Medical Workers Compensation

***** ******* ***** 832-***-****

Spring, Tx *****

Jill Smith

Objective To obtain a medical collections position and or management

position at your facility and utilize my training to help the

facility continue to reach their goals.

Professional Experience

TOPS Surgical Specialty Hospital Houston,

Texas

2008-Present Government & Workers Compensation Collector

. Working the A/R twice a month for all government payers as well

as all Workers Compensations

. Responsible for all appeals for any underpaid claims due to

contractual rates.

. Setting up and attending BRC & CHC hearings

. Making sure our monthly goal is met as a team of $2.8 million

or greater.

. Obtained Memorial Hermann Specialty Hospital Kingwood, cleaning

up their A/R & working it twice a month

. Working on the DDE system to make adjustment to claims where

late charges are added or canceling claims to resubmit a

corrected claim to Medicare

. Working 60-110 accounts per day

. Keying claims on the DDE system when necessary, keying all

claims on the THMP website for Medicaid, keying all claims for

Amerigroup/Amerivantage on Amerigroups website.

. Mailing out all workers compensation claims with UB04 form,

itemized bill, workers compensation calculator spreadsheet,

implant invoices if applicable and medical records. Mail out

secondary claims with primary explanation of benefits attached.

. Take any patient phone calls that are necessary

2006-2008 Collections Supervisor/ Government Specialist

. Working the A/R twice a month for all government payers

. Reviewed all employees A/R to make sure they were being worked

efficiently and twice a month

. Assisted collectors with aging

. Making sure all monthly cash goals were met.

. Appeals for any payers that I was responsible for

. Working 60-100 accounts per day.

. Worked closely with the Business Office Manager, learning the

business office policy & procedure, flow, reports and end of

month processes.

. Learned USPI standards for internal controls.

. Assisting patients with their financial needs

2003-2006 Government Collector

. Working the A/R twice a month for all government payers as well

as other contracted payers

. Making sure that our monthly cash goal was met.

. Working appeals for all underpaid claims

. Working on the DDE system correcting claims, adjusting claims

or canceling claims when applicable

. Taking patient phone calls and assisting patients with their

financial needs

2001-2003 Medical Collector

. Handled office job duties including insurance verification,

charges, billing and posting of payments.

. Working the A/R twice a month for contracted an non contracted

carriers

. Working appeals for all contracted underpaid claims

2001. Payment Poster

. Posting all payments received from all insurance carriers and

patients

. Making sure that all payments were paid by contract rate

. Making copies of EOBS to give to collectors for underpaid claims

. Starting and closing out month end Financials

2000-2001 Medical Collector

. Working the A/R twice a month

. Making sure that our monthly goal of $1 million was met

. Working appeals for all underpaid claims

2000. Patient Financial Representative

. Working the self pay A/R twice a month

. Calling patients and assisting them with their outstanding medical

bills

. Sending out patient statements & letters requesting payment

The Woodlands Sports Medicine Center The Woodlands, Tx

1999. Medical Collector

. Working the medical A/R

. Sending out medical claims to insurance carriers

. Front desk, answering phones, scheduling appointments

Medaphis Medical Billing Company Houston, Tx

1997. Correspondence Specialist

. Working all correspondence that was received from the insurance

carrriers to its fullest

. Taking patient phone calls for multiple facilities located in

The Valley region

REFERENCES UPON REQUEST

Contact this candidate