SONYA ROBINSON

**** ***** **** *** * HAMMOND, IN 46320 ( 312-***-**** (

abh9nk@r.postjobfree.com

SUMMARY

I AM A STRATEGIC PROBLEM-SOLVER SEEKING A CAREER OPPORTUNITY WITH A

PROGRESSIVE ORGANIZATION WHERE MY TALENTS, LEADERSHIP SKILLS, STRONG WORK

ETHIC AND DEDICATION WILL BE USED TO THE FULLEST POTENTIAL.

Software

EPIC Vision Health Medx

IDX System MS Office/MS Excel Spreadsheet

Meditech Star McKesson

DDE Florida Share NEBO/ECARE

REV System MEDI system

Kronos Cerner

employment history

METROSOUTH MEDICAL CENTER (HOSPITAL) - BLUE ISLAND, IL

Medicare Collector, 05/03/2013- 09/01/2014

. Worked Medicare Inpatient, Outpatient, and Psych hospital claims

. Monitored the Florida Shared DDE system for RTP claims and ADR's

. Quarterly worked credit balances reporting overpaid accounts to

Medicare

. Ran eligibility and updated financial class for Medicare HMOs and

MMAI accounts

. Billed 2ndry payors hardcopy after Medicare

. Worked with Skilled Nursing Homes for Medicare part A consolidated

billing reimbursement

. Followed up with liability insurance for MSP payments

. Worked with patients to update Coordination of Benefits information

. Processed refunds, transferred payments posted to incorrect

accounts

. Assisted with special projects as assigned

providence LIFE SERVICES (NURSING HOME) - South Holland, IL

Billing Manager, 10/2010 to 04/08/2013

Billing Coordinator, 09/2009 to 10/2010

. Billed claims for Medicare, Medicaid, Managed Care, Private Pay,

and MMAIs

. Filed resident open packets online via Medi system

. Assisted Medicaid caseworkers with additional information requested

for approved/denied cases

. Meet with resident families to answer insurance questions and

collect data for Medicaid applications

. Check eligibility, monitored ADR's and worked RTP claims in Florida

Shared system

. Ran census insuring proper payer sequencing

. Reported income changes, discharge changes and bedholds to IDPA via

1156 form

. Electronically posted Medicare remits and applied adjustments

. Manually posted Medicaid vouchers billed residents for part A co-

ins balance, or placed in bad debt bucket

. Maintained resident trust-funds on a monthly basis, distributed

petty cash and tracked receipts

. Reconciled monthly bank statements against account ledgers insuring

all payments were posted to accounts

. Enter charges for all ancillaries and posted to resident accounts

. Generated Hospice Room and Board invoices and sent to each

facilities

. Month End Close process

GUARANTEE BILLING SYSTEM (outsourcing company) - Chicago, IL

Assistant Director of Patient Accounts,

03/03/2008 -07/2009

. Provided oversight of billing, insurance follow-up, cash posting,

negotiations, and bad debt

. Implemented Denials committee to identify root cause denials and

appeal process

. Assisted with claim edit work ques, work flow and process

improvement

. Implemented processes to increase clean claim billing rate

. Responsible for interviews, hiring, and performance evaluation

. Submitted claims for Medicare A & B, Medicare HMO's, Medicaid,

Commercial and Private Pay

. Reviewed and approved office staff payroll

. Assisted in automation of manual insurance and patient lockbox

posting process

. Reconciled deposit journal to bank statement

. Processed Month End Close for patient accounts

Community hospital - Munster, IN

Collector Lead, 05/08/06 -02/28/08

. Responsible for working 80 Commercial insurance accounts daily

. Drop financial class to bill appropriate payers

. Worked with Skilled Nursing Homes for Medicare part A consolidated

billing reimbursement

. Rebilled and appealed commercial claims

. Obtain retro authorizations

. Worked EOBs and 837 reports daily

. Phoned insurance and used NEBO to obtain claim status

. Contacted patient for COB information, obtained medical necessity

letters to work denied claims

. Submitted primary and 2ndry claims

. Trained new collectors on billing system

trustmark recovery services (OUTSOURING COMPANY) - Munster, IN

Patient Account Collection Representative, 09/05-05/6/06

. Followed up on 60 hospital accounts daily

. Worked180day plus claims, sent appeals, and rebilled claims

. Reviewed EOBS for denials, sent requested information to insurance

companies

. Called on unpaid patient liability balances following FDCPA

regulations

. Processed credit card payments and setup payment arrangements

. Prepared delinquent accounts for outside collection

Franciscan home care & nursing home - Crown Point, IN

Data Entry/ Billing Clerk, 08/02 -

05/05

. Submitted Home Health and Nursing home claims to Medicare,

Medicaid, Managed Care, and Private Pay

. Resident trust account reconciliation, annual reporting of cost

report data

. Balance resident trust monthly including SS checks and family

deposits

. Followed up with PA Coordinators to update census through the REV

system

. Verified Medicare eligibility via HIQA, checked claims thru Florida

Shared DDE system

. Obtained insurance benefits, and prior authorization for all payers

. Entered mileage for payroll, ancillary charges and patient

demographics

. Exported Oasis according to CMS guidelines

Education

< ASHWORTH COLLEGE 2002-2003

Graduated with Paralegal Diploma

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