Accounts Receivable Payment Posting
Resume:
PENNY LYNN
ADAMS
Yucaipa, ***** CA 909-***-**** *********@*****.***
Summary
Experienced healthcare professional with over 30 years in pharmacy reimbursement, specializing in claims auditing, payment posting, and prior authorizations. Skilled in managing Medicare, Medicaid, and private insurance reimbursements, with a strong focus on reducing A/R and ensuring payment accuracy. Proven ability to streamline billing processes and improve revenue cycle efficiency. Skills
+ Reimbursement Processing « Problem Solving
« Payment Posting « Medical Billing
+ Team Leadership « Cash Applications
» Accounts Receivable « Insurance Verification
« Claims Auditing « Denial Management
Employment History/Experience
ACCOUNTS RECEIVABLES 09/2021 - 03/2024
Alto Pharmacy - San Francisco, California
* Reduced payment posting errors by 15% through auditing and reconciliation.
« Contacted payors, resolving outstanding A/R accounts over 360 days.
» Increased reimbursement accuracy by 20% through detailed reviews.
+ Managed payor payments for accurate, timely reimbursements.
« Completed special projects focused on optimizing reimbursement and collection processes. REIMBURSEMENT SPECIALIST 09/2020 - 09/2021
Kroger Specialty Pharmacy - Garden Grove, California
* Processed claims, appeals, and refunds, reducing denials by 15%.
» Acted as backup for cash applications, supporting reimbursement workflows.
« Managed reimbursements for 100 payors, improving collection rates by 10%.
» Assisted patient enrollment in financial hardship and assistance programs.
+ Resolved billing discrepancies, ensuring accurate copayments and payment processing. REIMBURSEMENT SPECIALIST 03/2019 - 09/2020
BMR Partners / PMKM - QHI / PGBB SCRx - Ontario, California L]
-
[ ]
Maintained accounts receivable under 45 days, increasing cash flow by 15%. Scanned and audited billing records, ensuring accurate payer reimbursements. Processed Medicare/Medicaid claims, improving claim accuracy by 20%. Submitted and resolved claims, ensuring timely payment and appeal processes. Managed billing, clearing, and follow-up for oral medication reimbursements. ADMINISTRATIVE ASSISTANT 01/2018-11/2018
Western San Bernardino County Bar Association - Rancho Cucamonga, California Ensured accurate filing of financial records, increasing audit readiness by 10%. Assisted with billing tasks, improving invoice processing and payment accuracy. Processed event payments, ensuring timely transactions and accuracy. Managed internal communications, enhancing office workflow and operations. Coordinated events, handling payments and tracking budgets efficiently. DESIGNATED HITTER 06/2017 - 11/2017
Walgreens - Yucaipa, California
-
L]
-
L]
-
Handled customer inquiries, resolving prescription billing issues by 10%. Assisted pharmacy staff with insurance verification and prescription data entry. Processed patient copayments for accurate billing and timely reimbursements. Supported payment processing for pharmacy services and retail transactions. Liaised between patients and payors, addressing insurance-related discrepancies quickly. LEAD PHARMACY TECHNICIAN 02/2010 - 08/2016
Community Healthcare Services / NCHS-Holdings - Loma Linda, California
-
L]
Processed Medicaid/Medicare claims, reducing rejection rates by 10%. Submitted reports to agencies for high-cost medication reimbursements. Managed high-cost therapy reimbursements, boosting efficiency by 15%. Trained staff on reimbursement and cash application procedures daily. Facilitated accurate copayment billing for insurance, improving reimbursement processes. Qualifications Summary
Crafton Hills College - Crafton Hills College
Criminal Justice, 01/1982
Redlands Sr. High School - High School
01/1979
Qualifications Summary
-
L]
.
30+ years of leadership experience with varying degree of responsibilities. 30+ years in healthcare, focusing on pharmacy and reimbursement. 15+ years of billing and collections, audit, training, and process improvement projects. ADDITIONAL EXPERIENCE
Board of Directors Trustee / Redlands Bicycle Classic (1992 - Present)
« Led event planning, increasing participation by 20%.
« Secured sponsorships, boosting event funding by 15%.
+ Reviewed contracts, ensuring compliance and financial success. Chief Race Marshal / Volunteer Coordinator / Redlands Bicycle Classic (1992 - 2017)
« Managed 400+ volunteers, reducing operational costs by 10%.
« Improved volunteer retention by 25% through effective training.
+ Developed feedback systems for better volunteer management. Volunteer Coordinator / Redlands Chamber of Commerce (2012 - Present)
« Optimized schedules, reducing staffing shortages by 15%.
« Recruited and trained 100+ volunteers for city events,
« Coordinated with officials to streamline volunteer management.
Contact this candidate