Reconciliation Specialist Insurance
Resume:
Mary Boatfield
Rockvale, TN **153
Cell: 256-***-****
Email: *********@*****.***
Career Objectives:
To obtain a challenging position where my skills and knowledge in the field will help to develop the growth of the organization.
Education Summary:
Jacksonville State University, Jacksonville, AL-2000
Etowah High School, Attalla, AL-1992-1995
Summary:
Nineteen years of professional experience in handling insurance policies
Strong knowledge of insurance regulation and instructions
Good command over verbal and written communication
Skilled in various insurance remits and sending of electronic claims
Problem solving skills with audit trails and claim rejections
Effective interpersonal communication and time management skills
Collections and AR reporting skills
Cashing posting experience
Have worked in Athena, Medik, and Nexgen
Experience:
Bank Reconciliation Specialist 5/19-Current
Steward Medical Group
Franklin, TN 37067
Reconcile Bank Accounts using establish controls
Provide month end finance reports
Manage Intercompany Transfers
Reconcile patient account postings to deposit in bank
Resolve I applied cash issuers
Upload remits for posting in system
Posting payments as received by 48 hours of receipt
Cash Poster 08/2017-05/2019
Summit Behavioral Health
Franklin, TN 37067
Accurately posting all patient and insurance payments to patient accounts as received daily, taking appropriate contractual adjustments
Downloading electronic remittances from payers and accurately post to patient accounts
Balancing and closing each payment batch
Required to have all transactions posted for closing month
Posting payments as received by 48 hours
Cash Poster 08/2015-08/2017
Foundation Recovery Network
Brentwood, TN 37027
Accurately posting all patient and insurance payments to patient accounts as received daily, taking appropriate contractual adjustments
Downloading electronic remittances from payers and accurately post to patient accounts
Balancing and closing each payment batch
Required to have all transactions posted for closing month
Posting payments as received by 48 hours
Refund Specialist 06/2013-06/2015
Community Health Systems
Antioch, TN 37013
Processes refunds to patient and insurances accounts
Work insurance overpayments request letters received by fax and telephone
Submits adjustments to reverse overstated contractual or to transfer patient overpayments to another account
Completes refund request with appropriate backup documentation
Pulls EOB’s and required documentation for audit
Insurance Specialist 02/2009-05/2013 (Community Health Systems)
Southside Medical Clinic
Southside, AL 35906
Responsible for billing out insurance claims accurately to insurances companies to receive proper payments
Posting of all patient and insurance payments through mail or electronic
Making sure all payments are posted on last day of month for the closing of month end
Printing patient statements and mailing to correct address
Working overpayments for patient and insurance
Helping fill in at front desk
Monitoring of AR/Aging Report
Following up on claims that denied by payer
Assigned responsibilities of closing of the front office cash drawer and balancing of the of the daily worksheets
Reviewing and preparing for refunds to patients and insurance payers
Workman’s Compensation Specialist 2008-2009 (CHS)
Gadsden Regional Medical Center
Gadsden, AL 35901
Responsible for the follow-up on all hospital Workman’s Comp cases
Sending UB04 claim forms to companies
Assigned the responsibility of the AR
Admitting Clerk 2004-2008 (CHS)
Gadsden Regional Medical Center
Gadsden, AL 35906
Responsible for establishing correct information for all patient testing
Daily responsibility for insurance verification
Collection of insurance copay and deductibles
Handled the closing and balancing of cash drawer
PBX Operator 2001-2004 (CHS)
Gadsden Regional Medical Center
Gadsden, AL 35901
Direction of incoming hospital calls
Direct responses to all emergency codes and stat pages for facility
References:
Lauren Cameron
Former Supervisor
Foundation Recovery Network
Leza Martin
Former Supervisor
Steward Medical Group
Contact this candidate