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Medical Customer

Location:
Houston, TX
Posted:
April 06, 2015

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Resume:

PROMILA RANI

***** ***** **** **, *******, TX *7084 C:832-***-**** ***********@*****.***

Summery

I am seeking Account Receivable/billing specialist position at a firm where I can utilize my skills of preparing routine clerical paperwork, check and count data and all duties including financial dealings, billing, information entry, upholding list of receivable and payable accounts and such other work. My current position as Account Specialists Charge of collections, Paperless Collection System Patient Registration, Appointment/Scheduling Payment Management (posting, deposits,credits) Provider enrollment Reporting and Analysis.

Highlights

•Reliable

•Proficient in [software program]

•Excellent communication skills

•Detail-oriented

•Excels in team leadership

•Excellent work ethic

•Energetic

•People-oriented

•Dependable

Accomplishments

Responsibilities:

• Managing prompt and accurate billing and collection of customer accounts

• Auditing and processing invoices

• Research and respond to customer credit inquiries

• Manage payment terms

• Process legal claims

• In general work to resolve any credit or collection issue according to company policies.

Documentation

•Ensured charting accuracy through precise documentation.

•Collection activities to assure prompt payments from customers

•Maintain Control on due and overdue balances as well as the terms and conditions of the customers

•Contact customers regarding overdue accounts and determine reasons for non-payment

•Anticipate problems that might result in default payment by any customer

•Negotiate with insurance companies risk policies

Training

•Trained team of staff

Professional Experience

Inpatient Medical Services

Physicians Credentialing/Account Receivable/Biller

•Provider enrollment Reporting and Analysis

•Personal payments and posting them accurately and timely.

•Have ability to identify issues resulting in non-payment of claims

•Resolve minor issues on my own and elevate significant issues to my department supervisor for

further management intervention

•Facility's insurance contracts and obligations as to how to apply payments of each claim & analyze

overpayments

•Manual Billing and Interface Billing

McKesson Account Receivable/Collector (01/2010-07/2012)

Collections, Center Electronic and Manual Billing Information Technology Patient Messaging,Chart Tracking, Encounter Form Generator, Paperless Collection System Patient Registration,Appointment/Scheduling Payment Management (posting, deposits, credits).

Care Mark Inc. Pricing Coordinator (02/2005-09/2009)

•Pricing updates within a system and Contract pricing structures.

•Responsible for covering Payment Discrepancy queue's (diversion queue's)

•Responsible for ensuring that payment received is accurate, in accordance with Contractual agreements.

•Responsible for any additional paperwork that is a result of a review of an queue

•Knowledge of customer account updates

•Have knowledge to interacted with both internal and external customers

Galilee Medical Center, S.C., Chicago, IL (Sept 2000-Jan 2005 -outsourced)

Administration Assistant

•Knowledge of Physicians Credentialing; In charge of Credentialing for over 15 Medical Physician and

two of the MRI Imaging Centers

•Responsible updating facility contracts

•Responsible for renegotiating prices for group contracts.

•Analyze A/R for General Practitioner

Posting Payments / Follow-up

•Posting Personal Payments

•Posting Medicaid, Medicare, and Commercial Insurances

•Medical Bill

Education

Associate Business Administration

Skills

Provider's credentialing, Negotiating Pricing, Reconciling Insurances and Interface/Manual Billing

Systems

ECW (EClinical), AlScripts



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