Medical A/R Specialist

Efficient, Result Driven, Details oriented

Skills and qualifications

Microsoft office Suite.

Fluent English, French, Creole.

Moderate Spanish.

Customer services Focused.

Translation Liaison.

Effective Communicator.

Integrity and Confidentiality.

Cash Handling.

Telephone Etiquette.

Mail Distribution/Preparation

Data Entry Experience

Medical Terminology

Office open /Close Procedures.

Record/ File Organization

Appointment Setting

Schedule Flexibility.

Career Experience

Motivated Collector with an extensive knowledge of claims reimbursement and collection for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans.

Extensive knowledge of billing, collections and reimbursement of claims processing.

Committed to producing the highest quality work.

Ability to work independently in a productive manner.

Ability to meet or to go above and beyond goals.

Ability to perform extensive follow up on delinquent claims.

Ability to work daily an expected number of claims submitted to various insurance carriers electronically.

Knowledge of interpretation of managed care contract, Medicare and Medicaid and Workers Compensation claims.

Knowledge of HIPPA and maintaining the confidentiality of administration, patients, physicians and employees.

Knowledge of EOB interpretation.

Ensure reimbursements are appropriately calculated to meet the expected allowable amount

Develop aggressive strategy to appeal unpaid and underpaid claims in a timely manner.

Extensive daily Communication with insurance carriers of all types.

Communicate with patients regarding their EOB and insurance allocated responsibility.

Identify patient’s accounts with under or over payments.

Initiate procedure for reimbursement of credit balance either to the insurance carrier or the patient.

Professional appearance and demeanor.

Team player, with understanding and ability communicate effectively and professionally with Management and peers, patients, customers, insurance carriers, and all staff members.

Works well in stressful environment.

Employment History

Tri City Management's Corporate Office Carolyn E Eckroade President 3930 RCA Boulevard Suite 3008 Palm Beach Gardens, FL (Executive Secretaries and Executive Administrative Assistants)01/01/2014 - 09/05/2015

Bethesda Memorial Hospital 2815 S Seacrest Blvd Boynton Beach, FL Lead Insurance Collections. (Bill and Account Collectors) 01/16/2006 - 01/07/2009

Education and Training

BA Degree in French as a Foreign Language, Florida Atlantic University & PBSC

Lake Worth Community High School mentorship Program

Honors & Activities Phi Theta Kappa Honor Society Member

Sacred Heart Catholic Lake Worth Church- Ministry- Volunteer

Columbiette of Lake Worth Council #3393