Workers Comp Collector
Resume:
Rene Ramos
Los Angeles, CA 90026
Mobile 213-***-****
E-mail: ******.*******@*****.***
Experience
Independent Freelance Collector
W/C Lien Negotiator. (February 2015 - Current)
Actively providing collections for several medical providers. Case log consists of files
requiring expert analysis & immediate resolution efforts prior to scheduled upcoming
court hearings.
Monarch Medical Group, Inc.
Workers’ Compensation Lien Negotiator/Collector (October 2014- February 2015)
WC Lien Negotiator for Pharmaceutical dispensary, specializing in compound cream
medication. Reviewed medical records from the prescribing physician to verify
relevance between patient injury and prescribed medications.
Responsibilities include:
Accounts Receivable Collections for litigated WC cases
Negotiate liens with defense attorneys as well as insurance claims adjustors
Excellent letter writing ability for appeals and settlement
offers/confirmations
Personally tasked with sending mass submissions of bills as
re-considerations/appeals.
Weekly goal was 25k; met goal monthly and followed up on payments.
Integrated Industrial and Family Practice
Workers’ Compensation Lien Negotiator/Collector (October2013-Jan 2014)
WC Lien Negotiator for Chiropractic Physicians. Reviewed medical records such as
Physical Therapy charts and medical histories.
Responsibilities include:
Accounts Receivable Collections for litigated WC cases
Negotiate liens with defense attorneys as well as insurance claims adjustors
Excellent letter writing ability for appeals and settlement
offers/confirmations
Weekly goal was 20k; met goal monthly and followed up on payments.
Oracle Medical Collections
Workers’ Compensation Lien Negotiator/Collector (August 2013- October 2013)
WC Lien Negotiator for Orthopedic Surgeon & Chiropractic Physicians. Reviewed
medical records such as Surgery Reports and Physical Therapy charts.
Responsibilities include:
Accounts Receivable Collections for litigated WC cases
Negotiate liens with defense attorneys as well as insurance claims adjustors
Maintain a calendar for cases scheduled for court hearings
Excellent letter writing ability for appeals and settlement
offers/confirmations
Weekly goal was 20k; met goal monthly and followed up on payments.
Comprehensive Healthcare Partners of California
Workers’ Compensation Lien Negotiator/Collector (January 2012-August 2013)
WC Lien Negotiator for several types of WC Physicians. Reviewed medical records
such as AME, Physical Therapy, Spine Surgery and Psychological Evaluations.
Responsibilities include:
Accounts Receivable Collections for litigated WC cases
Negotiate liens with defense attorneys as well as insurance claims adjustors
Maintain a calendar for cases scheduled for court hearings
Excellent letter writing ability for appeals and settlement
offers/confirmations
Weekly goal was 25k; regularly met goal and followed up on payments.
Intercommunity Medical Group, Torrance, CA
Workers’ Compensation Lien Negotiator/Collector (July 2009 to January 2010)
WC Lien Negotiator for AME treating physician.
Accounts Receivable Collections for litigated WC cases
Negotiate liens with defense attorneys as well as insurance claims adjustors
Maintain a calendar for cases scheduled for court hearings
Excellent letter writing ability for appeals and settlement
offers/confirmations
Weekly goal was 15k; regularly met goal and followed up on payments.
Liens, LLC
Workers’ Compensation Lien Negotiator/Collector (October 2006 to July 2009)
WC Lien Negotiator for several types of WC Physicians. Reviewed medical records
such as MRI, AME, Orthopedic and physical therapy. Also collected on DME supplies.
Responsibilities include:
Accounts Receivable Collections for litigated WC cases
Negotiate liens with defense attorneys as well as insurance claims adjustors
Worked as a team to achieve monthly goals; Personal goal was 20k weekly
Excellent letter writing ability for appeals and settlement offers
USCB, INC.
Department Supervisor (December 2001 to June 2006)
Responsibilities include recruitment, training, team management as well as
maintaining high focus on monthly goals and succeeding consistently.
High level experience in the resolution of delinquent medical billing that includes
commercial insurance with a keen strength in the resolution of litigated and
non-litigated Workers' Compensation claims as well as self-pay experience.
Familiar with ICD-9, CPT, DRG codes and trained to follow HIPAA compliance
regulations.
Excellent letter writing ability for appeals and settlement offer.
Strong telecommunications skills, resolved elevated calls.
* References available upon request *
Contact this candidate