Customer Service Accounts Receivable

Leslie Hall

Whitsett, NC

acuwhy@r.postjobfree.com - 434-***-****

Seeking career opportunity to utilize extensive training and experience in data analysis. Willing to relocate: Anywhere

Authorized to work in the US for any employer

WORK EXPERIENCE

Sr Reimbursement Analyst

Laboratory Corporation of America - 2012 to Present 2012

• Responsible for $11.6M in monthly accounts receivables for 17 different Blue Cross Blue Shield affiliates, including their HMO, PPO, Medicare Advantage, Medicaid Managed Care and the new healthcare exchange products.

• Analysis of Accounts Receivable; identifies causes for nonpayment and resolve issues. Make recommendations, create executive summaries for A/R issues and communicate negative and positive trends to management through weekly and monthly reporting.

• Execute exploratory data analysis and basic statistical analysis on clinical and healthcare claims data using SQL, SAS and other statistical software tools. Knowledgeable in basic accounting principles, accounts receivable calculations such as DSO (Days Sales Outstanding), have/need, cash factor, and bad debt.

• Must stay up to date on current procedure (CPT, HCPCS) and diagnosis (ICD-9, ICD-10) coding and Correct Coding Initiatives, healthcare laws and any current event that may affect the billing and/or payment of our services.

• Build effective working relationships with key provider contacts; facilitate meetings and conference calls as needed with contacts to help in resolving issues.

Supervisor, Front End Billing

Laboratory Corporation of America - 2011 to 2011

2011

• Completed assigned projects and developed new ways to distribute work and monitor production.

• Motivated staff that resulted in increased production, quality, resolution percentages and decreased behavior issues and policy violations.

Project Specialist, Front End Billing

Laboratory Corporation of America - 2010 to 2010

2010

• Handle reporting for daily forecasting and actual labor hours for production staff and distribute to all department managers including those offsite by the established deadline.

• Answer questions and concerns from Billing Specialists via the Corporate Un-billables electronic mailbox.

• Created reporting that details un-billable specimen receipts by manager and/or division that allows for trending of certain errors such as training issues that has lead to a reduction in receipts.

• Responsible for writing and updating Standard Operating Procedure files on all reports that I handle. Customer Service Representative, Patient Billing

Laboratory Corporation of America - 2009 to 2009

2009

• Provide telephonic assistance to patients in filing correct insurances and securing payment on accounts.

• Processing correspondence for adjustments, refunds, and payment posting. Insurance Accounts Receivables Specialist

Carilion Clinic - Roanoke, VA - 2004 to 2009

Experienced in billing both Government and Commercial Payers such as Anthem, Coventry and United Healthcare as well as Workers Compensation.

• Process EOB information to complete monthly accounts receivable and insurance denial reports.

• Responsible for correspondence from site managers and fulfilling their request to insure clean claims are filed. EDUCATION

Alamance Community College - Haw River, NC

2011 to 2012

University of Virginia - Charlottesville, VA

1995 to 1999

SKILLS

Certified Six Sigma Black Belt (3 years)

Contact this candidate