Manager Insurance
Resume:
Barbara J. Viti
Oro Valley, AZ 85704
Email: adbeuj@r.postjobfree.com
Objective
To continue to accelerate provider cash flow with professional in depth problem solving skills, third party payer knowledge along with in depth follow up experience. Enjoying the challenge of working large dollar accounts. Familiar with EPIC & collected $6.7 million in 2017 not including hospital contractual write offs.
Experience
04/21/1996 to 08/5/2018 Senior Account Coordinator ARS East Greenwich, R.I.
nExtensive follow up with all health insurance carriers resolving large dollar COB denials along with obtaining rapid provider reimbursement including MSP and Commercial insurance claims.
nUpdating Medicare CWF files, working with patient’s attorneys and provider for resolution of:
nWorkers comp and personal injury claims. Follow up on preexisting denials and corresponding with insurance carriers for the purpose of disputing, appealing denials and requesting release of claims from COB status. Including patient involvement if necessary.
nResearching and resolving involved patient account problems for manager along with tracking unbilled claims nearing timely filing.
01/1989 to 11/1995 Collection Manager St. Joseph and Fatima Hospitals, R.I.
Responsible for Cashier offices, Self Pay Call Office, Interviewing inpatients while still in hospital
n Fill out Medicaid applications and set up payment plans. Assigning large dollar accounts to bad debt or charitable write off. Overseeing Medicare and Blue Cross audits of hospital accounts.
nAccompany patients to DHS and assist with documents needed for Medicaid eligibility.
nAssisting Cashier’s office as needed.
Select Collection agencies along with computer interface needed to transfer from billing to self-pay to bad debt. Rewrote hospital policies and procedures for the department.
FM Global Johnston, R.I. 10 years 2 promotions received in Collections Department
Commercial Collections b2b Supervised Multi Peril Collection Department
Collected premiums from insurance brokers and working with FM Global district salespeople. Wrote department policies and procedure manual.
Education
Norwalk Community College
Norwalk, CT 06854
Associates Degree 1973
References
Available upon request
Contact this candidate