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Customer Service Medical Billing

Location:
Pompano Beach, FL
Posted:
March 27, 2019

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Resume:

Clyde Dunning

908-***-****

ac8w74@r.postjobfree.com

SUMMARY

Innovated, motivated, pro-active, self-direct, and result driven individual with excellent communication skills, exceptional customer service skills, with the ability to effectively and professionally handle challenging situations with over ten years legal experience including the preparation of legal documentation and is experience in high volume calling

Analytical and logical thinker with a recognized ability to recover large outstanding balances with extensive expertise in handling accounting systems, accounts and, demonstrating consistent achievement of objectives, strong multi-tasking and service skills, and dedication to organizational goals.

Having with every position held, established myself within the first three months of employment, ranking in the top 5% of collectors.

EXPERIENCE

Robert Half Recruiting (Temp assignments)

TSF Sportswear

December 2018-Present

Made daily calls to clients to update payment schedules

Processed and sent invoices on an ongoing basis

Assisted with B2B Client communications and maintenance of Client file

Sent emails, makes phone calls related to invoicing and collection of invoices

Verified accuracy of accounts and suggests billing changes and/or credits/adjustments where necessary to expedite collection activity.

Worked independently and owns responsibility for assigned client billing and collections

Robert Half Recruiting (Temp assignments)

White Oak Commercial Finance October2018 -December 2018

Collections Specialist

Processed and sent invoices on an ongoing basis

Assisted with B2B Client communications and maintenance of Client file

Contacted clients via telephone, portal or email in order to get updated payment schedule

Sent emails, makes phone calls related to invoicing and collection of invoices

Verified accuracy of accounts and suggests billing changes and/or credits/adjustments where necessary to expedite collection activity.

Worked independently and owns responsibility for assigned client billing and collections

Bluegreen Vacations August 2017—June 2018

Collections Representative

Responsible for making outbound and taking inbound telephone calls on all delinquent owners within their respective queues.

Responsible for collecting delinquent loan payments on the Vacation Club, Sampler and Fee Based Service portfolios which are 30-120 days past due.

Provide d excellent customer service to our owners and assisted them with delinquent account issues. Maintenance Fees, reservations, and other owner issues as needed.

Responsible for keeping delinquency and defaults low in order to avoid setting off triggers established by investors/lenders that may have a negative financial impact on the company.

Maintained accurate banking and customer information in LSAMS, Western Union and within other departments in the company.

Responsible for processing Loan Reinstatements and Loan Extensions, when necessary.

Keep current on knowledge related to the Fair Debt Collection Practices Act.

T&R Medical Consulting September2016-August 2017

Collections Specialist

Collected on outstanding balances due from Long Term Care Insurance plans and private pay patients.

Provided EOB management to provide the maximum amount collected within remaining time.

Researched and followed up on denied and rejected claims

Provided claim resolution for assigned accounts through calling various insurance carriers in order to increase collections and reduce delinquencies,

Processing mail and initiated adjustments / refunds

Managed time well to ensure that expected outgoing daily work volume were met.

ReliaBill Solutions, Delray Beach FL. (Temp. Assign) March 2016- August 2016

Collections Specialist

Provided claim resolution for assigned accounts through calling various insurance carriers in order to increase collections and reduce delinquencies,

Call Volume varied from day to day, but was required the least three hours phone time.

Always met the 3 hour minimum ‘time on the phone’ requirements

Analyzed Explanation of Benefits and Remittance ICD-9 and then ICD 10 codes and ensured claims are then processed according to members plans

Accessed various online portals and downloaded EOBs and other pertinent information in order to facilitate the requirements for payment and ensure claims are on file and processing

Analyzed medical billing in case of discrepancy regarding covered payment.

Identified denial reasons, and follows appeal process to get claims paid

Performed high volume collection phone calls to insurance companies

Followed EOB protocol, retrieve documentation to ensure paid accounts are closed

Accessed billing software to analyze rejection reasons and communicate findings

Communicated billing/coding errors and completes resubmission request

Identified and reports changes and trends in carrier guidelines and reimbursement patterns

Executed and delivers special projects from management and other duties as assigned

Corresponded with third party rate negotiation companies to expedite claim process

Accessed EMR, retrieves medical records and follows protocol

Adhered to documentation protocol, notates accounts and reports appropriately

Organized daily and weekly production/action reports in file share

Participated in companywide and departmental meetings

Committed to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals

Understand and comply with all HIPAA rules and regulations

Supportive Healthcare, Delray Beach FL . August 2015--Feb 2016

Collections and Billing Specialist

Provided claim resolution for assigned accounts through calling various insurance carriers in order to increase collection and reduce delinquencies.

Always met or exceeded the 3 hour minimum time on the phone requirement.

Analyzed Explanation of Benefits and Remittance, ICD-(and Then ICD-10 codes and ensured claims are then processed according to the members plan.

Accessed online portals and downloaded EOB’s and other pertinent information in order to facilitate the requirement for payment and ensure claims are on file and processing

Re-submitted assigned claims for payment that have been previously denied

Analyzed accounts to make sure HPCP and ICD-90 codes were billed correctly which resulted in denials

Performed various collections actions including cong patients by phone

Corrected and resubmitted claim to third party payers.

Secured missing documentation that would complete the claim payment process.

Followed up and acquired the necessary forms and medical records in order to complete denied claims.

Software utilized were Availity, excel, and Collaborate MD

FlexShopper February 2015 – August 2015

Billing and Collections Specialist

Assist in the increase of cash collections and the decrease of Accounts Receivables aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the negotiation of individual payment arraignments.

Make daily high volume calls to consumer customers in order to collect past due amounts

Research accounts to identify billing errors and missed payments

Identifies account status in order to make recommendations for individual accounts

Taking inbound billing calls to assist customers with account information

Providing customers with billing statements and invoices.

processed customer payments in order to bring account current

Forrest Solutions April 2014-December 2014

Collections Specialist/ Accounts Receivable (Temporary)

Monitored accounts receivable summary for delinquency through related reports on a regular basis

Initiated appropriate collection activity via past due notices, telephone, correspondence, and collection agency efforts.

Prepared and sent out invoices to clients along in order to collect past due balances.

Negotiated payment terms with clients in accordance with established guidelines.

Received and posted payments in the Mass 200 accounting system

Notified customers of non-sufficient fund checks, arranged for an alternative method of payment, and assess charges to accounts

Researched and provided documentation on credit accounts as requested to include current financial information and credit reports

Received and responded to credit and collection related inquires in a prompt manner

Printed and prepared customer statements

United Youth Council November 2012- February 2014

Youth Advocate Advisor

Youth Counseling, Mentoring and Motivational Speaking, Planning, sponsoring cultural and educational field trips.

Paramount Assets June 2009 – September 2012

Collections/ Accounts Receivable Administrator

Managed day to day operations for Collection Unit via the Yardi Property Management System

Supervised field representatives in the collection of residential and consumer rents

Initiated high volume calling

Processed billing and ensured all payments, rent late fees and check charges were collected, ran reports, reconciled discrepancies, posted and made deposits in an timely manner

Monitored tenant payments for whom warrants have been issued

Monitored collectors and property managers to ensure company policies and quality control attributes were adhered to

Commenced and coordinated all eviction, collections, and holdover proceedings and worked closely with Controller, Attorney, and COO to determine actions to be taken

Negotiated payment arrangements for CAM, taxes, construction and other recovery charges

Made court appearances on behalf of company regarding tenants in the evictions process

Processed correspondence with tenants, contractors and other third parties for needed services

Distributed reports to all Account Managers

Franklin Credit May 2007 - March 2009

Loss Mitigation Specialist

Responsible for collections calls on mortgage loans/delinquent borrowers

Prepared and send delinquent notices, Demand and Acceleration letters

Posted payments and made adjustments to payments as needed

Prepared waiver/payment plan requests, facilitated payments plans to cure arrears

Reviewed collateral loan documents

Assisted in monthly reports (Fannie Mae, Freddie Mack, PMI)

Negotiated buyouts with brokers to reduce the vendee’s liability, evaluated and offered plans to assist buyers to avoid foreclosure

Performed skip tracing

Interacted with debt settlement to negotiate settlements

Prepared monthly recovery analysis reports (Fannie Mae, Freddie Mack, PMI)

Plaza Associates December 2005 – May 2007

Collections Specialist/Team Leader

Managed day to day operations

Performed high volume collection calls on past due invoices and the recovery of delinquent credit card debt with Bank of America

Met or exceeded delinquency goals and service standards – monitored and critiqued collectors to ensure company policies and quality control attributes were followed

Handled escalated calls from clients, employees and supervisors; prioritized and monitored efficiency and productivity of team staff

Served as a liaison representative to other internal departments

Monitored the quality and timeliness of unit, developed work processes and methods

Ensured completion and submission of internal reports

Northern Leasing November 2003 – December 2005

Collections Representative

Assisted in high volume calls and the recovery of delinquent credit

Maintain and cultivate ongoing communication with assigned affiliates to ensure successful collection efforts are achieved including obtaining subscriber reports and other relevant account information

Reconciled accounts with assigned affiliates on a monthly basis

Worked with the Accounts Receivable group to ensure cash receipts and other adjustments are properly reflected in finance records for each assigned affiliate

Obtain information needed to prepare and review invoice adjustments by working with internal and external department sources, including

Prepare monthly Accounts Receivable aging reports, and other schedules as needed, for assigned accounts including the monthly

Completed ad-hoc assignments as requested by the department

Handled all accounts receivable and collection issues; processed payments, negotiated buyout settlements

Interacted with attorneys to resolve bankruptcy and legal disputes

Distributed reports to account managers

Boyjian Law Office November 1998 – October 2003

Pre-Litigation Specialist

Assisted in high volume collection calls (150-200 per day) and recovery of delinquent credit

Performed collection procedures on past due invoices

Negotiated settlements with attorneys and insurance companies

Reviewed and processed post judgments of accounts, including execution of skip tracing and asset location

Analyzed accounts to include reconciliation, balancing, and monitoring of delinquencies

SOFTWARE

MS Office, Word, Excel, PowerPoint, Oracle, Outlook, Yardi, Timberline, Mass200, Bullhorn, Elite, Peachtree, QuickBooks, Collaborate MD, KIPU, Sales Force, Navinet, Aviant, CRS

AS400

EDUCATION

North Carolina Central University, Durham, NC

BA Political Science Pre Law Business Management

Eastern Theological Institute, Irvington, NJ

MA Theology

Bilingual – English and Spanish



Contact this candidate