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Data Entry Insurance Specialist

Location:
Alpharetta, GA
Posted:
June 10, 2022

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Resume:

BRIDGET CORRY

**** **** ***

McDonough, Ga *****

917-***-**** adrcwz@r.postjobfree.com

SUMMARY

Professional Billing Specialist with strong focus on quality and attention to detail. Reconciles insurance and patient payments and resolves account disputes while maintaining strict patient confidentiality. Dedicated, results-oriented, and customer focused leader who builds and motivates teams to achieve company goals. Skills

PROFESSIONAL EXPERIENCES

PMAB

2016-2019

Insurance Specialist

. Outbound calls to Insurance companies to follow up on unpaid claims 60 to 90 days pass due Collection 89-90% of receivables. Correctioning claim errors reabmittin corrected claims. Researching and resolving claim submission errors with Medicare, Medicaid, Blue Cross/ Blue Sheild and all other 3 party insurances GM Financial, Charlotte, NC 2013-2016

Collections Specialist

• Assist Customers on a dialer Collect car payments and set arrangements to bring delinquent accounts current.

• Reinstating Loans deferring loans, taking over 100 calls per day collecting 75% check by phones and debit cards.

• Received monthly awards for clearing check by phones Received attendance awards and performance awards.

• Achieved Compliance awards monthly

HUMANA, Charlotte, NC 2008 – 2012

Lead, SR Member Services

Supervised 17-21 team members with Medicare product. Designed and implemented training for new hires on Medicare Advantage plan product.

● Mentored team to reach Medicare goals and company expectations, consistently achieving goal of 90% supervised scheduled shifts and breaks.

● Satisfied unhappy plan members by assisting team with escalated calls.

● Supervised all projects and prepared overtime team for Medicare projects. Mentored Team of 21, ensuring productivity goals was met.

● Improved teamwork and morale by listening to team and making sound decisions.

● Selected by management to train new employees on Medicare product due to broad Medicare knowledge and experience.

CAROLINIA DIGESTIVE, Charlotte, NC 2006 – 2008

Medicare Accounts Receivable Specialist

Cash Posting, Payment posting and Lockbox, Cash reconciliations, Managed Medicaid, Medicare and BC / BS accounts receivables for Digestive Health Practice, followed up with Medicare on timely payments. Adjusted claims with correct modifiers, ICD-9 codes, and CPT codes. Post payments and charges. Took incoming calls from patients concerning outstanding bills and updated insurance information, Took cash payments at Office.

● Achieved all goals: collected over 95% of receivables;

● Medicare and Medicaid Billing ● Medical Insurance ● Excellent Interpersonal Skills

● Payment Posting, Charge Entry

● Record Origination Management

● Online Claim Submission

● HIPPA Compliance

● Insurance and Patient Aging

● Excellent Phone Skills

● Various Practice Management

Software

● AS400

● Posted all payments accurately; and balanced all reimbursements to deposit.

● Posted charges accurately, achieving zero aging accounts after 90 days. BETH ISRAEL MEDICAL CENTER, New York, NY 1994 – 2006 Department of Otolaryngology Billing Liaison

Cash Posting, Payment Posting and Lockbox

Managed accounts receivable for 3 Providers – Otolaryngologist, Maxi facial specialist, ENT Specialist. Follow up with insurance payments, HMOs, PPOs, Medicare, Medicaid and Medicaid Advantage plans and Blue Cross / Blue Shield. Collected 90% of accounts receivables and payment posted 100% of collections. Deposit all collections, Took cash payments for upcoming surgeries and copays. Prepared predeterminations and set payment plans for patients with planned surgeries. Posted all charges performed at practices asset with Medicare CPT Codes and Modifiers thru the IDX system.

● Researched charities including American Cancer Society, facilitating needed treatment by securing financial assistance for uninsured cancer patients.

● Billed Claims aging 60 – 90 days and collected 90% of receivables by following up with insurance companies after posting charges and sending claims for payment. Corrected CPT codes and Dx codes, ensuring all claims were submitted accurately.

● Eliminated separate coding for data entry by making sure CPT codes, ICD 9 codes, and Medicare modifiers were accurate before submitting claims.

● Selected to train IDX Billing System due to System and Billing knowledge and past experience.

● Received numerous perfect attendance awards including gift cards, certificates, and additional time off.



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