Manager Customer Service

Robbin Rodriguez

**** ***** **** ***** *** B Bedford, TX 817-***-****

Irving, TX

MEDICAL PAYMENT POSTING TEAM LEAD

ALLIANCE FAMILY OF COMPANIES

**/**** – present

Working closely daily with the Revenue Cycle Manager on credit variances, reversals of payments, adjustments, and refunds

Work closely with management to develop new techniques, policies and procedures

Work with management to research reimbursement and payment issues

Performed section training monthly for 3 direct reports

Worked a Deposit Reconciliation Excel Spreadsheet daily to balance monthly

Create daily payment batches from a Lockbox, Patient Payment Lockbox, ERN’s, Manual/Paper checks, and credit cards

Work monthly to clear up any and all unapplied payments

Performed monthly one on ones with 3 direct reports

Reports performance and workload issues to the Revenue Cycle Manager

Work special projects set by supervisor

Maintains responsibility for work processing and production quotas for assigned individuals and teams and works with the Revenue Cycle Manager to assure that the department is meeting goals

Perform monthly quality audits as directed by the department supervisor and manager

Meet daily standards of productivity as established

Lewisville, TX

MEDICAL PAYMENT POSTING SPECIALIST

FIRST CHOICE EMERGENCY ROOM

12/2014 – 05/2015 TEMP 06/2015 – 02/2016 PERM

Downloaded and balanced Lockbox deposits and batches daily

Opening and sorting collection correspondence including bankruptcies and refund requests

Run insurance virtual credit card payments via authorize.net

Posted payments and adjustments from patients, commercial carriers, and government carrier remittance advices

Make copies of EOB’s necessary to file secondary claims, print secondary claims, and forward all information to the collection team for submission

Answer and address all patient and billing calls

Other duties as assigned by the Supervisor, Manager or Director of Reimbursement

Euless, TX

PAYMENT POSTING SPECIALIST/MEDICAL BILLING/CHARGE ENTRY/MEDICAL INSURANCE AND PATIENT COLLECTIONS

MEDIFACTS

05/2009 – 09/2014

Set up ERN’s for Medicare/BCBS/UHC so company would have access to electronic remits

Set up all online access to insurance portals for more efficient claim status and access to EOB’s

Download and print all EOB’s from insurance web portals to post when insurance payments were delivered via mail

Created process of printing out daily and monthly financial reports to distribute to provider offices

Post all payments and adjustments from manual/paper checks and balance daily

Run and send monthly patient statements and monitor payment

Set up patient payment arrangements and monitor payments plans monthly

Send patient delinquent accounts to collection agency for additional collection efforts

Answer and address patient and billing calls

Performs other duties as assigned

Adhere to all company policies and procedures

PROFESSIONAL SKILLS

Knowledge of organization policies, procedures and systems

Skill in verbal and written communication

Skill in gathering and reporting information

Ability to work independently, analyze data, and make educated decisions

Performs duties in a manner to promote quality patient care, customer service/satisfaction, and cost efficiency,

Computer skills: MS Word, Excel, and Outlook; knowledge of multiple systems, such as Brightree, Strategic AR, authorize.net, and Centricity

Good interpersonal skills

Strong customer service attitude and ability to work independently as well as in a team

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