Resume

Sign in

Customer Service Medical

Location:
Lincolnwood, IL
Posted:
January 31, 2014

Contact this candidate

Resume:

Michael J. Cook

**** *** ******, *** *

Skokie, IL 60077

847-***-****

847-***-**** (mobile)

accfxz@r.postjobfree.com

CAREER SUMMARY: Extensive experience in hospital and physician account receivables (cash-posting, billing,

charge entry, patient representative, supervision). Trained in four systems plus Microsoft Office (Word, Excel, Access).

Strengths: Proven problem solving, strong verbal and written skills, reporting accurate financial data and statistics,

meeting monthly deadlines, ability to work with other departments. Demonstrated ability to lead and motivate high-

performing teams, set performance goals.

Professional Experience:

Rush University Medical Center (January 2012-May 2012), Collector Rush University Medical Group.

• Collecting on aging physician receivables through internet searches, phone calls to third-party payors, patients

• Updating system to efficiently secure payments

• Customer service phone calls, cash posting, correspondence follow-up

Served as Treasurer of Dignity/Chicago (2010-2013), IT Coordinator (2010-currently)

Completed Medical Billing Certificate for CPT and ICD-9 Coding curriculum (2009-2010) at Oakton Community College

Completed QuickBooks Part 1 Accounting course (2011) plus Financial, Cost and Intermediate Accounting courses at

Oakton Community College since 2009.

Served in President Obama’s election campaigns (2008, 2012) as a volunteer for canvassing, phone-banking.

Accordis Inc./Zavata-American Corp (2005-2007) Medical receivables management, Supervisor of Credit Balance

Resolution.

• Supervised crew of 5 employees to resolve backlog of 4,500 credit balance accounts for New York City and

Chicago EMS clients. Successfully resolved credit balance inventory to within 60-day industry norm.

• Wrote procedures and trained staff in coordination of benefits resolution between two or more insurance

companies based on industry practices and legal requirements.

• Streamlined refund and appeals for recovered payments processes using downloaded Medicare CMS forms and

medical notes.

• Trained staff in identifying accounts for refund, adjustment, cash transfer, internet searches for insurance

payments, communication with insurance companies. Successfully delegated responsibilities for refund process

to staff.

• Communicated with patients, insurance companies, clients, client managers regarding refund, cash-posting issues.

• Screened and approved refund, adjustment and cash-transfer requests.

• Saved major client refund costs and administrative expenses through audit of Humana Medicare HMO

reimbursement levels.

Springfield Service Corp (2004-2005) Outsource firm that acquired ENH physician receivables. Coordinator

Cash-Posting Department

• Posted daily electronic remittance files for Medicare/BC-BS and maintained Access tracking database.

• Wrote procedures and trained 3 employees in balancing file postings with cash payments, resolution of cash

errors.

• Entered HMO IPA bulk payments into Access tracking database, worked with IT support team for development of

database and trained posting staff in use.

• Resolved monthly holding accounts for medical records and subpoena fees through charge adjustment and

crediting of physician income in Epic.

• Successfully trained in Epic Comprehensive Physician Practice module.

Northshore University Healthsystem (formerly Evanston Northwestern Healthcare 11/78-4/04)

Supervisor Cash Posting Professional Business Office (1985-2004)

• Hired, trained and supervised staff to post cash, claims denial messages, and calculate contractual adjustments for

110 physicians. Staff grew from 3 to 9.

• Received hospital achievement award for testing and implementing electronic remittance programs for

Medicare/BC-BS in Epic.

• Developed procedures and supervised crew to post cash to A/R, resolve credit balances, approved refunds,

transfer cash, and post adjustments to accounts.

• Developed holding accounts linked to four bank accounts for refunding multiple practices.

• Served as A/R Physician Bookkeeper. Prepared monthly journal entries, spread-sheets for reporting income,

refunds, collection and billing fees in Excel, wire transfers with bank and provided assistance with monthly bank

account reconciliation. Prepared daily deposits of checks.

• Devised research methods for identifying and reposting unidentified cash.

• Paid monthly collection agency fees through journal entries, check requisitions. Allocated costs against physician

income.

• Supervised daily posting of Medicare/BC-BS electronic remittance data, maintained balancing tracking database

in Access.

• Wrote procedures and trained staff for balancing electronic posting files to cash payments, resolving cash errors in

3 systems.

• Worked with unit’s IT team and Accounting on report changes, balancing procedures and tracking databases.

• Began career as a patient representative, communicated with patients over the phone and in writing regarding

account status and as information systems data analyst correcting and posting charges from error report.

Education:

Currently enrolled in Associate Degree in Accounting curriculum, Oakton Community College

MA in Urban Studies, University of Chicago

BA in Political Science, University of Louisville

Languages: conversational Spanish, sign-language for hearing impaired

RERERENCES: Available upon request



Contact this candidate