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Medical Insurance

Location:
Fort Worth, TX
Posted:
November 16, 2017

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Resume:

Rosa Anna Nunez

Experience:

**/******/**** Castle/Town Place Apts. Dallas, TX Apartment Manager

•Managed apartment complex of 116 units, helped residents fill out paper work to apply for apartment

•Run a residential check on applicant, if qualified, took residents’ work orders to fix broken items in their apartments

•Updating excel spreadsheet with information of rent paid, updated renewals, and took in bank deposits

10/2013 – 05/2014 CCS – Medical Farmers Branch, TX Revenue Cycle Specialist

•Handled 60-80 calls for follow-up on the claims status

•Performed follow-up of unpaid balances by insurance companies

•Prepared documents to support patient’s diabetes or urology diagnosis for Medicare

•Searched and printed medical records in the timeframe requested printing UPS tracking

•Coordinated all office functions related to the daily operations of billing and collections

07/2012 – 08/2013 Health-Tech Solutions Plano, TX Patient Account Representative

•Handled 80-120 calls for follow-up with patients and providers

•Checked with different insurance carriers via web sites for status of outstanding hospital claims

•Followed-up with insurance providers regarding status of claim

•Researched requirements needed to resolve the problem to get claim paid

•Requested and verified information from patients to complete the needed demographics

10/2011 – 07/2012 Dell Addison, TX Third- Party Medicaid Collector (Contract)

•Worked with outstanding accounts that have Medicaid related concerns

•Followed-up on websites or called in directly with Medicaid for status on outstanding claim

•Appealed on denied claims

•Researched, resolved, and rebilled claims for electronic posting

01/2011 – 10/2011 D-Med Corporation Dallas, TX Third-Party Collector

•Did outbound calls to follow up on status of medical claims

•Checked if claims were processed correctly, if it was paid or denied

•Handled inbound calls from patients having questions concerning their accounts

•Setup payment plans and collected on co-payments

5/2009 – 10/2009 Doctor’s Reporting Services/Diversified Richardson, TX Early-Out Account Collector (Contract)

•Called patients to collect on accounts that have been paid by insurance

•Setup payment plans with patients and took payment over the phone

•Contacted commercial insurance on status of claims that are in process or in appeal status

1/2008-11/2008 Staffing Company Dallas, TX Early-Out Hospital Collector (Temporary Assignment)

•Called patients to collect on accounts that have been paid by insurance

•Setup payment plans with patients and took payment over the phone

1/2007 – 11/2007 North Central Surgical Center Dallas, TX Medical Insurance Verifier (Contract)

•Called all commercial insurance companies to verify patient’s benefits concerning effective dates of coverage, deductibles, co pays, and percentage of out of pocket coins that will be patients’ responsibility

•Notified patients on their responsibility and helped set up payment plans or apply for care credit

•Checked if the patient would be eligible for financial assistance

•Took credit card payments over the phone

6/2005 – 1/2007 Baylor Dallas, TX Self-Pay Account Hospital Collector (Long-Term Temp Assignment)

•Set self-pay medical accounts on payment plans for patients with no insurance

•Assisted patients with financial assistance applications and took credit card payments over the phone

10/1999 – 6/2005 NCO Financial Systems Plano, TX Medical Claims Representative/Medicare Billing

•Billed commercial insurance on patient’s accounts, primary and secondary

•Did follow-up on claim’s status on phone

•Setup self-pay account on patients for their payment plans

•Received credit card and check by phone payments

•Billed Medicare electronic claims and primary commercial claims

Computer Skills:

PIMS, MRR Request System, iPIMS, ADR, ZPic Tracker, Claim IQ, Star, Paragon, Siemens, Vision, Cerner, Meditech, FACS and Navigator

Education:

General Education

Garland High School

Garland, TX



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