Follow-Up Accounts Receivable
Resume:
Patricia A. Emilien
ad5wxx@r.postjobfree.com
OBJECTIVE
Seeking an opportunity with a successful company which provides growth potential and opportunity for career advancements.
QUALIFICATIONS
I currently have 23 years of experience in the health care industry in the areas of insurance follow-up, insurance verification and online billing. My attributes as being a diligent hard worker, team player and dependable employee will prove to be an asset to the company’s success.
EDUCATION
Certificate obtained, Meadows Draughon Business College
High School Diploma, John McDonough Senior High School
EMPLOYMENT
April 11, 2014 – April 03, 2023
Insurance Specialist, Houston Cardiovascular Associates (HCVA)
Assign patient accounts to collection agency.
Contact insurance providers for claim status.
Follow-up with Payers for accounts receivable
Make contact calls to patient when required.
Mail paper claims for primary and secondary payer
Process insurance adjustments
Process patient credit card payments
Receive patient incoming calls and research accounts.
Review physician daily appointment schedules
Review claims processing on daily basis
Review and process insurance and patient refunds
Review and process all explanation of benefits.
Submit medical records to insurance company when requested
Submit appeal letters to insurance company.
Worked Insurance and Patient Queue
Data Entry of EKG (building new patient record with charge; dx])
Distribution & Lookup of Mail; EOB’s and billing statements
September 24, 2012 – April 11, 2014
Insurance Follow-Up, Patient Financial Services (PFS GROUP)
Follow-up with Payers for accounts receivable
Assisted onsite in appeal process of denied claims
Assisted in Customer Service Area
Assisted with Training of New Hires for various projects
Communicate with onsite liason
August 3, 1998 – September 24, 2012
Customer Care Supervisor, Xerox formerly ACS
Manage and Supervise Team Leads and Staff
Monitor Productivity and Attendance
Perform Quality Assurance for accounts worked
Provide Annual Evaluations for staff members
Communicate Department Activity to upper management
Provide Strategy to achieve maximum collections
Work with onsite liaison to address any issues requiring support
AR Management
Generating Select Statements
Interview new hires
Supervised all aspects of the inventory
(Insurance Follow-Up, Verification and Customer Service)
Team leader, ACS Formerly Patient Accounting Service Center (PASC)
Collector follow-up on accounts
Monitor collector’s productivity
Review Accounts for Quality and Accuracy
Generated Reports and uploaded to excel
Maintain attendance and punctuality
Distribute work assignments
Assist in the training of new hires on cubs, client systems
Verification of Commercial, Medicare and Medicaid Eligibility
Billing Medicaid Online
Insurance Follow-Up, Patient Accounting Service Center (PASC)
Follow-up with Payers for accounts receivable
Assisted onsite in appeal process of denied claims
Assisted in Customer Service Area
Experience with Microsoft Excel, Microsoft Word and 10 key calculator
TDHConnect (Medicaid online billing system)
Veritus (Medicare eligibility and viewing claim status)
IDX (various versions)
SMS
Meditech
Stockell
ZIRMED
EPIC
CUBS
References available upon request.
Contact this candidate