ADELINA VASQUEZ

**** *** *** **.

Mesquite, Texas 75149

adnmiu@r.postjobfree.com

214-***-****

EMPLOYMENT HISTORY:

Fresenius Medical Care April 29,2013-Feb 28, 2014

Self-Pay Collector

. Responsible for driving the FMS culture thogh values and customere service standards.

. Accountable for outstanding customer service to all external and internal customers.

. Develops and maintains effective relationships through effective and timely communication

. Takes initiative and action to respond, resolve and follow up regarding customer service

Issues with all customers in a timely manner.

. Utilizes the Medicare Direct Data Entry System to identify and resolve any claims that have

Been Returned to Provider(RTP)

. Generates and monitors all work lists specific to the Collections Role, including:

The Remittance Discrepancy Work List, which identifies claims where payment was denied

Or less than expected reimbursement.

. The Commercial insurance Aging Work List

. The Overdue Guarantor Aging Work List.

. Identifies need for insurance changes and completes required forms to initiate request.

. Transfers balances to correct payer.

. Initiates re-bill of unpaid or underpaid claims.

. Processes non cash related adjustments per established guidelines.

. Initiates appeal request per payer guidelines.

. Notifies the legal department and places collection activity on hold when a bankruptcy

Notice is received per FMS bankruptcy policy.

. Other duties as assigned.

. Systems used was Sorian, Medical Mgr.Word, Excel

Pediatrix Group Sept. 03, 2012 – Jan 03, 2013

Collector Administrator

Biller and Account Collections:

Filed all claims in a timely manner

• Send statements in a timely manner

• Investigate, analysis and follow-up for collection of overdue accounts

• Write appeal letters for denied or underpaid claims

• Made recommendations for referral to collection agency, bad debt or courtesy write-off

• Responded to legal proceedings such as filing claims thru Bankruptcy Court, creditor claims for deceased patients

• Initiate and responded to telephone inquires form clients, patients and others

• Reported to and worked directly with the Office Manager/Team Lead

Dallas Pulmonary April 21, 2003 – Oct 01, 2010

Billing Specialist/A/R Representative

Medical Receptionist

Complete insurance forms

Compute and mails monthly statements to patients and records transactions

Contact medical facility or department to schedule patients for tests

Maintain medical records

Receive payment for bills

Schedule appointments

Biller and Account Collections:

Filed all claims in a timely manner

Send statements in a timely manner

Investigate, analysis and follow-up for collection of overdue accounts

Write appeal letters for denied or underpaid claims

Made recommendations for referral to collection agency, bad debt or courtesy write-off

Responded to legal proceedings such as filing claims thru Bankruptcy Court, creditor claims for deceased patients

Initiate and responded to telephone inquires form clients, patients and others

Reported to and worked directly with the Office Manager

Parkland Memorial Hospital April 01, 1985 – Mar 31, 2003

Billing/Collection Representative

Patient Service Representative:

Admitted and discharged patients

Financial counselor

Verified insurance

Answer telephone and directs call to appropriate staff

Compile and records medical charts, reports, and correspondence, using typewriter or personal computer

Greet visitors, ascertains purpose of visits, and directs to appropriate staff

Maintain medical records and correspondence files

Prepare and transmits patients' bills

Route messages and documents such as laboratory results to appropriate staff.

Schedule patient diagnostic appointments and medical consultations.

Transmit correspondence and medical records by mail, e-mail, or fax

Parkland Memorial Hospital April 01, 1985 – Mar 31, 2003

Billing/Collection Representative

EDUCATION:

Aug 1983 – Aug 1986 Southwestern University – Waxahachie, Texas

Education Level: Associates Degree

Major: Business

GPA: 3.25

Total Hours: 116.0

Graduated: Yes

TRAINING:

July 01, 1985 - Aug 05, 1985 Parkland Memorial Hospital

Medical Terminology

Medical Terminology Certificate

Status: Completed

COMPUTER SKILLS:

Typing Speed: 80 wpm

LANGUAGE SKILLS:

Bi-lingual

English (Read, write and speak)

Spanish (Read, write and speak)

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