Medical Billing Customer Service
Resume:
DIANE TINETTI
Wheeling, IL *****
********@********.***
REIMBURSEMENT SPECIALIST WITH A BROAD CUSTOMER SERVICE, COLLECTION, ACCOUNTING, MEDICAL BILLING KNOWLEDGE AND EXPERIENCE.
Increase revenue based on researching and correcting previous denials Initiate and enforce procedures to ensure correct and accurate billing Proficient in Excel, Work, Microsoft Outlook, Navision Financials, EMS, Emphysis, MRO, Zirmed
OPTIONCARE ENTERPRISES, INC. VERNON HILLS, IL
Walgreens/OptionCare Enterprises, Inc. Deerfield, IL and Buffalo Grove, IL
AR Collection Specialist 01/12/2010-Present
Follow up on claim’s submitted to ensure prompt payment and escalates issues as necessary. Evaluate payments/denials received for correctness and ensures that they are applied appropriately. Identifies bad debt write-off and A/R adjustment. Initiates write-off and adjustments in accordance with policies and procedures. Ensures that secondary claims and patient invoices are accurately generated and submitted on a timely basis. Identifies any overpayments and/or duplicate payments, and investigates and resolves. Processes refund requests, in accordance with policies and procedures. Adheres to Regulatory/Payer Guidelines.
Reimbursement Specialist 01/12/2009- 01/12/2010
Medicare coding and billing of home infusion therapies. Coordinate reimbursement on all outstanding balances. Document and follow up with EOB’s explanation of benefit. Process reopening’s and redeterminations to Medicare as necessary. Research and investigate on denials received from Medicare. Coordinate all correspondence with branch liaison thru excel communication logs and emails. Verify all documentation needed under Medicare guidelines are obtained before billing such as doctor’s coding, AOB, DIF and ABN. Create the doctors written orders with Medicare coding or signature when needed. Process Medicare bill for denial claims.
INDECK POWER EQUIPMENT COMPANY, WHEELING, IL
1987 TO 11/2008
Credit/Collections Specialist
Supervise and coordinate all collections efforts. Collected over 30m in receivables with no account going into litigation. Successfully collected Chicago City Tax from customer going a period of back ten years. Worked with the FBI to Investigate and research fraud/embezzlement audit amounting over 1MIL resulting in incarceration in 2009. Worked with the owner to determine and implement credit terms and policies. Implemented a departmental strategy to coordinate receivables collection with individual department heads. /determine credit limits for customers using the Dun and Bradstreet and by verifying customer credit references. Mediate in customer invoicing disputes. Verify customer information for commercial credit inquires. Trained new employees in the accounts receivable and accounts payable function within the organization. Work on various projects as requested by controller and president, including audit schedules and account analysis on a monthly basis.
Billing Supervisor/Collections
Oversaw computerized billing function. Generate and audit reports of sales, receivables, tax and commission. Review tax break down and cash receipt reporting on a monthly basis. Worked on special projects as requested by management. Accounts analysis and collections, approved accounts payable invoices for processing.
Billing Clerk
Responsibilities included accurate rental, parts, service, back charge and sale percentage invoicing. –Reviewing customer files for accurate signed documentation and insurance certificates. /constant review of customer account balances and respond to all customer inquiries.
EDUCATION
Harper College, Palatine, IL
CERTIFICATION
Leadership/Supervisory certificate – National Businesswoman’s Leadership Association Priorities Management – National Career Workshop Commercial Collections Certification – Dun & Bradstreet Debt Collection and Customer Retention /Certificate – Dun & Bradstreet
Contact this candidate