Registration Specialist Medical Billing
Resume:
Arleen Pearson
Broadview, IL. *0155
*******@*****.***
To obtain a Bill & Collect Specialist position that will utilize my experience in billing Medicare, Medicaid, Managed Care, supplemental insurance, and problem-solving skills
PROFESSIONAL SUMMARY
Skilled, dependable, and effective with Patient Accounts have excellent oral, written and interpersonal skills. Identify account discrepancies and issues that hindered claim payment. Maintain Compliance and HIPAA standards at all times. Receive recognition from management for reaching weekly productivity call ratio
QUALIFICATIONS
Review Explanation of Benefits
Good Problem-solving skills
Familiar with insurance terminology
File Appeals
Contact insurance carriers
Verify demographic information
Aging A/R
Retrieve Medical Records
Supplemental insurance
Work in a fast-past setting
Responsible and dependable
Training of New hires
SKILLS
Databases: Epic, Rehab toolkit, Insync, Heath Logic, Waystar-/Zirmed, Image Silo, Next Gen, NGS -Connex – Medicare, OneSource/Passport, Availity
Operating Systems: Windows 7, Windows XP, UNIX, Linux Red Hat,
Software : MS Office, Email Outlook, Telecommunication system
Billing,CPT, ICD-9, ICD-10 Medicare/Medicaid &Supplemental claims CMS HCFA1500 Forms
PROFESSIONAL EXPERIENCE
Linden Oaks Hospital - Naperville IL. 10/16/2020 – Present
Intake Registration Specialist
· Assisted patients in the financial entry into treatment
· Registered, reviewed, and corrected patient registration information
· Verified insurance coverage and eligibility for hospital inpatient and outpatient accounts
· Worked closely with other departments regarding the certification process and exchanges and/or relays patient insurance information
· Communicated with all uninsured patients to discuss options and obtaining payment when necessary
· Supported the ARC Clinical staff with precertification, preparation, and completion of the admission paperwork
Cognizant - Lombard. IL 03/2020 - 8/2020
Medicare Billing Account Receivable Specialist
Analyzed and apply denials, processed and reviewed insurance claims
Maintained Compliance and HIPAA standards
Performed basic medical collections duties and Interpreted Explanation of Benefits for
follow up action.
Reviewed and determines accuracy of demographics,
Athletico - Westmont. IL 03/2019 - 03/2020
Medicare Billing Associate AR Rep
Applied payments and denials to third party carriers in all media types
Interpreted Explanation of Benefits for appropriate follow up action
Completed refunds / adjustments to customer’s accounts, while providing back - up information to maintain accuracy
Contacted third - party carriers to follow up on denied and un - responded claims
Released electronic files and resolve error reports
Analyzed and apply denials, process and review claims via insurances website and billing systems
Evaluated and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
ATI Physical Therapy - Bolingbrook, IL 04/2012 - 03/2019
Medicare/Medicaid Claim Specialist - Government Payers
Answered calls, voice mail and correspondence within department standards for account resolution.
Reviewed unpaid accounts, review denied claims, unpaid claims, account balances, updated notes on accounts as they are worked.
Reviewed and determines accuracy of demographics,
Worked with insurance companies to resolve payment of claims via telephone, bring current or collect past due accounts.
Determined and take appropriate action for delinquency and nonpayment of accounts.
Completed refunds / adjustments to customer’s accounts, while providing back - up information to maintain accuracy
Edward-Elmhurst Healthcare - Naperville, IL 03/2016 - 05/2017
Patient Services Representative
Greet patients and patient families arrivaling for schedule appointements.
Answered phone calls.
Register patient by obtaining pertinent information such as name, demographic data, insurance coverage according to the hospital procedures information into the computer system.
Balances actual daily receipts with computer-generated total and prepares day end close and deposit
EDUCATION
Associate Degree: Science of Medical Billing and Coding
Colorado Technical University
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