Cell :615-***-****, Email:firstname.lastname@example.org
Applications & Software:
MS Excel, Word & Outlook
Citrix McKesson Star.
Medicare Medicaid Cubs
UB-04 UB-92 and HCFA 1500 forms
PGN Path System
Billing Specialist Durable Medical Equipment (DME) June 2018 - Current
Employer: Verus HealthCare
1569 Mallory Lane, Bldg. 100, Brentwood, TN 37027
Supervisor: Amanda Adams (do not contact)
Specialists are responsible for providing skilled and excellent customer service to all patients, addressing all inbound patient and escalated calls, and assisting to resolve billing inquiries and issues. I have a firm knowledge in billing, collections, charge posting, insurance eligibility and how insurances pay, as well as identifying and understanding credit balances.
Self-Pay Account/ 3rd Party Representative Oct 2009 – December 2017
Employer: Associated Pathologists/ Path Group LLC
5301 Virginia Way Suite 300, Brentwood, TN 37027
Supervisor: Cassie Carney, 615-***-****, you may contact
As a Third-Party Representative, I have several responsibilities. I am responsible for the review and follow-up of outstanding accounts with Medicare and Medicaid. Utilize/review a work file to identify reimbursement problems with insurance companies. Generate statements for overdue balance. Resolve outstanding accounts, following established policy/procedures in resolving accounts issue. Appealing with insurance companies, charge correction etc.. Organize and manage multiple billing accounts including medical accounts, input data entry, reviews analyze problem accounts, reconcile, and close debtor account. Pulling reports; path report and requisition for review for resolution regarding Veterans Administration claims. Negotiate third party claims for payments or settlement in full. Contact insurance company to resolve contract issues regarding agreement of our fee schedule/payment. Handle early out accounts, bad debt accounts, resubmit claims for billing when denied for timely, eligibility, and incorrect insurance. Handle payments on delinquent account /Set payment plans.
Patient Account Representative 6/15/2002 – 08/03/2009 (laid off)
Employer: IASIS Healthcare LLC
117 Seaboard Lane, Franklin, TN 37067
Supervisor: Erika Yates 501-***-****, you may contact
I was responsible for high balance accounts. Accounting duties included posting checks to client’s medical plan and posting electronic payment with credit cards. Evaluate claims that need to be billed to insurance, Follow-up on delinquent insurance payment and Verify eligibility. Prepare delinquent account over 120 days to be process and sent to agency. Negotiate third party settlement for payment in full. Audit accounts pending outside collections: Worked high balance (50,000 – 120,000.00). Process payments (40,000 and up) by check, debit, savings, or credit cards.
Manger, Tennessee Page Division 02/06/1998 – 08/2002
American Cellular Inc. (sold business 2015)
Franklin, TN 37067
Supervisor: Mark Spivey Owner
Responsible for the day-to-day operation of the paging division; Responsibilities included customer service representative for twenty-one hundred plus customers, auditor (14) locations, account receivable, inventory clerk, data entry clerk, and marketing sales representative. I also, worked closely with our (twenty plus) outside Sale Representative by providing any assistant need to meet their clients’ needs. I was responsible for buy and proving inventory to all (14) locations.
05/14/2011 Williamson Christian College Franklin, TN
Bachelor of Science, In Management/Ethics GPA: 3.3
9/31/87 Ross Medical Education Center Flint, MI
Nurse Assistant, Graduate September 31, 1987
6/6/1985 Flint School Of Choice Flint, MI
High School Diploma, Graduate June 6, 1985
Nurse Assistant /Home Health Care
Eighteen years of customer service experience
Twelve years of data entry experience
Three years of accounts receivable
Seven years of researching accounts for additional or missing information
Reliable and adaptable; learn new systems quickly, and takes initiative
Willing and able to handle a wide variety of tasks
Self-starter, honest, dependable, hard-worker, very organized and a communicator.
Eight years billing insurance
Fourteen years’ insurance verification
Seven years Call Center (Patient Account Representative)
Reference upon request