Medical Billing and collections
Resume:
William Melendez
**** ********** ****. **** – E, West Palm Beach, FL 33415
************@*****.***
Professional Summary
Talented Bilingual Spanish and English Medical Collector with experience in managing and monitoring accounts to ensure compliance with state and federal regulations. Familiar with policies for functioning in a range of medical facilities and suppliers. Core Qualifications
Extensive experience executing medical collections with commercial insurances
Maintenance of good relationship with insurance contacts
Understanding of state, federal and HIPPA guidance and laws
Proficient I CPT-4, ICD-9 and other relevant coding
Capable of preparing spreadsheets via database software
Capacity for adhering to company policy of confidentiality of information Experience
L.C. Associates 05/1985 – 05/2015
Maintained patient account balances based on required time frames
Managed delinquent accounts, initiating collection procedures as required
Advised in resolution of customer billing issues through typical inquiries
Worked with customers to establish patient payment plans
Gathered medical records to input and update patient information in computer system
Ensured medical collection activity was conducted as per company, local and state guidelines
Reported patient and payer credit balances on monthly basis
Reviewed commercial contracts per reimbursement regulations
Coordinated correspondence with insurance carrier
Managed process with business office for writing off payments
Ensure state and federal regulation compliance for medical collections Education
MTI Medical Training Institute, Brooklyn, NY
Major: Medical Billing and Collections
Certificate in Medical Coding – April 1983
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