Insurance Manager
Resume:
RICHARD D. YATES, JR
**** ** **** **, *****, FL 33142, 786-***-****, *******@*******.***
OBJECTIVE
To provide service based on efficient and effective performance, attention to detail and a high level of
professionalism
EXPERIENCE
5/7/2012 TO 9/13/2013
University of Miami Miami, FL
CARDIOLOGY COORDINATOR
• Greet and assist patients when they check in and out of the clinic
• Obtain and review patient demographic and fiscal information
• Collect co-pay, enter payments, and batch daily
• Answer and resolve patients issues in clinic and by phone
• Schedule appointments including ancillary testing when ordered
• Maintains inventory of necessary supplies and equipment following procedure set by practice
manager
4/1/2007 TO 5/1/2012
Jackson Memorial Hospital Miami, FL
PATIENT FINANCE
• Perform various interviewing, fact collection and financial evaluation tasks in connection with
credit and collection in a large and diversified hospital.
• Primary emphasis on financial counseling with patient from outpatient admission through account
becoming a discharged zero balance.
• Responsible for the interview of patient, family or guarantor.
• Explain charges, hospital policy and payment procedures.
• Obtains full information for indigent patients who do not qualify under special programs; such as
residency, number of minor dependents and other socio economic information that determines if the
patient should be transferred to full payment status based on financial factors.
• Collect all monies due for ER deposit at time of ER visit.
6/1/2006 TO 4/1/2007
Hospitalists of America Coral Gables, FL
COLLECTION COORDINATOR
• Adjustment, missing checks, and missing payment from bulk remit.
• Research all refund request gather documentation needed and request refund check.
• Responsible to document payment research and follow up activities on outstanding patient
balances
• Dispute delinquent account balances.
• Correct errors, including misapplied payments, reversed late charges, direct deposit errors, and
overpayments from insurance.
• Review the account and contract to verify the accuracy of the claims expected reimbursement.
• Review, correct, reprocess, obtain, and update accurate insurance information for follow up on all
denials or rejections received to ensure the proper and accurate routing of the revenue reports. Such as:
new insurance, new address and expectations of the collections team and help identify problems and
recommend solutions.
2/1/2006 TO 10/1/2006
Hospitalist of America Coral Gables, FL
COLLECTION COORDINATOR/INTAKE COORDINATOR
• Collection Coordinator
• Adjustment, missing checks, and missing payment from bulk remit.
• Research all refund request gather documentation needed and request refund check.
• Responsible to document payment research and follow up activities on outstanding patient
balances
• Dispute delinquent account balances.
• Correct errors, including misapplied payments, reversed late charges, direct deposit errors, and
overpayments from insurance.
• Review the account and contract to verify the accuracy of the claims expected reimbursement.
• Review, correct, reprocess, obtain, and update accurate insurance information for follow up on all
denials or rejections received to ensure the proper and accurate routing of the revenue reports. Such as:
new insurance, new address and expectations of the collections team and help identify problems and
recommend solutions.
• Establish relationships with the major payers and expedite claims processing
Intake Coordinator
• Obtain all demographic information, PCP, Insurance plan type, member ID#, and admitting
diagnosis
• Telephonically verify plan type, eligibility, and claims address
• Page/call physician to notify him/her of admission
08/1994 TO 06/2003
EDUCATION
1989-1992 MIAMI CAROL CITY SENIOR HIGH SCHOOL MIAMI, FL
•
REFERENCES
References are available on request
Contact this candidate