MALCOLM CARR

acygtx@r.postjobfree.com

469-***-****

Seeking a career that will allow me to showcase my talent as an Insurance

supervisor. With 15 years experience in the medical field, I have the

ability to collect on all insurance claims and meet deadlines. With my

successful track record, I will utilize my knowledge of insurance claims

processing and account reconciliation and I will prove that I am organized,

resourceful and a quick learner. I am professional and courteous while

handling patient financial information, and will be a valuable asset to the

financial growth and security of your medical organization.

Electronic Billing Medicare/Medicaid HMO/PPO/POS Billing

Insurance Collections EOB Knowledge Monthly Reporting

CPT & ICD-9 Coding Referrals & Pre-certs Credentialing

Rebills Payment Posting Payment Adjustments

Appeals Processor Various Billing Software Data Entry

Long Term Care Hospice Follow-up

Employment History

Preffered Care Centers Insurance Billing Supervisor 08/2015-

Present

. Managed and supervised employees to make sure that all claims and

follow- up were done for the current month.

. Work directly with the department manager to create a workflow that

was effective to insurance collections.

. Created all claims for 15 facilities and triple checked the claims to

ensure that we received payment on time.

. Trained and developed staff on all day to day operations.

. Created spreadsheets to keep track of all insurance revenue.

Senior Care Centers Medicaid Biller and Collector 01/2015 -

07/2015

. Submit weekly billing to Medicaid.

. Follow- up on denied claims to managed Medicaid providers.

. Create and submit Hospice invoices to providers for payment.

. Perform audit on all accounts where payment does not equal the revenue

booked, resulting in credit and debit balances.

. Post Medicaid payments and responsible for noting accounts that have

unpaid balances.

UT Southwestern Medical Claims Analyst 02/2010-12/2014

. Review and process insurance claims through the billing system that

include Medicare, Medicaid and third party payors.

. Exceed standard production of 75 claims per day by 20%.

. Identify problems and inconsistencies by using manager reports.

Cymetrix Corporation Insurance Specialist 09/2008-12/2009

. Specialize in Medicare/Medicaid inpatient and outpatient hospital

accounts.

. Collection Company for the fifth largest hospital district in the

United States.

. Met productivity goal and exceeded it by 110% accounts resolutions per

day.

Education

Cedar Valley College, Business Administration

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