AR Refund Specialist
Resume:
Objectives
Seeking a challenging role in Accounts Receivable to contribute to the success of the organization. Strong multitasking, organizational, customer service and data entry skills.
Experience
Ashe Pediatrics - West Jefferson, NC
Office Assistant
March 29, 2022 to March 01, 2024
Registered patients and created charts
Referred calls/accounts to appropriate parties based on customer inquiries
Scheduled appointments and maintained calendars
Obtained and verified patient’s personal, insurance, and billing information. Scheduling and routine office duties
Medical records - Audited charts daily for completeness and accuracy, maintain 95% accuracy
Saved appropriate documents in the designated folders daily and updated logs
Simplified data retrieval processes, department records maintenance, and typing and compiling of reports.
Updated the patient account record to identify actions taken on the account
Established payment arrangements for patients
Received and processed credit card payments
Resolved patient questions and complaints
Adherence to state, federal, and legal standards regarding Protected Health Information (PHI),
Personal Identifiable Information (PII) and Personal Transaction Identifier (PTI).
Ashe Memorial Hospital – Jefferson, NC
Office Clerk – Accounts Receivable Specialist – Billing and Follow-up Rep
February 12, 1996 to May 23rd 2019
Collected payments for services rendered
Verified insurances and corrected claims
Researched claim denials and contacted insurance
Reviewed and prepared for posting, all EOB's assigned to determine proper allowance and correct write off
Retrieved ACH payment remittances from payer websites
Audited payment history to review for accuracy
Called insurance companies for missing EOBs
Followed up on any unapplied payment in a timely manner
Generated quarterly reports for refunds and overpayments to Medicare and Medicaid
Reviewed credit balances on accounts to see if patient or insurance refund
Processed requests from insurance companies requesting a refund
Established payment arrangement for patients
Prepared regular reports on accounts receivable status and aging
Posted insurance and self-pay payments manually
Handled incoming returned checks for proper processing
Prepared and reconciled daily bank deposits for multiple divisions
Reconciled payments posted to bank statement
Resolved patient questions and complaints
Maintained accurate documentation of all attempts/ and or contacts made and received for accounts
Created and maintained month-end and year-end close processes
Adherence to state, federal, and legal standards regarding Protected Health Information (PHI),
Personal Identifiable Information (PII) and Personal Transaction Identifier (PTI).
Education
Wilkes Community College
Associate Degree in Business Administration
Certifications
Certified Patient Account Technician-05/2012 to 05/2015
Certified Patient Account Technician-05/2015 to 05/2018
BSAC-Basic School Age Care-08/2019
23 credits toward Early Childhood Education Diploma-08/2019 to 07/2020
References
Jody Cheek, Financial Counselor at Ashe Memorial Hospital
6 years
Kendra Turnmire, Referral Coordinator at Ashe Pediatrics
2 years
Pam Lyalls, Financial Counselor at Ashe Memorial Hospital
21 years
Iva Lea Miller, Personal
31 years
Carrie Gardner, English professor at Wilkes Community College
4 years
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