Medical Insurance
Resume:
KAREN E. SESSOMS TORIAN
Fayetteville, NC 28306
Telephone: 919-***-****/ E-mail: ***********@*****.***
MEDICAL BILLING AND COLLECTIONS SERVICE REPRESENTATIVE
Skilled in performing a broad range of administrative duties including collections, client relations, preparing reports and maintaining accurate records. Strong interpersonal and problem solving skills able to effectively manage customer relations’ situations. Detail-oriented individual adept at maintaining positive contact with customers through effective follow-up and communication skills. Proven ability to develop solid working relationships and communicate effectively with senior-level management and all levels of employees. Expert in overseeing multiple tasks with exceptional attention to detail and organization. Computer skills include: MS Word, Excel and hospital billing software.
PROFESSIONAL EXPERIENCE
Sessoms Medical Practice, Clinton, NC 2010 to 2014
Office Manager/Billing and Collections Representative
Implemented billing and collection technique to increase collections, resulting in collecting 30% of delinquent accounts.
Researched outstanding balances, drafted follow-up letters and collaborated direct mail campaign to secure payment.
File claims with outstanding balances, drafted follow-up letters and collaborated direct mail campaign to secure payment.
Overseer of staff and office productivity.
JLT Billing Services, L.L.C., Frisco, TX 2007 to 2009
Billing and Collections Representative
File claims with outstanding balances, drafted follow-up letters and collaborated direct mail campaign to secure payment.
Followed up with various health care insurances regarding payments.
Researched outstanding balances, drafted follow-up letters and collaborated direct mail campaign to secure payment.
Sessoms Medical Practice, Clinton, NC 2000 to 2006
Billing and Collections Representative
Implemented billing and collection technique to increase collections, resulting in collecting 30% of delinquent accounts.
Researched outstanding balances, drafted follow-up letters and collaborated direct mail campaign to secure payment.
Wake Forest Baptist Medical Center, Winston-Salem, NC 1986 to 2000
Patient Finance Representative (1994-2000)
Consistently commended for collecting outstanding payments for patients’ medical bills.
Coordinated and implemented a training session for medical faculty and staff on billing procedures, requirements and guidelines set forth by the Health Maintenance Organizations
Oversaw collection efforts including researching delinquent accounts, securing correct contact information and drafting and sending invoices.
Programmer/Analyst (1987-1994)
Designed and coding programs for the implementation for operation.
Translated client requirements into useable programs.
Development and testing of systems.
Managed projects as it pertained to system development and implementation.
Liaison between other programmers and clients
Patient Insurance Representative (1986-1987)
Obtained accurate insurance and patient information to ensure accurate information for invoices.
Liaison between medical staff, patients and insurance companies.
Collected data for physician referrals and secured authorization approval from insurance companies.
EDUCATION & TRAINING
B. S. Business Administration/Business Information Systems, Winston-Salem State University, 1986
Winston-Salem, NC
Ahoskie High School, Ahoskie, NC 1982
Training Seminars: ICD9 and CPT4 Medical Coding, Medical Collections and Reimbursement, Sensory Integration
MEMBERSHIP
National Autism Association, Autism Society of America, Special Education Parent Teacher Association, Autism Society of North Carolina, Autism Society of Collin County and Phi Beta Lamda Business Organization
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