Medical Billing Office Assistant
Resume:
Zory Diaz -786-***-****
Billing and Collections Coordinator
Qualifications
Extensive experience in the Healthcare industry.
Medical billing, front desk, insurance verifications.
Collections being my forte always as a team leader of collections or senior collector.
Experienced in all aspects of collections.
Collections in all insurance Managed care - HMO's and PPO's, Workers compensation, Medicare, Medicaid and Self-pay.
Ub92 and HCFA 1500.
Experience in working denials and performing appeals.
Evaluating accounts to ensure proper collections.
Experienced in both paper billing as well as electronic billing.
Front desk, check in and check out.
All around experience in every area of a business office.
Work Experience
Senior Collections Specialist
PRRS - Sunrise, FL
July 2017 to August 2018
Lead collector, followed up with insurance carriers
Denials and appeals
Worked with all carriers.
30+ tests in Collections/Billing medical field
Office Assistant/Biller/Collector
Dr. Muchael Diamond - Miami, FL
January 2011 to August 2017
Billing, collections.
Managed front desk, insurance verifications,
Referrals and authorizations
Billing and Collections Coordinator.
Set account to go thru the first stage of processing on to billing
Appeals and denials
Followed up with insurance company and patients with self pay.
Responsible for communicating with the insurance companies on payment of claims.
Answered the patient's queries, problem and complaints and also identify the solutions.
Manages the pending accounts for billing.
Biller/Collector
United States Medical Supply – Miami, FL
July 2009 to March 2011
Responsible for aging of patients as well as insurance companies.
Ensured that referrals and all documentation present to send claims for payment.
Paper billing, electronic billing, and patient statements.
Collections - Evaluated all open and outstanding accounts.
Patient outstanding bills. Visited patient's in-hospital to negotiate and discuss bills and payments.
Followed up with all HMO, PPO, workers comp, Medicare on unpaid claims.
Evaluated spreadsheets and aging reports.
Collections Specialist
Miami International Cardiology-JHS – Miami, FL
April 2007 to July 2009
Followed up with all insurances and patient accounts.
Responsible for handling the entire international accounts - insurance as well as patients.
Spoke to patients face to face regarding questions on their co-pays or outstanding balances
Reviewed EOB's and denials from insurance company. Processed appeals.
Lead collector - worked and responsible for the three top doctors A/R - Over 4 million dollars.
Called insurance companies to obtain status on all outstanding claims.
Responsible for all incoming correspondence for my aging.
Patient accounts phone calls.
Maintained aging down. Meeting a minimum of 50 + phone calls a day goal.
Billing and Collections
American Walk-In Urgent Care Clinic, Miami, FL
August 2005 to April 2007
Followed up and called insurance companies to obtain status of accounts outstanding as well as ensuring all claims being processed.
Worked all correspondence, appeals, denials, EOB’s.
Ran statements, and reports.
Checked front desk insurance verifications.
Handled all patient phone calls, including collections from the patients.
Monitored billing.
Handled all the LOP's. Worked with attorneys.
Sent medical records to attorneys, and handled all settlement proposals.
Ran day-to-day operations of the clinic.
Managed Care Collector - Team Leader
Paralign Revenue Company – Miami, FL
January 2000 to August 2005
Worked aging reports as well as all denials and EOB's from insurance companies.
Send appeals to insurance companies.
Followed up phone calls to I insurance companies to obtain status of the claims on my aging.
Supervised 20 employees in the collections department.
Reported and worked closely with the business office manager on aging and collector progress.
Ran all aging reports for the collectors as well as delegated collection accounts to the collectors.
Responsible for preparing and determining which accounts were bad debt and which accounts to send to Collections Company
Monitored progress of our outside Collection Company as well as progress of the collectors.
Implemented new ideas and ways on how to achieve our monthly collections goals.
Education
Some college
Skills
COLLECTIONS, CREDIT, BILLING, MANAGED CARE, CLAIMS
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