Customer Service Accounts Receivable

SHARON RUANE

*** *. ***** ****** 847-***-****

Arlington Heights, IL 60004 *******@*****.***

ACCOUNTS RECEIVABLE AND BILLING PROFESSIONAL

Accounts Receivable ~ Customer Service ~ Medical Insurance Billing

Professional Summary

Accomplished Accounting Support Specialist with expertise in Customer

Service, Collections, and Medical Billing. Background includes full cycle

collections, collections negotiations, reconciling misapplied payments, and

handling Medicare part D claims reports. Strong understanding of Revenue

Cycle and Accounts Receivable. Industry experience includes Healthcare,

Digital Media, and Nursing Homes.

Skills

* Proficient with Nebo and SMS Systems, Misys, Medisoft,

* Systems, Cats, CE2000, Novologix, Omnifill 7.1, Onbase, Peoplesafe

* Knowledge of medical terminology, CPT/ICD-9 codes

* Proficient with CC Edit Manager and Coding Manager

* Skilled in DME pricing and billing

* Medical Billing Coding Certificate

* Microsoft Office Suite Products

Key Achievements

. Formulate Weekly Aging Reports, Monthly Licensing Reports, Monthly

Aging Publication Reports, and Credit Check Reports that is provided

to upper management resulting in increase of revenue and reduced

number of aged accounts.

. Met deadlines at 100% by initiating distribution of workload across

department to achieve department goals

. Reported on monthly self pay customers for 7 nursing homes and

reported on number of calls and collection for the month resulting in

up 185K to 240K /month revenue

. Provided exceptional customer service to patients and implemented

strategies to educate them on insurance plan which resulted timely

payments

. Submitted claims electronically with minimal front end rejections

SOURCE INTERLINK MEDIA

Senior Account Specialist

2013- Present

. Maintain collection calls on delinquent accounts and collected revenue

for accounts over 30 days past due

. Analyze and resolve complex remittance issues

. Negotiate and persuade with customers resulting in achieving payment

effectively

. Expedite credit card payments for Cash in Advance, Open, and Auto

Charge accounts on a daily basis

. Responsible for releasing ads on digital /print accounts meeting

deadline at 100%

. Execute cash applications to apply overpayments from ACH, Wire

transfer, and checks to correct invoices and misapplied payments

CVS CAREMARK 2011 - 2012

Rep II Biller

. Filing claims electronically through multiple payer specific websites

and programs to insurance companies

. Submitted claims manually using HCFA 1500, UCF, and other payer

specific forms.

. Executed daily emails with diversions to process from multiple

specialty pharmacies.

. Coordinated and facilitate all aspects of the billing process to

certain locations and payers.

. Provided billing guidance and support to branch locations to ensure

shipments process efficiently

. Identified outstanding claims and performed necessary follow-up for

denied claims.

. Maintained daily production along with keeping claims within billing

guidelines

. Performed daily suspense report for manual/electronic claims and

established pending claims status

INDEPENDENT CONTRACTOR

2010 - Present

Contracting Assignments

part time

. Banking, auditing, healthcare, retail, and event specialist

. Entered data and handled reports for Medicare Part D claims

RESURRECTION HEALTHCARE 2006 - 2009

Accounts Receivable Specialist

. Ran monthly aging reports for facilities to assess accounts for

collection action

. Established and advised patients on repayment schedules through

Microsoft Outlook with calls, letters, payment plans and strategies

for debt repayment

. Recorded and updated information about the financial status of

customers and collection efforts on Caremedx systems

. Received payments and posted amounts paid to customer accounts

. Wrote appeal letters for denied claims

. Maintained current state and federal law collection procedures

. Contacted attorneys with past due accounts and attended court hearings

to testified

NW SUBURBAN GASTROENTEROLOGISTS 2005 - 2006

Billing/Accounts Receivable

. Resolved billing discrepancies and coding issues with insurance

companies

. Collected medical reports and prepared appeals for diverse procedures

. Processed accounts receivable on Managed Care, Medicare, and Public

Aid accounts

. Performed rebilling on Medicare accounts to correct data coding errors

triggered by inaccurate information

ADDITIONAL EXPERIENCE

Quality Healthcare Equipment Arlington Heights, IL,

Billing/Accounts Receivable

Loyola University Physicians Foundation Maywood, IL, Third Party

Collector

EDUCATION

Harper College

Associates Degree: Liberal Arts

Coding Certificate

Health Information Technology - Attended classes

Volunteer Activities with Catholic Charities/Pads - (part time) 12/09-

present Election Judge

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