Medical Insurance
Resume:
Dawniqua Fields
Medicare Collector - Family Practice
Humble, TX
**************@*****.*** - 832-***-****
Perform accurate and timely billing and collections of patient's accounts in accordance with policies and
procedures of the company and in compliance with HIPPA.
WORK EXPERIENCE
Insurance Collector
Intrafusion - June 2013 to Present
Responsibilities
Verified patients benefits.
Contacted patients to discuss estimated amounts to collect.
Updated corrected claims.
Autobilled claims to insurance companies.
Wrote LMN to sum it to insurance companies.
Wrote appeals for denied claims.
Researched and calculated insurance payments to insure payers are paying according to the contracts and
allowables.
MEDICARE COLLECTIONS ANALYST
Family Practice - October 2011 to May 2013
Prepare, Review and Submit patient statements.
Analyze and interpret documents, insurance contracts, notes and other correspondence.
Perform various collection actions including contacting patients by phone as well as contacting and
resubmitting claims to third party payers.
Ability to establish and maintain effective working relationships with patients, other employees and external
medical offices.
MEDICAL COLLECTIONS MANAGER
ECARDDIO DIAGNOSTICS - Houston, TX - April 2008 to October 2011
Identified and resolved patient billing complaints while reviewing accounts for any possible collection agency
reporting.
Understands collection law and uses appropriate legal verbiage when appealing to insurance carriers.
Reported any trending discrepancies to management.
MEDICAL COLLECTIONS SUPERVISOR
GLOBAL HEALTHCARE ALLIANCE - Houston, TX - May 2005 to February 2008
Billed and corrected CPT codes and diagnosis.
Identified any billing issues and overseen special projects to resolve issues.
Posted adjustments and payments according to EOB.
Pulled medical records for EMR system.
EDUCATION
HEALTHCARE ADMINISTRATION
HOUSTON COMMUNITY COLLEGE - Houston, TX
2005 to 2007
ADDITIONAL INFORMATION
Skills
Proficient in Centricity, Avality, Realmed, Eclinicals, Allscripts, Accessnet, Fusion, Zirmed and MS Suite.
In-network and Out of Network collections experience
Experience processing commercial and workers comp. claims with a specialty in Medicare and Medicaid.
Proven track record for managing large AR.
Extensive knowledge of ICD-9 and CPT codes with modifier use.
Contact this candidate