Collections Specialist Customer Service

Douglas H. Ritson

El Paso, Texas ***** Cellular: 915-***-**** *******@*****.***

SUMMARY OF QUALIFICATIONS

A committed and results-oriented executive with over 20 years of expertise in medical billing, health care, and marketing. Expert at customer service, negotiation, medical terminology, coding, and collections. Subject matter expert in payment risks, rules and regulations compliance, and industry best practices. Skilled at researching trends and guidelines to create accurate financial solutions. Maintain a track record of meeting company goals and targets while meeting deadlines. Possess exceptional research, analytical, organizational, and problem-solving skills. Highly competent in working collaboratively with professionals at all levels. Characterized for meticulous attention to detail, superb communication skills, and commitment to service.

CORE COMPETENCIES:

• Health Care Management • Banking • Human Resources • Compliance • Account Management • CRM • Lending Strategies • Customer Retention • Financial Accounting • Legal Rules and Regulations • HIPPA & FDCPA • Risk Analysis • Sound Judgement • Business Administration • Sales & Marketing • Communication & Negotiations •

Proficient in Microsoft Office, Automation Systems & Software

WORK EXPERIENCE

SUFFIELD SCHOOL DISTRICT 10/2011 – 06/2016

PARAPROFESSIONAL SUBSTITUTE Suffield, Connecticut

Provided academic and morale support for physically and developmentally disabled students in Pre-School. Assisted in managing student activities and behavior while guiding and promoting them to master educational concepts and self-management skills. Employed crisis intervention techniques and adhere to safety program guidelines.

Observed student behavior to collect and organize data to implement best practices for the student to grow and succeed. Collaborated with departmental staff, parents, and therapists. Participated in staff meetings and training programs.

Key Achievements: Took initiative to build rapport with students considered difficult and successfully achieved tremendous progress in meeting educational and physical milestones.

PROFESSIONAL BILLING & CODING SERVICES 01/2009-04/2010

COLLECTION SPECIALIST Roseburg, Oregon

Collected self-pay accounts for various medical providers while maintaining a comprehensive knowledge of payer compliance practices, providing necessary education and feedback as necessary. Monitored productivity to ensure timely completion of billing functions. Supported departmental goals and objectives.

Key Achievements: Awarded bonuses for meeting and exceeding percentage goals due to strong ability to speak persuasively and explain clearly to patients.

NORTHWEST MEDICAL CENTER 09/2005 – 02/2008

REFUND SPECIALIST (10/2006 – 02/2008) Tucson, Arizona

Reviewed refund requests to determine appropriate resolutions. Performed research to verify amounts due and billing codes are correct. Ensured insurance company paid according to hospital contract. Issued patient and insurance company refunds. Processed account adjustments.

Compiled weekly and monthly data for credit balance reports. Followed up on open balances. Reviewed and maintained patient demographics and payer information according to set protocols and procedures.

Key Achievements: Commended for competence to learn and implement new technologies, excellent multi-tasking, and a strong ability to resolve balance discrepancies.

PREADMISSION REPRESENTATIVE (09/2005 – 10/2006) Tucson, Arizona

Verified patient eligibility and benefits with insurance companies and programs such as Medicare, Medicaid, Crime Victims, vocational rehabilitation, QMS, SSI, and all other third-party financial programs.

Preregistered patients prior to procedures and verified demographics. Calculated patient financial responsibility via estimation tool. Secured payment by collecting and providing information pertaining to hospital admission policies.

Key Achievements: Offered a position to initiate a new program due to strong knowledge of medical insurance and billing, collections and HIPAA, EMTALA, and PHI.

Douglas H. Ritson Page 2

WORK EXPERIENCE (Continued)

BANNER - UNITED MEDICAL CENTER 12/2003 – 02/2005

TPL BUSINESS OFFICE COORDINATOR Tucson, Arizona

Processed third party liability insurance claims efficiently and accurately. Supported physicians and patients by coordinating needs and requests. Collaborated with Law Enforcement for auto accident reports.

Communicated with patients to acquire information regarding accidents and auto insurance information. Provided excellent customer service and accurate information regarding products, services and procedures.

Verified medical pay and liability coverage on auto insurance. Filed hospital liens when required with country recorder against auto insurance. Maintained contact with adjusters and attorneys to ensure hospital bills are paid in full.

Key Achievements: Commended for diligent research, prioritization skills and accurately managing big accounts.

EDUCATION

Associates of Arts in Healthcare Administration, University of Phoenix, Phoenix, Arizona, 02/2012

Relevant Courses Include: Health Care Management; HC Communication Strategies; Human Resources in HC; HC Information Systems; Business Communications and Critical Thinking; Computer Applications and Systems; Management Theory and Practice; Principles of Accounting; Public and Community Health; Legal Issues in HC: Regulation and Compliance; Facility Planning; HC Financial Accounting; HC Consumer – Trends and Marketing; Economics: The Financing of Health Care; HC Research Utilization

CERTIFICATES

Certified in Coding and Insurance, El Paso Community College, El Paso, Texas, 2015

Health Management Certificate, University of Phoenix, Phoenix, Arizona, 02/2012

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