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Medical Accounts Receivable

Location:
Ft. Worth, TX, 76134
Salary:
16.50
Posted:
January 16, 2013

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Resume:

Tamara Donovan **** Elvis Ct Ft. Worth, TX

817-***-****

abnyzv@r.postjobfree.com

Summary: Medical Collection/Billing - Sincere, loyal, and dedicated individual who has a great deal of ambition, extensive experience in Medical Collection/Billing. Always up to a challenge, gets along well with others while also working independently. Seeking a position where I can develop and excel while giving my best to an employer.

Experience: Trilogi Irving, TX

Denial Recovery Specialist II 01/2012 to Present

Review Explanation of Benefits (EOB) / Remittance Advice to identify denial code.

Research client account activity to verify accuracy of submitted denial code.

Contact payer to verify denial code, if necessary.

Update denial code, if necessary.

Determine appropriate action to resolve the denial.

Write up appeals for timely filing, underpayment and CPT code issue.

Abeo Ft. Worth, TX

Anesthesia Collection Representatives 08/2010 to 01/2012

Calls plan as sorted on AR work lists for claim status.

Review accounts to determine appropriate follow-up actions.

Files appeal on claim denial and underpayment as appropriate.

Corrects address on return mail.

Reports address and / or filing rules changes to Manger.

Notates patient account properly.

Professional Medical Service Ft. Worth, TX

Medical Claims Representative 04/2007 to 03/2010

Follow-up on submitted claims to recover payments from commercial insurance carrier.

Updates accounts receivable system with denial and group information.

Post and reconcile payments to patient ledgers.

Respond to carrier telephone, fax and e-mail inquires regarding outstanding claims.

Monitor unpaid claims, initiate tracers.

Analyze accounts for other Claims Representatives to follow-up on.

Education: Career Center of Texas Ft. Worth, TX

Medical Office Specialist 11/2006

References: Available upon request



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