Collections Supervisor - Healthcare Resume Search
Collections Supervisor - Healthcare Resume Search
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Collections Supervisor Resume


Desired Industry: Healthcare SpiderID: 61436
Desired Job Location: Miami, Florida Date Posted: 6/12/2012
Type of Position: Full-Time Permanent Availability Date: asap
Desired Wage:
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel: No
Highest Degree Attained: High School/Equivalent Willing to Relocate: Yes


Objective:
Seeking a rewarding position as a medical collections representative or supervisor within a growing company.




Experience:
Aran Eye Associates
Collections Representative
11/2011 – 6/2012

Followed up on Medicare, Medicaid, and private insurance claims to ensure
correct payouts. Followed up on claims unpaid in 30 days, followed up on
appeals not responded to within 60 days. Worked on and obtained
reimbursement on accounts over 24 months old.



Collections Representative 2/2011-8/2011
* Intermedix- Miami, FL

Client Services Representative

Handled client complaints and escalated issues from other departments to
ensure client satisfaction. Maintained satisfactory client relationships by
delivering outstanding service, which resulted in client retention and
growth. Researched claims for errors within the billing or dx coding
processes. Corrected errors in coding and level or service to prepare claim
for re-submittal. Worked with the clients to obtain HIPAA information from
attorney requesting PHI. Resubmitted claims, negotiated rates, processed
adjustments and generated patient invoices. Processed correspondence,
prepared reports, and provided outstanding level of customer service to
clients, and patients.

Healthcare Support Staffing (Temp Agency)

*Avisena Healthcare-Miami, FL
Collections Representative
11/2010- 2/2011

Collected on Cardiology, Diabetes, Ophthalmology and Podiatry claims.
Handled re-submittals and appeals. Contacted insurance company to inquire
on claim payment or appeals status, and to determine what measures will be
necessary to obtain claim payment. Contacted patients to obtain correct
insurance information and also to advise them of their carriers
unwillingness to remit payment for services rendered. Followed up on claims
not paid within 60 days of service.



American Ambulance Service Inc. - Miami, FL
Collections Representative 05/2005-11/2010

Initiated collection calls to patients with invoices past 60 days to
establish mutually agreeable payment solutions, and tracked account
activity to ensure follow through. Performed administrative tasks including
maintaining files, and distributing correspondence. Reduced claims on hold
by sourcing missing information such as physicians’ NPI, Medicare, and
Medicaid provider numbers . Examined EOBs, reviewed account activity, and
calculated and processed overpayment reimbursements. Refiled Medicare,
Medicaid, and private insurance claims to ensure correct payouts. Posted
cash payments to the Sweet Billing and Zoll systems.

Received calls from patients with regards to their unpaid medical claims,
made outbound calls to insurance companies to inquire on claim status and
payment. Responded to requests for additional information (EOB's,
remittances) necessary to get claims paid. Followed up on claims unpaid in
30 days, followed up on appeals not responded to within 60 days. Also made
calls to hospitals to inquire on other patient insurance and demographic
information. Maintained clean aging report. Also, posted payments and EOB's
to Zoll billing system.

Sunshine Dental Center
Miami, Fl
Front Desk Clerk
5/2002 - 1/2005

Contacted patients to schedule appointments, verified insurance, collected co-pays, handled all cash collected and prepared for deposit, usage of basic accounting methods for account reconciliation, coordinated referrals for specialty treatment, created medical record/chart, ensured that all patient history and other important information was complete. Also, collected on unpaid dental claims, processed credit card transactions and posted payments received from insurance companies and resolved patient questions and concerns.


Skills:
Strong knowledge of best practices in billing and coding through completion
of hands-on work. Proven to execute assignments in a thorough and organized
manner while achieving all deadlines and productivity goals. Adept of
timely filing guidelines, appeals response and filing periods, HIPPA rules
and regulations, Medicare (DRG's, PPS's, allowable),Medicaid (TPL's,
allowable, rules and regulations, and HMO's)Commercial Insurance, PPO's,
second and third party payers, champus, and contracts. I’m also skilled in
building and maintaining rapport with a wide variety of people. I am highly
effective as an individual contributor or team player. I have experience
with many different database platforms, and systems such as AS400, Sweet
billing, Medisoft, Nextgen and patient manager just to name a few. I am
also an expert with Microsoft office. I have over 4 years of coding
experience in a healthcare setting, along with 7 years experience in
medical collections, proficiency in applying cpt, ICD-9 codes and
modifiers. I also have solid written and verbal communication skills.







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