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Insurance Billing

Location:
Mission Viejo, CA
Posted:
June 30, 2016

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Resume:

TAMMY L LEHNE

***** ****** **** ***

Mission Viejo, CA 92692

727-***-**** cell

acvipz@r.postjobfree.com

SUMMARY

Over 20 years experience as a medical billing/collections professional in conflict resolution, appeals specialist, negotiating payments and courteous demeanor.

EXPERIENCE

Practice Management Consulting March 2014-present

Billing/Collections Consultant

Responsibilities:

I collect on A/R for providers in Texas and Florida from my home

Appeals

Medicare, Medicaid, HMO, PPO and self pay collections

Negotiate patient payment arrangements

Post payments and adjustments from EOB making sure payment is correct per contract

Retrieve status via phone or insurance websites

Post charges and code from encounter forms

Pacific Billing Solutions, Aliso Viejo, CA January 2013 –March 2014

Billing/Collections Specialist

Responsibilities:

Responsible for entering charges and correct coding issues for providers.

Accountable for incoming patient calls regarding questions on statements and negotiating payment arrangements.

Appeal to Medicare and other insurers to have claimed reprocessed and paid accordingly.

Responsible for working all incoming correspondence for my providers to resolve non-payment issues and secondary billing.

Follow up on A/R from over 30 days to over 120 days.

Advanced Wellness & Injury Centers, Tampa, FL January 2008 - October 2012

Billing/Collections Specialist

Responsibilities:

Responsible for the initial set-up of five local offices.

Trained staff on "Advanced MD" software.

Worked with billing and collections department to ensure goals were met.

Negotiated claims with major payers in order to get claims paid.

Managed all incoming correspondence for my payers, refunds, took all incoming patient calls for payment arrangements, secondary billing and appeals.

Palm Harbor MRI, Palm Harbor, FL February 2003 - January 2008

Collections Specialist

Responsibilities:

Responsible for attorney collections including PIP suits.

Negotiated claims after reaching a settlement.

Responsible for AIR duties including auto collections.

Posted all incoming payments to patient accounts for entire practice for all payers.

Responsible for making daily bank deposits.

Managed all incoming correspondence for my payers, refunds, took all incoming patient calls for payment arrangements, secondary billing and appeals.

Ultra Open MRI Corp., St. Petersburg, FL March 2001 - January 2003

Collections/Billing Specialist

Responsibilities:

Responsible for attorney collections and expertly negotiating balance after completion of settlement. A/R responsibilities for workman's compensation, auto insurance and HMO/PPO payers.

Managed all incoming correspondence and effectively took the most appropriate follow-up actions on denials to meet maximum efficiency.

Refunded to insurance companies after overpayment has occurred.

Facilitated self pay arrangements.

Luis Crespo MD, Tampa, FL January 2000 - January 2001

Collections/Billing Specialist

Responsibilities:

Performed all accounts receivable functions and billing to ensure operational goals are met.

Negotiated patient's account balance with attorneys after bodily injury settlement has been reached.

Delegated all incoming correspondence to the appropriate employee.

Completed daily cash posting to ensure maximum efficiency.



Contact this candidate