Post Job Free

Resume

Sign in

Medical Insurance

Location:
United States
Salary:
$18.00 to $20.00
Posted:
September 01, 2015

Contact this candidate

Resume:

Dawn Holman

***** ************ **

Houston, Texas 77084

832-***-**** cell

Email: acrh2q@r.postjobfree.com

SUMMARY: Enthusiastic, self-motivated, resourceful and professional with over 10 years of experience in accounts receivable, and collections in the healthcare and public utilities industry. Unique combination of analytical and interpersonal skills allows me to successfully interact on all professional levels.

COMPUTER SKILLS: EXCEL, WORD, MEDITECH, MEDICAL MANAGER, INFO-PRO, POWER POINT & SAP

WORK EXPERIENCE:

Credit/Collections Specialist & Cost Accounting Clerk, Professional Alternatives Staffing Agency, Houston, TX (Temp employment)

October 6, 2014 – May 1, 2015

Received Credit/Trade References information; prepared and forward to the company names for status of accounts

Researched and Collected on all Commercial Canadian and International Accounts

Cost Accounting

Preparing payments and documents for both US and International Audits

Communicating with both Internal and External Customers

Credit/Collections Specialist, Republic Services, Houston, TX

March 5, 2007- November 22, 2013

Researched and collect all past due Commercial customer accounts

Credited, re-billed and corrected inter-company and third party invoices

Assist Commercial customers in resolving billing and service related problems

Maintained invoices for containers picked up and deliveries and records of Haul Tickets and Manifest to ensure accurate billing

Verified tax on invoices and Exempt status to ensure state and federal compliance

Process invoice payments using Metavante on-line system.

Identify and forward customer credits to the appropriate and necessary entities to be completed.

Maintain customer contact and participate with Sales in the retention of customers.

Prepared Commercial customer accounts for litigation, Lien’s, after Bankruptcy for out sourcing to Agency and to be written off.

Place out going and retrieve incoming calls.

Medical Collections/ Appeals Analyst, Tomball Regional Hospital, Tomball, TX,

February 2003- March 3, 2007

Collections on Commercial Ins accts, mailing monthly statements to patients

Posted medical insurance payments to Meditech system (as the back-up person)

Resolved or clarified codes and diagnoses with conflicting, missing, or unclear information by consulting with ICD 9, Medicare, Medicaid, and/or insurance companies.

Knowledge in explanation of benefits, CPT/ICD-9/10 coding

Knowledge of Medicare/Medicare/HMO’s/PPO’s and all other major insurances.

Knowledge of Electronic Medical Records as well as manual and electronic posting of EOB’s, sending clean claims and correspondence with insurance companies.

Knowledge of medical terminology and Insurance A/R follow-up.

Calculated out-of-pocket due from the patient in advance and payment amount due from insurance.

Performed Secondary billing after Medicaid, Medicare, BCBS, Aetna and Tricare

Assisted in a 33% reduction of the 90 day past due accounts. Maintained a satisfactory collection ratio throughout employment

Medical Collector Christus Health (CN Staffing Agency) Houston, TX

July 1999- January 2003

Knowledge in explanation of benefits (EOB), explanation of payments (EOP), CPT/ICD-9/10 coding

Knowledge of Medicare/Medicaid/HMO’s/PPO’s and all other major insurances.

Knowledge of Electronic claim filing to insurance companies.

Knowledge of medical terminology

Insurance A/R follow-up and Appeals of claims in the over 60 day.

EDUCATION

67 undergraduate hours attending PV A&M University and HCC



Contact this candidate