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Insurance Accounts Receivable/Receptionist

Location:
United States
Salary:
Negotiable
Posted:
April 13, 2016

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Resume:

CONFIDENTIAL

ROSEMARIE P YOUNG **** SEVEN GATES DRIVE

GREENSBORO, NC 27410 336-***-****

CELL: 336-***-****

To capitalize on more than 25 years of experience with the objective of applying my experiences in positions of Personnel, Insurance, Medical or Customer Relations which provides opportunity for growth and immediate contribution to a well managed business

EMPLOYMENT:

SELECT LABORATORY NOVEMBER 2008 TO MARCH 2016

Accounts Receivable Specialist: Responsible for posting insurance payments, working denials, answering patient calls & questions, as well as insurance companies, analysis of aged trial balances. Working up front denials (claims that never went out due to an error) download & working Medicare & Medicaid denials as well as Blue Cross. Posting patient payments, changing insurance/patient information in system. Applying credit card payments & posting them. Worked at front desk also. Systems: Mica/RealMed, Kareo and IMS

SPECTRUM LABORATORY NETWORK AUGUST 1999 TO

NOVEMBER 2008

Billing Specialist: Responsible for patient billing, collections, and analysis of aged trial balances. Assist patients and insurance companies with billing inquiries, reconcile insurance issues and post payments to accounts. Systems: Misys/RealMed

ADS, INC AUGUST 1986 TO AUGUST 1999 Accomplishments: Initiated, developed and implemented the Medicaid system for the agency, initiated and installed the EDS on client data transmission for Medicaid.

Reimbursement Specialist: Initiate, document and maintain all medical insurance /Medicaid records. Interview clients, set financial profile and fees and maintain patient accounts receivable. Pre-certifying clients before and upon entry into facilities. File all insurance/Medicaid for eight sites and follow-up with insurance companies, clients and other agencies for reimbursement of fees. Determine the eligibility for Medicaid as well as qualifying clients for Medicaid accessibility. Coordinate substance abuse program through daily contact with judicial offices, (judges, parole officers, attorneys and clerk of court.) Responsible for disability reports of clients as well as the attending Physicians reports. Responsible for the daily record keeping, tracking and distributing of financial

reports when City and Community Grants are given to the agency. Order, maintain and control all inventories of office and medical supplies. Worked at front desk also.

DRS. LeBAUER, WEINTRAUB, BRODIE AND PATTERSON, P.A. DECEMBER 1984 TO AUGUST 1986

Collection/Insurance Clerk: Identify, interview and monitor all patient accounts. Contact patients by phone and or letter regarding overdue accounts and plan course of action either by payment or counseling. Explain financial policy to patients and arrange payment terms. Arrange for patient to receive financial help through agencies where necessary. Assists in referrals to collection agencies. Consults with insurance companies and Medicare/Medicaid agencies on reimbursements. Responsible for keeping current all patients accounts through computerized accounts receivable. Update patient history files through CRT applications. Worked at front desk also.

EDUCATION:

Bishop McDonnell High School, Brooklyn, New York Certified by the State of N.C. as a ADETS Instructor N.C. Finance and Reimbursement Office Association

Salary negotiable



Contact this candidate