Post Job Free

Resume

Sign in

Medical Billing Customer Service

Location:
New Castle, DE
Posted:
January 01, 2024

Contact this candidate

Resume:

Jerome Dorsey II

New Castle DE *****

Professional Summary:

• Boasts a robust background of approximately a decade in the medical billing, claims, and healthcare reimbursement sector.

• Demonstrated success in fostering collaboration among internal and external team members.

• Proven track record of achieving results and maintaining a meticulous approach to work.

• A results-oriented individual with a keen interest in further contributing to the medical billing and claims field.

• Exceptional skills in relationship management, creating a collaborative work environment.

• Available for an immediate start.

Professional Skills:

• Superior customer service, medical terminology, leadership and mathematical skills.

• Resourceful, creative problem-solver.

• Organized Administrator with effective oral and written communication skills.

• Visionary professional with proven aptitude to develop and implement departmental short- and long-range goals.

• Collaborative team player with demonstrated ability to interact well with a diverse group of people at a local, national, or global level.

Technical Skills:

• Excel

• MS Access

• Word

• PowerPoint

• PeopleSoft

• CPR+

• Navinet

• Availity

• Rims

• Mobious

• Blue Chips Insurance System

Work Experience:

Collections Supervisor Apr 2022 - Nov 2023

Biotek Remedys

• Contact other insurance companies to resolve past due claim payments, discuss denials and reconsiderations.

• Contact customers to collect past due amounts. Identify any reasons for non-payment and develop plans with supervisor on how to resolve.

• Document results of contacts. Track and follow-up on customer and provide commitments.

• Handle customer receivable inquiries.

• Flag and communicate any invoicing or credit memo errors identified when applying remittances.

• Review customer balances as directed by supervisor to identify past due accounts.

• Analyze deductions and credits in customer accounts, identifying items to net, items to follow-up with customer, and items requiring potential write-off.

Authorization Specialist Sep 2018 - Apr 2022

Nemours Foundation (A I DuPont Hospital)

• Contact other insurance companies to see if coverage exists.

• Register Patients Demographics.

• Set up appointments for Audiology.

• Check in and check out patients while collecting copays.

• Verify DME benefits for patients as to coverage and collect Pre payments. Claims Specialist Jul 2017 - Sep 2018

Universal Health Services, Malvern PA

• Contact other insurance companies to see if coverage exists.

• Make sure all errors are correct so that claims process correctly.

• Verify correct billing codes are on claim.

• Handle all types of rejections whether internal or external.

• Billing with Medicare and Commercial Plans.

Accounts Receivable Supervisor Aug 2015 - Jul 2017 Fresenius Vascular Care, Malvern, PA

• Analyze customer accounts at the time of application for any skipped or partial payments, or customer errors. Contact customers immediately to resolve any remittance discrepancies.

• Accounts Receivable analysis and reporting.

• Generate AR aging reports and identify critical issues.

• Enter and maintain description codes for customer deductions and discrepancies to facilitate AR analysis and follow-up.

• Contact customers to collect past due amounts. Identify any reasons for non-payment and develop plans with supervisor on how to resolve.

• Document results of contacts. Track and follow-up on customer commitments.

• Handle customer receivable inquiries.

• Flag and communicate any invoicing or credit memo errors identified when applying remittances.

• Review customer balances as directed by supervisor to identify past due accounts.

• Analyze deductions and credits in customer accounts, identifying items to net, items to follow-up with customer, and items requiring potential write-off.

Accounts Receivable / Team Lead Jan 2013 - Aug 2015 MedRisk Inc., King of Prussia, PA

• Analyze customer accounts at the time of application for any skipped or partial payments, or customer errors. Contact customers immediately to resolve any remittance discrepancies.

• Accounts Receivable analysis and reporting.

• Generate AR aging reports and identify critical issues.

• Enter and maintain description codes for customer deductions and discrepancies to facilitate AR analysis and follow-up.

• Contact customers to collect past due amounts. Identify any reasons for non-payment and develop plans with supervisor on how to resolve.

• Document results of contacts. Track and follow-up on customer commitments.

• Handle customer receivable inquiries.

• Flag and communicate any invoicing or credit memo errors identified when applying remittances.

• Review customer balances as directed by supervisor to identify past due accounts.

• Analyze deductions and credits in customer accounts, identifying items to net, items to follow-up with customer, and items requiring potential write-off.

• Escalate unresolved issues, tracking to final resolution.

• Interface with customer to obtain documentation. Analyze and ensure appropriately authorized.

• Develop and train new hires using company philosophy to ensure compliant collection practices.



Contact this candidate