Medical Billing Delivery Driver

Carmen Durst

R e v e n u e C y c l e B i l l i n g S p e c i a l i s t - A / R - B u s i n e s s

O f f i c e M a n a g e r

Ph:314-***-****

Email:********@*****.***

SUMMARY

Looking to utilize my professional knowledge and exceptional communication skills as a motivated self starter. My expertise in medical billing and collections, accounts receivables and payables, and customer relations has developed my troubleshooting skills and will offer professional and personal growth opportunities.

E D U C A T I O N — EXPERIENCE

St.Louis Job Corps 1991

Studied Business Office

Technology

Graduated Valedictorian

3.9 GPA

High school graduate

May 2024 until May 2024

Business Office Manager

Crestwood Healthcare Center

April 2016 until September 2023

RCM A/R Specialist • Billing/Collections • RTI,Inc/Envision Physician Services

May 2018 thru Current

Independent Contractor • Delivery Driver • Everspring Pharmacy March 2006 until March 2016

Billing/PharmacyTech • Biller/A/R-Payables/Trainer/Pharmacy Tech • Interlock Pharmacy and Norwood Pharmacy

Daily oversight of all A/P’s, posting deposits and withdrawals for residents, made daily bank deposits, managed RTF’s (residents trust funds) accounts, provided protective oversight on residents, completed environmental assessments of residents living areas. 20+ years of Revenue Cycle Management in medical billing and collections. Strong understanding of medical billing and insurance reimbursement. Ability to read and interpret explanation of benefits and explanation of payments. Great use of time management to multi-task and handle competing priorities while meeting and exceeding deadlines. Excellent interpersonal and communication skills. Proficient with Microsoft Office, including Excel and Outlook. Able to communicate effectively and professionally ensuring that all intended messages and/or communications are understood and clear to all.

Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self pay to obtain maximum reimbursement Review and work incoming insurance and patient

correspondence including refund requests

Send appeals when appropriate and provide the

requested medical documentation

Review patient balances to ensure accuracy and follow-up with patients to obtain payments.

Leverage knowledge of Medicare, state Medicaid, and local coverage determinations for claim resolution. Review insurance payments for accuracy of

reimbursement based on contracts and fee schedules Verify and ensure provider credentials and enrollment to guarantee payment for services

Take incoming insurance and patient calls to resolve inquiries, billing issues, and outstanding balances Medicine delivery driver

K E Y S K I L L S — COMMUNICATION

Able to communicate effectively and professionally ensuring that all intended messages and/or communications are received and understood and clear to all. My ability to show empathy and patience while interacting with patients, clients, and colleagues earned me the STAR AWARD recipient of the billing department. L EADERSHIP

Helped to lead, train, and develop new hires into knowledgeable and confident billers by being empathetic and patient. Established a positive rapport with co-workers to maintain consistency with accuracy, quality customer service, and dependability for the customers and clients we serviced.

REFERENCES

Available upon request

Contact this candidate