Wanda Morales
PALM BAY
Summary
Hardworking and passionate job seeker with strong organizational skills and eager to secure entry-level as remittance posting and health insurance Collection specialty position. Ready to help team achieve company goal.
Overview
13
13
years of professional experience
Work History
Medical Collection Specialist
Sunshine Medical DME & Supplies Inc.
12.2022 - Current
- Medical insurance claim follow-up, appeal letter and denials.
- Resolved discrepancies in payments.
- Performed follow up with insurance claim department on unpaid medical claims.
- Verify member insurance eligibility and check member demographics Reconcile reports and input charge data entry Scan medical records.
- Gained basic knowledge of HCPCS and ICD-10 coding.
- Maintained customer accounts through incoming customer calls.
- Verified eligibility through Florida Medicaid portal, processed real time birth claims, retrieved EOB's and sort and processed tracer responses.
- Researched accounts and completed due diligence to resolve collection problems.
- Posting Insurance remittance to patient account daily.
- Balanced monthly general ledger accounts to accurately record cost and month end accruals.
- Composed effective accounting patients & CPT codes reports summarizing accounts payable data, through My Ad- Hoc Report.
Remittance Payment Processing Specialist
Asthma & Allergy Associates of Florida
07.2017 - 12.2022
- Reconciled account information and reported figures in general ledger with bank statement monthly.
- Identified, researched, and resolved billing payment discrepancy with insurance contract medical fee schedule.
- Performed targeted collections on past due account aged over 30 days.
- Responded to customer concerns and questions on daily basis.
- Handles account payments and provides information regarding outstanding balance.
Remittance Payment Processing Specialist
Care Cloud
03.2013 - 07.2017
- Reconciled account information and reported figures in general ledger with bank statement monthly.
- Identified, researched, and resolved billing payment discrepancy with insurance contract medical fee schedule.
- Managed large volumes of data efficiently daily.
- Identified overpayment and processed refunds for insurance carriers and patients.
- Investigated daily variances and corrected errors to resolve discrepancies.
Education
AAPC Certified Professional Coder - Medical Billing and Coding
Excelsior Billing and Coding School
Miami, Florida07.2023
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CNA GENESIS VOCATIONAL SCHOOL
01.2018
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REAL ESTATE GOLD COAST SCHOOL
01.2017
Associated of Science - HEALTH ADMINISTRATION SERVICES
NATIONAL SCHOOL OF TECHNOLOGY
05.1998
Skills
- Microsoft Office
- Microsoft Word
- Attention to Details
- Creative Problem Solving
- Proactive and Self -Motivate
Languages
Spanish
Native or Bilingual
Timeline
Medical Collection Specialist
Sunshine Medical DME & Supplies Inc.
12.2022 - Current
Remittance Payment Processing Specialist
Asthma & Allergy Associates of Florida
07.2017 - 12.2022
Remittance Payment Processing Specialist
Care Cloud
03.2013 - 07.2017
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CNA GENESIS VOCATIONAL SCHOOL
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REAL ESTATE GOLD COAST SCHOOL
Associated of Science - HEALTH ADMINISTRATION SERVICES
NATIONAL SCHOOL OF TECHNOLOGY
AAPC Certified Professional Coder - Medical Billing and Coding
Excelsior Billing and Coding School