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Medical Billing

Location:
Chicago, Illinois, United States
Salary:
Open for discussion
Posted:
October 20, 2016

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ROSALYN HARRIS

***** *. **** *****

Chicago, IL *0628

Home Phone: 773-***-****

Cell Phone: 312-***-****

E-mail: acw5zq@r.postjobfree.com

****-******* ******-* * Behavioral, LLC

Finance Coordinator:

Analyzed claims for biller by verifying authorized dates of service

Responsible for managing all medical claim submissions

Obtain signatures for release of medical records

Follow-up with insurance carriers in resolving unpaid claims issues

Work with various departments to verify authorizations

Initiated payment arrangements and collections of self-pay balances

Processed credit card payments made for self-pay portions

Initiated resolution of rejected and denied claims

Verify payments and adjustments according to contracted rate

Resolve credit balance accounts and prepare refunds

2006-2012 ASSOCIATED CREDITORS EXCHANGE, INC.

Collections Manager:

Assist with remote connections of various hospital systems

Responsible for managing all medical claim submissions

Responsible for obtaining signatures for release of medical records

Direct follow-up representatives with resolving and processing all claim issues

Direct collections team with resolving open account balances

Direct both follow-up representatives and collection team with patient issues

Oversee authorizations for auto pays and credit card payments

Responsible for review and resolution of rejected and denied claims

Responsible for verification of payments according to contracted rate

Assist in locating unapplied payments

Responsible for resolution of credit balance accounts

Assist clients in all aspects of collections account balance verification, billing and follow-up of medical claims submitted to various commercial carriers

2002-2006 ACCELERATED RECEIVABLES MANAGEMENT, INC.

Medical Billing Analysis

Responsible for collections on commercial and workers compensation medical claims

Responsible for billing and follow-up of medical claims submitted to various commercial carriers

Responsible for submitting electronic billing to Blue Cross/Blue Shield, Medicare, Managed Care and various commercial carriers

Reviewed payments and processed contract adjustments

1995-2002: ASSOCIATED CREDITORS EXCHANGE, INC.

Medical Claims Billing & Collections/Client Services Representative

Assist clients in all aspects of collections including, account balance verification, billing and follow-up of medical claims submitted to various commercial carriers

Responsible for resolution of rejections and denied claims.

Responsible for filing appeals on rejected claims

Responsible for commercial insurance collections

Responsible for billing of various commercial insurance and workers compensations medical claims and follow-up with commercial carriers of submitted medical claims

Responsible for self pay account balances collections

Clerical/Bookkeeper

Clerical functions including generating daily reports

Posting account transaction, including payments, refunds and adjustments

Reconciled monthly bank deposits receipts

1985-1995 ACCELERATED RECEIVABLES MANAGEMENT, INC.

Clerical/Medical Billing Analysis

Clerical responsibility included typing and mailing notices to patient regarding self-pay account balances due to provider and assigning account to various collections agencies

Responsible for billing and follow up of hospital and physician medical claims for Medicare, Medicaid, Workers Compensation and Commercial insurances

Responsible for collection on self pay account balance

Produce monthly reports, including posting transactions, age trial balance and client invoices

Education: Associates of Arts Business Foundation

Graduate 2014

University of Phoenix

Graduate 1978

Calumet High School - Chicago, Illinois



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