Medical Insurance
Resume:
QUINETTA BOSTON
Houston, Texas 77066
Work History:
Parallon August 2014 – June 2015
Medical Insurance Collector
Responsible for collecting on high dollar accounts
Coding system to direct denied claims to appropriate department
Out bound calls to insurance for claim status
Quality Recovery Services, June 2010 – August 2014
Owner
Provides collections for Dr. Juan Garcia for medical accounts with balances due from patient
Research denied claims for additional information or patient responsibility
Currently servicing approximately 10 -15 accounts a month
Business Owner, January 2004 – July 2010
Quinn’s Café & Deli, August 2009 - July 2010
CQ World Cakes, Cookies & Pies, Jan 2004 – Current (PRN)
Healix Infusion Therapy, August 2002 - December 2003
Reimbursement Specialist
Responsible for collecting on unpaid IV therapy infusion charges
Knowledgeable in AWP drug Redbook
Responsible for cash posting, patient due statements, verbal and written appeals
Christus Healthcare, August 2000 - August 2002
Patient Account Specialist
Responsible for collections for St Joseph Hospital
Maintained 2500 Managed care accounts in need of additional payment because they were either paid incorrectly or underpaid
Responsible for knowledge of each payor’s contract and the ability to communicate the error by phone or by written appeal
Position required knowledge of CPT, IDC-9 and DRG reimbursement
Baker & Shaw, August 1999 - August 2000
Collection Specialist
Responsible for collections for several West Coast facilities
Maintained a database of 1500 or more accounts that were incorrectly paid or underpaid
Researched denied accounts for various reasons to include missing date of injury on workers compensation claims, missing or invalid Medicaid codes, etc.
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