VINCENT DANIELS
Decatur,GA
Summary
Focused on reducing outstanding debt through proactive attention to open accounts. Excellent interpersonal, communication and time management abilities. Highly analytical and hardworking. Aware of HIPPA law and procedures.
Overview
7
7
years of professional experience
Work History
Denial Specialist
Conifer Health
11.2021 - 08.2022
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status.
- Identified root cause of denials to provide plans for denial resolution.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Coordinated with contracting department to resolve payer issues.
Account Receivables Specialist
PruittHealth
09.2020 - 10.2021
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Handled day-to-day accounting processes to drive financial accuracy.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Researched and resolved customer claims related to shortages, discount violations and returns.
- Performed targeted collections on past due accounts aged over 365 days.
Medical Billing/Collections Specialist
Mount Yonah Medical Billing (Rehab Center)
Atlanta, GA
03.2019 - 06.2020
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Performed targeted collections on past due accounts aged over 365 days (timely filing)
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Maintained excellent attendance record, consistently arriving to work on time.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Worked with payment posters and assisted [Job title]s to properly apply customer remittances.
- Processed payments and applied to customer balances.
- Recorded all information regarding financial status of customers.
- Verified benefits for out of network patients for multiple facilities in a timely fashion upon admission.
Accounts Receivable Clerk
Go Health
Atlanta, GA
02.2018 - 09.2019
- Evaluated source documents to locate information needed for each data entry field
- Obtained scanned records and uploaded into database
- Corrected any data entry error to prevent later issues such as duplication or data degradation
- Added documents to file records and created new records to support filing needs
- Scanned documents and saved in database to keep records of essential organizational information
- Outlined appropriate processes and procedures to fulfill and complete inquiries
Medical Collections Specialist
Hexaware Technology
Lawrenceville, GA
02.2015 - 03.2017
- Completed accurate order entry, including data verification
- Documented shipping information for each order and tracked packages when necessary
- Assisted customers with product and service selections
- Communicated with customers to answer questions and perform account maintenance
- Processed payments, including credit and debit card transactions
- Identified and recommended changes to existing processes to improve accuracy, efficiency and quality service.
- Verifications of benefits.
- Maintained excellent attendance record, consistently arriving to work on time.
Education
BS - Business Administration,/ Accounting
Bethune Cookman University
05.2013
Skills
- Handling payment inquiries
- Data entry
- Inbound calls (high volume)
- EPIC software
- Customer focused-service
- Customer service experience
- Verification of benefits
- Medical terms and procedure knowledge
- Independent worker
- General ledger accounting expertise
- Medical claims submission
- Claim Amount Calculations
- Adjustment Posting
Timeline
Denial Specialist
Conifer Health
11.2021 - 08.2022
Account Receivables Specialist
PruittHealth
09.2020 - 10.2021
Medical Billing/Collections Specialist
Mount Yonah Medical Billing (Rehab Center)
03.2019 - 06.2020
Accounts Receivable Clerk
Go Health
02.2018 - 09.2019
Medical Collections Specialist
Hexaware Technology
02.2015 - 03.2017
BS - Business Administration,/ Accounting
Bethune Cookman University
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