DIANE BLESSING

210-***-****

ad1wvx@r.postjobfree.com

CORE QUALIFICATIONS

• Experienced professional with Billing/Collections experience in the healthcare industry with 6+ years in a DME environment

• Proficient in Microsoft products

• Advanced problem-solving skills

• Advanced knowledge of Medicare, Medicaid, and Commercial Insurances

• Advanced knowledge of insurance billing portals with an emphasis in Medicaid as a secondary payer

• Advanced Knowledge of medical terminology

• Excellent communication skills

• Meticulous organizational skills

Experience Customer Account Representative February 2014-June 2020 United Allergy Services, San Antonio, TX

• Supervising clinics on UAS billing and coding guidelines related to allergy testing and immunotherapy.

• Support clinics on reimbursement related issues, and ensure compliance with Medicare, Medicaid and Managed Care plans.

• Responsible for the account management of assigned medical clinics partnered to perform allergy testing and treatment services.

• Functional areas of responsibility include client set-up, cash and denial posting, billing, collecting and client service.

• Ensuring the reliable flow of information from clients to the Company.

• Regularly interacts with the client to retrieve EOBs and other methods to confirm payment detail.

• Responsible for invoicing clinics for services &ensuring prompt payment to include all collections efforts as applying

• Late fees, payment arrangements

• Monitoring the assigned clinics billing practices as well as UAS’ outstanding accounts receivable and working closely with clinics to resolve outstanding issues.

• Training all new hire employees on procedures and processes with company software - SalesForce.com and FinancialForce.com.

AR Specialist III April 2006-October 2013

The Scooter Store, New Braunfels, Texas

• Daily review and evaluation of all outstanding Accounts Receivable balances

• Medicare, Medicaid, and Commercial Insurances

• Making recommendations for resolution on accounts - on a case by case basis

• Handle all phone enquiries from customers and insurance carriers

• Follow-up and documentation of all accounts touched with a minimum of 40+ per day

• Submit 1500s/Mail to Insurance companies for payment

• Online insurance portal billing with an emphasis on Medicaid as secondary payer

• Make recommendations for collections/adjustments and/or refunds as needed

• Respond to daily correspondence from Insurance Carriers and customers, bankruptcy notices, etc.

• Insurance authorizations and re-authorizations for rental periods

• Resolution of customer complaints

DIANE BLESSING

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Accounts Payable Clerk 2005-2006

Tyson Foods, San Antonio, Texas

• Responsible for payment of factory bills on SAP

• Processing invoices received from multiple vendors

• Assist the purchasing department, plant accountant, & controller

• Maintain various document records to enable access to financial documents as needed Financial Counselor 1995-2004

Columbia HCA, San Antonio, Texas

• ER registration of all ER patients and accurately document demographic and insurance information

• Register inpatient & outpatient accounts on a walk-in basis or as a direct admit from a doctor's office

• Verification of all implant charges and costs for those applicable to the account

• Daily and monthly quality assurance of report and responsible for the transfer of all charges for duplicate accounts

• Obtain prior authorization on all inpatient, rehab and psych admissions with the appropriate insurance company

• Schedule patient for cat scans, cardiac caths, peg tube replacements, nuclear medicine procedures, special procedures, and all other radiological and surgical procedures

• Back up the cashier when needed to include payment posting, balance daily cash, bank deposits, & assist patients with unresolved insurance issues

• Assist patients in the understanding of their insurance benefits and direct patients with limited resources to agencies that will assist them with their financial situation

• Calculation of insurance contracted rates including carve outs, per diems & flat rates

• Resubmission of claims as needed and negotiation of prompt pays EDUCATION Cecil Community College/St. Philips College/UTSA, San Antonio, Texas General Education Studies – 27 credits

Roosevelt High School, San Antonio, Texas

High School Diploma – 1977

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