Medical Billing Customer Service
Resume:
PROFESSIONAL OBJECTIVE:
Angela Y. Sweet
New Britain Ct, 06051 ***********@*****.***
Cell # 860-***-****
Seeking a position in procurement which will fully utilize abilities and acquired experience while offering a challenge and recognition and rewarding for performance.
EXPERIENCE:
July 2021- Current Pria Healthcare
32 City Hall Ave, Torrington, CT
Insurance Reimbursement Supervisor
Provide floor support for team members. Participate in coordination with other operations supervisors in a highly developed team environment. Maintain a working knowledge of all team operations and associated facility processes, while communicating and change to hourly staff. Working with insurance companies and medical billing staff to manage the billing and reimbursement process. Appealing denied authorization for specific programs. Oversee provider payment process and reporting requirements for assigned programs. Coach and motivate staff to reach individual and team goals.
March 2020- July 2021 National Seating & Mobility
151 Rockwell Dr, Newington, CT
Reimbursement Supervisor
Oversees the development and implementation of policies and procedures that ensures timely and accurate billing of customers. Interfacing with accounts receivable credit/collections. Hiring, training and supervising billing staff. Draft and distribute weekly reports of invoicing and billing metrics. Locating billing trends, project management, and advise staff on proper and legal parameters for collection practices ; ensure that all billing actions comply with company,local, state, and federal guidelines.
March 2014- March 2020 IPMS Corp
99 East River Dr, East Hartford, CT
Medical Billing Specialist
Billing new and rejected claims to Insurance Payers. Research account activity based on analysis reports denial reports and correspondence. Analyzes explanation of benefits to detect payment discrepancies and payer trends. Locating trends of rejected claims and find resolution for payment of claims. Verify receipts of electronic submissions. Charge log and
January 4, 2010- March 2014 ATG Rehab
65 Inwood Rd, Rocky Hill, CT
Funding Coordinator
Working closely with Insurance payers for authorization/Precertification of payment of Durable Medical equipment, Insurance Verification.
May 2009- January 2010 Carecentrix
111 Founders Plaza, East Hartford.
Reauthorization Rep
Reauthorizing homecare services, precertify Benefit and insurance verification.
April 2006 – May 2009 Apria Healthcare 40 Sebethe Drive, Cromwell, CT
Intake/Collections
Authorize/ Pre-certify equipment via Insurance, insurance verification / collect outstanding A/R of patients and insurance company. Accounts Receivable Certified.
SKILLS/QUALIFICATIONS:
Accounts Receivable Certified, EPIC, Healthpac IDX, Microsoft Word, Microsoft Access, Microsoft Excel, Windows, Lotus, ACIS,Terminal Server, Smart/Citrix, Smartsearch, Salesforce,and Bamboo. Over 15 years of customer service and billing skills. More skills furnished upon request.
References furnished upon request.
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