Sales Representative Customer Service

SEANMARIE ROSE

**** **** ***** ***** **** Apt ***

Tamarac, FL 33319

Cell: 561-***-****

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

Summary

Over ten years of experience in Accounting with specialization in Credit and Collection, Accounts Receivable and Banking. I supervised a portfolio of more than $20 million with more than 5000 active accounts. Developed successful relationships with customers and providers and earned a reputation for problem solving and for providing accurate analysis and reconciliation of accounts. Some applications that I am proficient in include, Excel, Access, QuickBooks, SAP, IDX, ECW, Apprise, Misys, CyberMed, Word, and Power Point. Adept with Excel features such as VLOOKUP, and pivot tables.

Accomplishments

Created motivational campaigns with Medicare, Medicaid and commercial customers to meet obligations on time; resulting in consistent increase of collection of payments that reduced aging accounts

Created a computerized system that customized the way in which past due letters were sent to patients which cut the workload of the account receivable department in half

Developed and administered structured department policies and procedures that improved worker productivity, and accounts receivable control

Assisted in the merger and acquisition of Minimed and Medtronic, and eliminated duplicate accounts and providers before the transfer

Experience

SHERIDAN HEALTHCARE 2016- Present

REIMBURSEMENT SPECIALIST II

Responsibilities include researching all assigned contracted and/or non-contracted carrier and self-pay accounts to ensure the proper payment through reports, spreadsheets and special projects. Processing correspondence related to assigned contracted and/or non-contracted carriers including self-pay accounts. Maintaining denial reports and ensuring that accounts are properly documented. Responding to customer service calls and striving for one-time resolution of accounts received. Researching denied and improperly processed claims by contacting assigned carriers to ensure proper of said claims. Resubmitting improperly paid/denied claims to carriers for proper payment in a timely manner. Identifying and correcting any claim processing errors due to data entry, verification, coding and/or posting mistakes. Ensuring that accounts are properly documented.

MEDIVANCE BILLING 2014- 2016

Account Manager

Responsible for the collection of outstanding accounts for Mental Health and Substance abuse facilities which includes; telephone contact with insurance companies and clients, work collection reports, audit accounts, appeal denied claims as necessary, update accounts as necessary, submit and monitor problem accounts, maintain daily logs and meet or exceed department goals. Which also includes, processing refunds and adjustments for accounts when necessary, and perform A/R follow up, collections CPT and ICD-9/ 10 coding as it relates to collection

CONVERGENT INC

Account Specialist 2011- 2014

Work caseload of accounts and report directly to a Senior Attorney or Supervisor. Responsibilities include (but are not limited to): working a caseload, contacting insurance companies to appeal wrongfully denied or underpaid insurance claims, utilizing federal and state laws and statutes to resolve claims, settlement negotiations, identifying client/payer issues, and maintaining a working knowledge of assigned clients, states, and insurers.

MORE DIRECT INC, Boca Raton, FL 2006- 2011

Tax Administrator/Collector

Responsibilities include addressing multi-state tax concepts and issues, including assisting in the state and local income audits, appeals, and litigation. Help clients and sales representative understand the national, state, local, and international tax structures and align the tax function with business objectives. Review, approve and release of customer credit using Hoover report. Reconciled and resolved invoice disputes, improved customer, and management satisfaction Also answering phones, compose letter, balance accounts, analyze, review and process invoices, maintain and utilize system controls, follow up with vendors and making necessary changes and adjustments, research A/R issues.

AMERIPATH LABORATORY, Pompano Beach, FL 2003-2006

Accounts Receivable

Responsible for accurately reviewing patient accounts and taking the necessary actions to ensure that payment is receive by the facility from third party commercial carriers and/or patients, and/or responsible parties, in a timely manner. Present accounts that require insurance appeals and follow up accordingly such as Medicare, Medicaid and Commercial insurance. Review, research and resolve denied claims. Posted cash, bank reconciliation; run and prepared a monthly report on various accounts for managers. Responsible for solving problem accounts.

Process refunds and adjustments for accounts when necessary.

MEDTRONIC MINIMED INC, Hollywood, FL 2000-2002

Credit and Collection Supervisor

Directly supervise ten employees in the collection department, responsibilities included planning, assigning and directing work, and appraising performance. Responsible for interviewing, hiring and trained new employees on the applicable policies and procedures of the company. Reconciled and resolved invoice disputes, improved customer and management satisfaction. Closely supervise the collections and billing of commercial, Medicare and Medicaid accounts. Perform End-of-month system process. Review and release customer credit holds on SAP. Prepared and performed analysis of financial reports including accounts reconciliation.

EDUCATION

Strayer University Major: Accounting concentrating in Business Administration.

H&R Block Certified Tax Preparer

Dunrobin High School, Kingston Jamaica WI

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