Royse City, TX 75189
Highly personable professional with strong background in customer relations returning to the workforce. Demonstrate the ability to gain customer trust and provide exceptional follow-up, leading to increased, repeat and referral business. Expertise in resolving escalated customer issues. Secured numerous company achievement awards for delivery of exceptional customer service. Skilled at learning new concepts quickly, working well under pressure, and communicating ideas clearly and effectively. Extensive computer training, including knowledge of multiple networking environments and business software packages. Efficient use of high speed internet along with video-conference software such as Zoom, Facetime, and Google Meet.
Career History & Accomplishments
Pediatrix Medical Group Nov 2017-
Accounts Receivable Specialist III
Responsible for all collection activities on identified accounts. Understands medical billing requirements for Medicare, Medicaid, contracted and commercial payers. Monitoring all contracts and single patient agreements to ensure that appropriate reimbursement is received. Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment. Processes a minimum of 30-50 transactions on a daily basis. Timely process appeals on identified accounts. Answers patient and facility calls professionally and pleasantly. Follow HIPAA protocols. Mednax Medical Group Aug
Medical Collections Administrator II
Responsible for effective and efficient accounts receivable management of assigned payors. The collections efforts on outstanding accounts includes: telephone contact with payers as well as patients, working high volume collection reports and correspondence, auditing accounts, appealing denied claims as necessary, updating accounts as needed, identifying carrier related denial trends and consistently meeting departmental productivity standards. The incumbent performs required tasks on internal software as well as the Master Database, electronic claims vendors’ software 2
and various applications as well as using the internet to access payor websites. Extensive high volume collections experience with HMO’s, PPO’s, Workers Comp, Medicare and Medicaid.
Baylor Rehab-Outpatient Services Oct 2009 –
June 2015 Patient Service Specialist
Managing scheduling patients with physical therapist daily using Therapy Source. Verifying insurance (e.g. managed care, federal, medicare, worker’s compensation) and maintaining insurance authorizations as needed on a daily basis. Processing of financial aid applications those in need of assistance. Organizing current and past patient charts with appropriate forms following HIPAA guidelines. Entering all billing and coding into system to be sent to claims for insurance and payment collection. Processing end of day reports such as copay and coinsurance collections on a daily basis and at month end. Answering multiple phone lines. Faxing plan of cares to physicians and processing data entry in a timely manner. Stat X-Ray of Texas, Inc Dec 2007- Oct
Processing, editing, and screening radiologists daily exam reports. Answering phones, setting exam appointments, and dispatching appointments to Radiology Technicians on a daily basis.
Southwest Imaging and Interventional Specialists Jan 2007-Dec 2007 Medical Billing and Coding Specialist
Processing and coding radiologist’s reports via TACS coding system. Charge entry with a speed of 13,000 ksph posting over 1000 charges daily for multiple office sites using ICD-9, CPT-4 and HCPCS Entry. Payment posting insurance and private payments to multiple accounts. Proficient with processing of insurance claims from both government and managed care plans.
Allied Career Center 2007
Diploma Medical Coder and Billing Specialist
Masters Healthcare Administration 2019 - Present
References Available Upon Request