Managed Care Organizations, private insurance companies and patients.
- Assessed accounts to verify accurate payments and necessary adjustments.
- Analyzed and prepared claims for submission.
- Advanced to Billing Department leadership role in 2023
Underpayment Recovery Follow-up Specialist
nThrive(formerly MedAssets)
Upper Saddle River, NJ
10.2010 - 02.2018
- Recover lost revenue related to underpayments for hospitals and physicians; highly knowledgeable in ICD-10, CPT Coding, revenue codes, UB and HCFA billing formats.
- Contact managed care organizations to expedite processing of underpayment appeals.
- Manage assigned work list of underpaid accounts by utilizing follow-up protocols while maintaining comprehensive and concise notes recording all communication.
- Review appealed accounts with managed care companies to recover lost revenue.
- Review hospitals managed care contracts to determine appropriate application of rates, provisions and terms.
- Investigate additional payments on accounts to ensure billing accuracy.
- Present feedback to upper management regarding false, positive and true underpayment issues.
Reimbursement Manager
CMC Adaptive Seating & Homecare, LLC
Whippany, NJ
11.2005 - 10.2010
- Coordinated Reimbursement/Billing department efforts to ensure compliance with billing and collection procedures.
- Commended for implementing a quality check process for claims before submitting to Medicare, Medicaid and insurance carriers.
- Conducted collections and analyzed reports to assess outstanding balances and evaluate effectiveness of policies and procedures.
- Collaborated with patients/clients to resolve outstanding balances and manage private pay billing/collections.
- Audited accounts that were delinquent to ensure maximum efforts were taken before assigning bad debt status.
- Prepared and processed appeals for claim disputes.
Reimbursement Representative
Coram Healthcare
Totowa, NJ
08.2004 - 11.2005
- Resolved payment discrepancies with insurance companies by reviewing accounts, facilitating accurate financial outcomes.
- Supported the implementation of reimbursement to achieve revenue and reimbursement objectives, meet customer needs and help improve overall service.
- Conducted collection efforts on outstanding home infusion medical claims, ensuring timely resolution and payment.
- Analyzed accounts for accurate payments and prepared adjustments.
Reimbursement Specialist
Kessler Wilpage Medical Corporation
Hawthorne, NJ
10.2001 - 08.2004
- Analyzed claims to ensure accurate submission and compliance with regulations.
- Evaluated accounts to verify payment accuracy and identify necessary adjustments.
- Performed collection duties on outstanding claims.
- Facilitated resolutions for delinquent accounts by coordinating efforts between insurance companies and patients.
- Prepared bank deposits, posted payments and trained new employees.
Education
Bachelor of Arts - Business Administration
Upsala College
East Orange, NJSkills
- Accounts receivable management
- Revenue cycle management
- Claims submission
- Billing compliance
- Collections
- Underpayment appeals
- Accounts analysis
- Team collaboration
Timeline
Account Receivables Specialist
Care Plus NJ Inc
02.2018 - Current
Underpayment Recovery Follow-up Specialist
nThrive(formerly MedAssets)
10.2010 - 02.2018
Reimbursement Manager
CMC Adaptive Seating & Homecare, LLC
11.2005 - 10.2010
Reimbursement Representative
Coram Healthcare
08.2004 - 11.2005
Reimbursement Specialist
Kessler Wilpage Medical Corporation
10.2001 - 08.2004
Bachelor of Arts - Business Administration
Upsala College