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Billing, Collection Specialist, Insurance verification

Location:
Palm Bay, FL
Salary:
22.00
Posted:
January 05, 2024

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Resume:

PATRICIA ANN RICHARDSON THOMAS

754-***-****• ad2hms@r.postjobfree.com• Palm Bay, FL 32905

EXPERIENCE

Brevard Chiropractic & Injury Center

May 2023 to Present

Billing Managment

• Balance credit card payments

• Post payments from remits and EOB's and patient payments

• Work all denials on remits and EBO

• Make phone call to insurance and patients

Insurance Verification

• Call and get member benefits

Collection Specialist

• Identify issues to prevent adjudicating claims and also do research on insuance claims

• Performed outbound and inbound phone calls from insurance company and patients

• Pull medical records that was requested from insurance company

• Process client's mail

• Request for Authorization number

Cornerstone Therapy Services

Dec 2020 to Nov 2022 Palm Bay, FL

Billing Managment

• Check Therapies charge slip for error

• Balance credit card payments

• Post payments from remits and EOB's and patient payments

• Work all denials on remits and EBO

• Made phone call to insurance and patients

• Ran AR reports for all of the insurances

Insurance Verification

• Call and get member benefits

Collection Specialist

• Analyzing A/R monthly reports

• Identify issues to prevent adjudicating claims and also do research on insuance claims

• Performed outbound and inbound phone calls from insurance company and patients

• Pull medical records that was requested from insurance company

• Process client's mail

• Request for Authorization number

• Billing for Speech Therapy, Occupational Therapy, Physical Therapy

Aspire Medical Billing

Jan 2020 to Dec 2020 Port St. Lucie, FL

Insurance Verification

• Call and get member benefits

Collection Specialist

• Analyzing A/R monthly reports

• Identify issues to prevent adjudicating claims

• Performed outbound and inbound phone calls from insurance company and patients

•Increased planning and resolving A/R problems

• Pull medical records that was requested from insurance company

• Process client's mail

• Billing for Partial Hospitalization Program, Intensive Outpatient, Outpatient Program and Detox

Edge Recovery Treatment

Collection Specialist and Billing and Insurance Verification

Sep 2018 - Nov 2019 Coral Springs, FL

Mental Health and Substance Abuse Responsible for reviewing and processing non- adjudicated claims older than 90 days

• Full charge processing of all accounts receivable and payable

• Analyzing A/R monthly reports

• Identify issues to prevent adjudicating claims

• Performed outbound and inbound phone calls from insurance company and patients

•Increased planning and resolving A/R problems

• Pull medical records that was requested from insurance company

• Process client's mail

• Billing for Partial Hospitalization Program, Intensive Outpatient, Outpatient Program and Detox

• Billing from Census

• Work from Dynamic report

• Process client's mail

• Call and get member benefits

Advance Recovery Systems

Collections Specialist, ARS

Oct 2017 - Aug 2018 Ft Lauderdale, FL

Responsible for reviewing and processing non- adjudicated claims older than 90 days Full charge processing of all accounts receivable and payable

• Work secondary claims

•Performed payment plans for patients

• Analyzing A/R monthly reports

• Identify issues to prevent adjudicating claims

•Increased planning and resolving A/R problems

K Force

Contract

Jun 2017 - Oct 2017 Sunrise, FL

Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth Created positioning and key messages to differentiate business solutions and products in market Started working at Advanced Recovery Systems permanent 10/09/2017

Professional Revenue Recovery Solutions

Medical Insurance Collector

Jul 2013 - Mar 2017 Sunrise, FL

Responsible for reviewing and processing non-adjudicated claims older than 60 days

• Full charge processing of all accounts receivable payable

• Work secondary claims

• Payment plans for patients

• Analyzing A/R monthly reports

• Identify issues to prevent adjudicating claims

• Planning resolving A/R problems

• Contacting insurance carriers

• Filing claim appeal

• Recommend production operation

• Trace claims submission

• Timely follow up on batches arrangements

• Enter on timely basis all charges, payments, credits and adjustment by pay

Team Lead in Transmitting Specialty July, 2014

• Transmitted work that was bill

• Auditing batch before transmitting

• Correcting billing error Performed clerical duties, such as word processing, data entry, answering phones and filing

EDUCATION

BA Criminal Justice

Nov 2016 Fort Lauderdale, FL

Study at KEISER UNIVERSITY

Relevant Coursework:

Private Security

Human Exploitation

Constitutional Criminal Procedures

Crime and the Media

Deviant Behavior

Victimology

Comparative Criminal Justice Systems

Criminal Justice Management

Criminal Evidence and Procedures

Cyber Crime

Ethics in Criminal Justice

Organized Crime

White Collar and Economic Crime

Drug Control

Terrorism

Workforce Diversity

Research Writing

Protective Services

Sociology of the Urban Community

Integrated Criminal Justice Capstone Project

Associate of Arts in Criminal Justice

May 2014 Fort Lauderdale, FL

Study at Keiser University

Relevant Coursework:

Political Science

English Composition l

Introduction to Criminal Justice Criminology

Introduction to Corrections

Introduction to Juvenile Procedures

English Composition II

Introduction to Psychology

American Literature

Criminal Law

Microeconomics

Introduction to Law Enforcement

General Biology

Advanced Biology

Intermediate Algebra

College Algebra

Speech

Statistics

Introduction to Computers

REFERENCES:

Joyce Smitter: Chief Executive Officer ad2hms@r.postjobfree.com 301-***-****

Christi Dutchess:MS,OTR/L,CHC:ad2hms@r.postjobfree.com 317-***-****

Christopher Alvarez: Director of Admission ad2hms@r.postjobfree.com 860-***-****

HIGHLIGHTS

Chirotouch

EPIC

Clinicsource

IDX

AdvanceMD PM

Collaborate MD

AMD

Med iSOFT

ZirMed Microsoft Word & Excel

Avatar

Sunwave Health Solution

Office Ally

Customer Contact

Accounts Payable/Accounts Receivable

PROFESSIONAL SUMMARY

Dedicated to work Collection Specialist and Account Receivable and also billing. Work in the field over 25 years in accounts receivable and collections. Have adept at reaching out to account holders by phone, mail and email. Have skilled in resolving collection issues, adjusting accounts and correcting discrepancies or short payments. Learn excellent knowledge of collection and claims procedures with strong communication skills utilized in resolving customer queries. Skilled in accurately preparing weekly and monthly reports within tight deadlines.



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