Summary:

Dependable, detail-oriented with Medical Collections and Billing professional experience of 18 years. Front and back office expertise, eager to contribute advanced communications, medical billing/collections and problem solving skills toward optimizing the goals of a progressive employer.

Education:

University of Phoenix 2007-2009

Associates in Business

National Institute of Technology 1999-2000

Experience: Experience:

02/10/2016 to 06/01/2018

Neighbors Health /Collections Specialist-Obtain additional information needed to appeal all denied or underpaid claims. Appeal all claims that process out of network incorrectly. Coordinate with the coding department on all claims processed as non-emergent. Insurance follow up, review EOBs, maintain productivity reports via excel spreadsheets. Make requests to medical billing unit for re-filing or any other billing inquiries. Review over payments and under payments with insurance or patients.

07/29/2015 to 01/21/2016 Temp -Addison Healthcare

Financial Analyst /Assignment: Memorial Herman Surgical Hospital- Responsible for the timely pre-certification, authorization, and verification of insurance coverage for pre-admissions, admissions, and specified procedures. Obtained accurate patient demographic and financial information to assist in the patient registration upon arrival. Provide patients with pertinent information regarding their insurance coverage; and works with patients to explain coverage amounts provided by their insurance policy. Help patients arrange payment for services that are not covered by their insurance companies inclusive of different financing options as defined by policy. Posting insurance and patient payments.

11/04/2011 to 02/03/2015

River Pointe Surgical Center,L.P /AR Specialist/Front Desk - Insurance verification, discuss patient's responsibility, scheduling, collections on unpaid bills, accounting, oversee medical records . Post daily payments, refunds and adjustments. Submit claims, resolve and collect on aged claims. Check in patients and discuss any questions, complaints and concerns.

04/2002 to 05/2007

Orion/RMI Physician Services Houston, TX 77042

Medical Billing and Collections Specialist

Data entry, prepare and mail billing statements. Submit claims to insurance companies and other third-party payers. Process payments from insurance companies, post transactions and reconcile payments to patient ledgers. Insurance follow up,appeal on under paid and denied claims.

References:

Annie Neil 832-***-****

Maura Tinico 281-***-****

Betty Baxter 832-***-****