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Insurance Customer Service

Location:
Billerica, Massachusetts, United States
Salary:
45-50
Posted:
March 12, 2018

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Maria H. Langdon

** ********* *****, ********* ** 01821

Phone: 617-***-****

E-mail: ac4scm@r.postjobfree.com

Objectives

I have been working for the past 35 years in billing and the medical billing field.

I look forward to being challenged and I always look for ways to learn and improve myself.

I am very dependable. I have exceptional organization skills, superior attention to detail, professional and mature. I am also an independent worker, I work well under Pressure.

I am a dedicated Team Player and I take my job very serious and you can count on me to do my job to the best of my ability. I get along with everyone and have a very positive attitude and I do have a can-do personality.

Education

High School Diploma

Experience:

BWPO Patient Account Representative April 4, 2016 - present

Brigham & Women’s Physician Organization (111 Cypress St. 2nd fl. Brookline, MA 02446)

EPIC System – Working Motor Vehicle Accounts and Workers Comp Accounts.

Responsible for daily management of accounts receivable process and follow-up

Review, correction and completion of edit lists weekly for MVA and WC claims.

Follow-up on pending claims. Customer Service calls to update MVA Ins and WC.

Work monthly Excel spreadsheet to follow up on Accts to be sure we have all Ins. info.

BWPO Payment Posting Rep. August 31, 2015 – April 1, 2016

Brigham & Women’s Physician Organization (111 Cypress St. 2nd fl. Brookline, MA 02446)

Manual posting of funds – EPIC System

Manual posting of rejections received

Accurately interpret insurance EOB’s with appropriate rejection codes

Reconciliation of batches posted to deposit total - Correspondence & phone inquiries

Accurately and timely processing of deposits.

Apply transfers, payments, and/or adjustments to invoices as necessary

Maximize all features to ensure thorough and accurate postings

Participate in continuous quality improvement efforts on an ongoing basis

Medical Billing, Claim follow up. Payment Posting (September 2010 – August 2015)

Plexus Management Group - Home Care New England 690 Canton St. Westwood MA 02090

Payment posting manually & electronically for all Insurances

Follow up on Claim status that were denied to get reprocessed and paid correctly and on time. Process and post all credit card payments

Insurance verification for Home Care New England (Durable Medical Equipment)

Answer telephone calls from patients and Insurance Companies.

Scanning of EOB’s in Med force and linking to proper files.

Account Manager for Hopedale Cardiology (February 2007 – September 2010)

DBA – Direct Billing Assoc. Moody St. Waltham, MA 02453

Enter Daily Charges for Hopedale Cardiology Group Physicians

Transmit Charges Electronically

Post All Insurance Payments Manually & Electronically

Answer phone calls from patients & Insurance companies

Calling Insurances to follow up on Claims and get reprocessed for payment

Print AR report every month to follow up on Claim status.

Collection Specialist (March 2006 – April 2007) Part time position

ACSI Revenue Management Waltham, MA 02453

Call patients that have outstanding balances with their doctor/dentist and have not been paid or resolved. Doctors offices have tried to collect on these accounts but were not successful.

Payment Posting Specialist (May 2002 – June 2006)

Athena health, Watertown, MA 02472

Apply Insurance payments from a work list that was unable to get Auto posted or Auto matched via athenanet.Analyze partially posted payments from a work list that are payments to be reviewed by a posting analyst for payments that did not get posted correctly. Post Insurance denials that were not auto posted via athenanet.

Investigate/inform appropriate staff member of non-payment trends

Reconcile payment batches that do not balance. Assist in training

Surgical Coordinator/Appointment Scheduler – Secretary (1998-2002)

Lahey Clinic – Burlington, MA 01803

Schedule Cataract Surgeries for Department of Opthalmology

Prepare charts for daily Appointments

Schedule Eye Care Appointments

Answer incoming phone calls

Process prescription refills and enter orders for blood work, xrays, etc.

Payment Processing Representative (1994 – 1998)

MHS – Medical Healthcare Solutions, Andover MA 01810

Prepare deposits for all clients

Batching of all EOB’s for payment posting

Prepare all checks to be deposited into clients bank accounts

Prepare charges or services rendered to be entered

Cash Application/Charge Entry (1982 – 1993)

Goddard Medical Associates – Brockton, MA 02401

Manually post payments received from Insurance companies and enter patient payments to IDX system.

Enter charges in the IDX system.

Research Insurance denials.

Prepare claims and statements for mailing

Skills

EPIC System – IDX System

Insurance Payment Posting

Manual Payment Posting

Medical Claims Follow Up

Enter Daily Charges

Insurance Verification

Process credit card payments

On-Line Claim Status

On-Line Insurance Verification

Scanning

Schedule Appointments/Surgeries

Prepare Deposits

Reading/Posting of EOB/EOP

Account Reconciliation

Exceptional organization

Superior attention to detail

Professional and mature

Maintains Confidentiality

Independent Worker

Works well under Pressure

Dedicated Team Player



Contact this candidate