Insurance Medical

Profile

I’m looking for a position in billing and collections to showcase my work and ex-

pertise as well as to show my attention to detail and initiative to work and com- plete accounts efficiently. I would also like the potential to grow and learn new things as well.

Experience

Business Office Manager, SCA (Perimeter Surgery Center); Atlanta, GA 2015 - Present

I provide support to the facility by performing business office functions as assigned. This includes medical records storage, upkeep and compliance, keeping all medical staff credentialing files updated, admissions/intake of patients, accounts payable, accuracy and efficiency of billing company, which handles the facilities billing, insurance collections, insurance verification and payment posting. I handle the clinical logs, implant logs and keeping the doctors current on their dictations. I keep current with the contracts for the facility, which includes re-credentialing of current contracts and uploading new contracts into our billing system. I negotiate and sign agreements with lien companies on rates for surgical cases. I’ve done light human resources work when it comes to employee medical records and personnel records.

Insurance Collector, SCA (Central Business Office); Orlando, FL 2011-2015

I provided support to several different surgery centers by handling their billing, collections and refunds. I billed out claims for the surgery center to the patients insurance companies or to the self pay patients. I collected on current and past due claims from the insurance companies and the patients. I researched our contracts and sent out reconsiderations or appeals as necessary on short paid or incorrectly paid claims. I refunded insurance companies and patients on accounts that were overpaid.

Lead Insurance Reimbursement Specialist, Florida Hospital; Orlando, FL 2010-2011

I provided support to several different hospital locations by handling their billing collections and refunds. I had a team of people that I lead by delegating tasks, checking accounts for accuracy and assisting them on accounts as needed. I ran reports and logs on difficult to collect accounts and assisted the supervisor with duties as assigned. Reviewed payments and denials against hospital 407-***-****

***********@*****.***

4340 E Meadow Drive

Duluth, GA

30096

CHRISTY HUTCHINSON

contracts to be sure claims were paying or denying correctly. I Sent out insurance appeals. I approved refunds within my limits. Insurance Reimbursement Specialist, Florida Hospital; Orlando, FL 2006- 2010

I provided support to several different hospital locations by handling their billing, collections and refunds. I billed out claims for the hospitals to the in- surance companies. I collected on current and past due claims from the in- surance companies. I researched our contracts and sent out reconsiderations or appeals as necessary on short paid or incorrectly paid claims. I refunded insurance companies and patients on accounts that were overpaid. Education

Kaiser University, Orlando, FL AS Paralegal, 2003 Skills

I am very proficient with Microsoft Word, Excel and Powerpoint. I am task oriented and goal driven. I have great problem solving skills. I know the front end and back end of the collections and billing processes. I am very detailed and can multi-task. I am effective with establishing and maintaining effective relationships with employees, patients and doctors.

References

Available upon request.

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