Customer Service Insurance

To Whom It May Concern,

Over the years, I have developed excellent skills in the health care field,

which would make me an excellent candidate for the position in your

organization.

Enclosed is my resume, which provides additional information about my

experience and background. I would appreciate the opportunity to meet with

you to further discuss how my qualifications meet your goals.

I can be reached at 414-***-**** and am available for an interview at

your convenience. Thank you for your time and consideration.

Sincerely,

MaryLou Campbell

MaryLou Campbell

2244 N 70Th Street

Wauwatosa, Wi, 53213

414-***-**** Home

414-***-**** Cell

WORK EXPERIENCE:

7/07 - 02/10 Golden Living Ventures

Brown Deer, WI.

Electronic monthly rates and therapy billing for 5 Minnesota located

nursing homes for Medicaid, (primary and secondary). Follow up on line on

open claims, working with case managers, social workers and management on

all outstanding charges.

Logs on rate changes and therapies are updated on a monthly basis.

Preparing adjustments, refunds and disbursement requests.

2/06 - 7/07 Walgreen's Home Care

Wauwatosa, WI

Supervisor (10/1/06) - Entered and approved payments and adjustments to the

accurate accounts. Processed timely mailing/electronic transmission of

invoices, payor claims, and statements. Assists in the development of

actions aimed at reducing the receivable, provided timely and accurate

feedback to immediate supervisor. Supports the staff in resolving daily

issues with internal collections, patients and families, and payors.

Prepared and analyzed reports related to department success and results.

Accounts Receivable Specialist - Filing paper and electronic claims to all

commercial payors. Maintained collection log to document accounts pursued

and progress made. Contacted patients to review and set up payment plans.

Prepared adjustment/disbursement requests. Prepared recommendations for bad

debit and outside collections. Reviewed explanation of benefits and the

took the appropriate steps to resolve denials.

04/04 - 1/06 State Collections Service

Madison, Wi.

Customer Service

Call center for a major hospital located in Milwaukee. Follow up on self

pay and after insurance accounts. Explaining, reviewing and collecting on

all accounts. Setting up payment plans.

Contracted out to other hospitals to review and share advice on collection

procedures to decrease the receivables that were over 320 days due by

either insurance and/or patients.

06/03 - 04/04 Addus HealthCare

Palatine, IL.

Patient Account Representative

Electronic billing and collection follow up to Medicare, Medicaid and major

insurance companies on Home Health claims for several states on and for RN,

LPN, CNA, Homemakers and Aids. Worked with case managers on updating

authorizations in a timely matter. Keeping patient's demographic

information updated at all times.

11/01 - 06/03 Coram Healthcare

Tampa, Fl.

Patient Account Representative

Reviewing claims prior to sending out either paper or electronic claims to

Georgia Blue Cross/Blue Shield on IV Infusion therapy, RN, LPN, CAN and

therapist's. Worked closely with branch managers and case workers for

updated authorizations. Keeping patient's demographic information updated.

Reviewing balance due with patient's and/or family members. Payment plans

set up. Monthly reports reviewed for bad debit or collections procedures.

2/99 - 10/01 Addus Healthcare

Palatine, IL.

Patient Account Representative

Electronic billing and follow up on Home Health claims for several states

for RN, LPN, CAN, Homemakers and Aids. Working with Medicare, Medicaid and

major insurance companies. Talking to case managers for update

authorizations. Keeping patient's demographic information updated at all

times.

2/98 - 2/99 Orsini Nursing Agency

Arlington Heights, IL.

Patient Account Representative

Verifying all insurance benefits for nursing, therapy, supplies and DME.

Demographic information given to case managers for authorizations. Billing

and follow up on manual and electronic claims to Medicare, Medicaid and

major insurance. Follow up with patients on co pays/co insurance and

deductibles. Setting up delivery times for supplies and DME shipments.

10 WEEK COURSE:

ICD9 AND CPT Coding

Medicare Blue Cross Billing

Medical Terminology

Business Office Management

Contact this candidate