Customer Service Accounts Receivable

Antoinette Mills

**** ********* ***** ****** *******, GA 30122

Phone: 470-***-****

Email: ************@*****.***

Professional Objective

Seeking the position of a Customer Service Representative in a reputed organization to improve in various aspects and benefit the company in turn. The transferable and interpersonal skills earned from my previous work experiences can benefit me in my prospective work

Education: Medtech Institute 2010-2011

Certificate; Medical Office Expert Administration

SKILLS & QUALIFICATIONS

8+ Years of Medical Office Experience

Excellent Interpersonal Skills

HIPAA Compliance

Data/Claim Entry and Payment Posting

Online Claim Submission

Records Organization and Management

Medical Insurance

PROFESSIONAL EXPERIENCE

Payments MD Atlanta, GA

Accounts Receivable Specialist 2016-Present

Handle outstanding insurance/collection skills with strong knowledge of HMO, PPO, Managed Care, Medicare and Medicaid Claims

Insurance and patient follow-up; review of accounts: troubleshooting and resolving billing problems

Utilizes knowledge of insurance company’s contractual constraints, as well as federal and state regulations to positively impact accounts receivable

Analyzes trends by the payer issues to proactively and to reduce denials, variances, inefficiencies and other work inhibitors

Assists patients with billing problems and notify management of ongoing issues

Provides phone support during high volume calls

Take and post payments from the patients

Helping Hands CDC Stockbridge, GA

Billing Specialist 2014-2015

Provide list of all billed claims, investigate every denied claim, and provide receipts and spreadsheets of non-billable claims and outstanding claims.

Ensure all claims were paid to the agency.

Update, create, and maintain policies for the billing department, update, modify, and create the master Weekly inventory report to be submitted to QA, Train staff on how to use the billing system in the agency

Create recommendation for write-up for clinicians that do not meet the requirements of the position.

Create weekly report of all claims submitted by and paid to the agency.

Accredit revenue to the appropriate department (divide the deposit). Create, update, and modify financial audits to verify services billed to the agency.

Tangu, Inc. Counseling and Treatment Services Atlanta, GA

Medical Billing Specialist 2011-2013

Explain and Apply program and division policies and procedures

Communicate clearly and concisely, both verbally and in writing

Provide professional customer service to clients and public

Maintain sensitive and confidential information

Perform intake interview and assessments

Periodically review files to ensure accuracy of chart order

Private insurance billing i.e. Blue Cross Blue Shield, Aetna, United Behavioral Healthcare and Medicaid Billing

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