Medical Collector

**** ******* ** #*** 469-***-**** home

Dallas, Texas 75248 214-***-**** cell

****************@*****.**

m

Annette M Jones

Objective Looking to increase my experience being a medical collector within the well-

regarded organization wherein I could utilize my talent and skillfulness for

conveying agreed job. I have a desire to tender my proficiency and would like to

put the entire of my effort in boosting the invention of the company. In search of

the demanding position of medical collector into an organization where my skills

and knowledge be able to utilized and take care. Desiring employment where

advancement is based on efficiency and contributions to company growth.

Experience 2007-2014 Methodist Healthcare Systems Dallas, Texas

Sr. Payment Analyst /Medical Collector

• Responsible for all collection activates on identifies accounts.

• Understands medical billing requirements for Medicare, Medicaid

contracted and commercial payers.

• Monitors all contracts and single patients’ agreements to ensure that

appropriate reimbursement is received.

• Reviews and researches insurance correspondence and make necessary

corrections to ensure claims payments.

• Work underpayments, overpayments, move balance to the patient’s

responsibility.

• Reviews EOB’s/EMOB’s for proper reimbursement.

• Provides insurance carriers with requested information to facilitate

payment

• Work denials, do adjustments and appeals.

2007-2007 Advance Hives/Methodist Dallas, Texas

Medical Collector

• Specialize in Hospital Contract.

• Follow up with insurance companies for payments.

• Work denial, appeals, adjustments and correspondence.

• Advance knowledge of CPT code, ICD-9 and HCPCS coding.

2007-2007 Office Team/Trinity Hospice Dallas, Texas

Medicaid/ Billing/Collector

• Billed and Collect on all Medicaid, Commercial and Manage Care

claims. Reduce the receivable, while maintaining and aging report from

0-180 days.

• Responsible for investigating, auditing claims.

• Work appeals, adjustments, denials and 0 pays.

• Made sure there was an authorization on file, if not, obtains one.

• Work correspondence daily, advance knowledge of CPT code, ICD 9

and HCPCS codes.

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• 2006-2006 IOS/Zenith Admin Las Vegas, NV

• Medical Customer Rep

• Took incoming call from Union Member about their plan benefits.

• Took incoming call from Medical and Dental provider about their

claims payment.

• Did adjustments and work closely with the adjuster on payment status

on all claims.

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• 2005-2006 ISO/Dimont and Associate El Cajon, CA

• Claims Associate

• Process and collect on hazard claims, on home that is in pre-foreclosed

or foreclosed.

• Look at BPO to see if there are enough damages to file a claim with

insurance companies.

• Made sure the adjusters and examiners had document needed to file the

claims.

• Gave access information to adjusters to enter into the homes to inspect

the damages.

• Review all denial and payments, rebuttal denial and close the file once

money is collected.

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• 2004-2005 Perot Healthcare System Plano,TX

• Project Manager

• Follow up on unpaid/unresolved account balances, including claims

rejected electronically. EOB’s/EMOB’s denials and working A/R aging

reports as directed.

• Follow up with insurance companies on payments.

• Provides insurance carriers with requested information to facilitate

payments.

• Monitors all contracts and single patient agreements to ensure that

appropriate reimbursements are received.

• Responsible for all collection activities on identified accounts.

• Appeals to the payers for correct reimbursement, according to the

contracts agreement.

• Managed delinquent accounts, initiating collection procedures as

required.

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• 2002-2004 Tenet Healthcare System Dallas,

Texas

• Manage Care Specialist

• Specialize in hospital contracts, did adjustment, work denials and

appeals.

• Work correspondence daily.

• Identifies payer relation contracting/reimbursement issues, determine

cause.

• Advance knowledge of CPT, ICD-9 and HCPCS Codes.

• Followed up with insurance companies for payment status.

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• 1992-2002 Select Practice Management Dallas, TX

• Medical Collector

• Specialize in Manage Care contract and Third Party Payer

• Work closely with all payers, to make sure payment is received.

• Work adjustments, denials, O pays, work all correspondence daily,

appeal all account that needs appealing. Send patient’s letters when

something is needed to process the claim, also made sure there was an

authorization on file.

• Advance knowledge of CPT, ICD-9 and HCPCS code.

• Wrote accounts off to bad debt.

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Education 1991-1991 Richland College Dallas, Texas

Excellent oral and written communication skills, pc literate, including Microsoft

Skills office products, ability to work in a team environment, ability to meet and

exceeded performance competencies.

Software MYSIS, AS400, ACE GUEE, PBAR, MEDITECH, SMS, CONTRACT,

ELDORADO, MED STAS and ALAPHA COLLECTOR, MED STAR and Alpha Collector

Contact this candidate