Insurance Customer Service
Resume:
SARAH J. BELK
Riviera Beach, FL 33404
Phone 561-***-**** Email: ********@*****.***
PROFESSIONAL PROFILE
An accomplished Collection Supervisor with 7+ years of customer service and managed care collection experience.
EDUCATION
Bachelor’s degree in Business Management and Finance
University of Phoenix
WORK EXPERIENCE
THE TOTAL MD 02/14 - Present
Medicare Specialist/Credentialing Coordinator
• Proficient in ICD-9, CPT and HCPCS billing in a Family Practice Office
• Performs primary collections on managed care, commercial and worker’s compensation accounts
• Analyzes delinquent account records to determine appropriate and cost-effective collection approach.
• Locates responsible insurance parties utilizing a variety of methods.
• Contacts other departments, clients or patients to verify insurance coverage.
• Notifies carries by telephone or letter of legal obligation to pay claims in a timely manner.
• Answer questions and resolves account problems
• Compiles and maintains current and accurate data for all providers.
• Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed.
BOND COMMUNITY HEALTH CENTER 01/11 – 04/12
Front Office Supervisor
• General Supervision of the intake specialist
• Assisting in patient accounts for appropriate billing information and insurance follow up.
• Assist in ensuring all work efforts are in compliance with company policy, procedures, and FDCPA guidelines.
• Assist in maintaining collaborative relationships, and being committed to excellence.
• Assist in completing month-end close
• Hire and train staff
All Med Staffing 10/10 – 01/11
Insurance Collector
Performs primary collections on managed care, commercial and worker’s compensation accounts.
• Analyzes delinquent account records to determine appropriate and cost-effective collection approach.
• Locates responsible insurance parties utilizing a variety of methods.
• Contacts other departments, clients or patients to verify insurance coverage.
• Notifies carries by telephone or letter of legal obligation to pay claims in a timely manner.
• Answer questions and resolves account problems.
HOSPICE of PALM BEACH COUNTY 02/10 - 07/10
Billing Manager
• Develop and implement mechanisms and controls to ensure appropriate billing and payment cycles and accurate and timely billing, in accordance with established federal, state, and third-party payor requirement
• Establish, record in writing and implement appropriate billing policy procedures, and procedures for all billing activities including follow up on third party approvals and collections on overdue accounts
• Monitor charge posting, billing, and collection operations for compliance with established policies, regulations, procedures, and standards
• Manage actions related to delinquent accounts, special adjustments, and/or write offs
• Request, repair, and maintain requested reports on billing and collection activities
• Management of staff, perform performance evaluations and initiate corrective action plans when appropriate, including reporting results of follow-up audits
• Assures compliance with Medicare, Medicaid, and all other rules and regulations
• Maintain up to date knowledge and certifications of healthcare billing laws, rules, regulations and developments
• Develop and deliver organized and concise communication to Controller regarding proposed changes and developments and opportunities affecting the organization and billing department
• Perform other duties as assigned
INNOVATIVE ADS 09/09 - 01/10
Academic Advisor
• Assisting and coaching prospective students interest in furthering education
WELLINGTON FAMILY PRACTICE 05/08 - 05/09
Medical Biller and Collector
• Proficient in ICD-9, CPT and HCPCS billing in a Family Practice Office
• Performs primary collections on managed care, commercial and worker’s compensation accounts
• Analyzes delinquent account records to determine appropriate and cost-effective collection approach.
• Locates responsible insurance parties utilizing a variety of methods.
• Contacts other departments, clients or patients to verify insurance coverage.
• Notifies carries by telephone or letter of legal obligation to pay claims in a timely manner.
• Answer questions and resolves account problems
PALM BEACH GARDENS MEDICAL CENTER 5/04 - 03/08
Business Office Supervisor
• General Supervision of the collection group
• Hire and train staff
• Assist in month-end close, budget, audit prep, financial reporting documentation
• Assist with negotiation of high dollar accounts for settlements
TENET PATIENT FINANCIAL SERVICES 3/04-5/04
Insurance Collector
• Performs primary collections on managed care, commercial and worker’s compensation accounts.
• Analyzes delinquent account records to determine appropriate and cost-effective collection approach.
• Locates responsible insurance parties utilizing a variety of methods.
• Contacts other departments, clients or patients to verify insurance coverage.
• Notifies carries by telephone or letter of legal obligation to pay claims in a timely manner.
• Answer questions and resolves account problems.
PALM BEACH GARDENS MEDICAL CENTER 7/99 - 2/04
Collection Supervisor
• General Supervision of the collections group
• Assisting in auditing hospital accounts for appropriate billing information, appeals, rebills, adjustments, and insurance follow up.
• Assist in ensuring all work efforts are in compliance with company policy, procedures, and FDCPA guidelines.
• Assist in maintaining collaborative relationships, and being committed to excellence.
• Assist in completing month-end close
• Hire and train staff
REFERENCES UPON REQUEST
Contact this candidate