Customer Service Billing Collections
Resume:
DIANE BLESSING
***********@***.***
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
Page 2
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
Contact this candidate