Insurance Specialist Medical Billing

QUERITA (RITA) WALLACE

*******@*****.*** 615-***-**** La Vergne, TN 37086

Summary

Enthusiastic client services professional with strong background directly interfacing with industry customers. Well-versed in products, services and consumer trends. Dependable achiever committed to holding highest ethical

Skills

Accounts Receivable

Report Creation

Credit Collection

Medical billing

Medicaid and Medicare knowledge

Payment Posting

Time management

Written and verbal communication

Multi-tasking

Organizational skills

Experience

Philips Healthcare Nashville, TN 3rd Party Service Specialist 06/2019 - 08/2022

I issued PO to Flied Service Engineers to service equipment under Philips contracts.

Tracked customer support cases and followed up on complex issues to correct problems.

Fielded customer complaints and queries, fast-tracking for problem resolution.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Educated customers on special pricing opportunities and company offerings.

Provision, pricing, internal approval and terms and conditions to ensure compliance with appropriate laws, regulations and corporate polices

Xtend Healthcare Hendersonville, TN Insurance Specialist 09/2017 - 06/2019

Resolves outstanding accounts in a manner that is ethical, legal, processional, timely and transparent

Contacts clients with past due balances to obtain payments

Communicate and follow up effectively with patient and clients

Prepare letters and notices for delinquent accounts

Attempt to secure payments for account resolution

Accountable for reviewing any deductions or short

paid invoices, identifying root cause, and collaborating with the internal department(s) to expedite dispute resolution

Genetics Associates Nashville, TN Chief Billing Associates 09/2001 - 09/2016

Posted insurance payment to patient accounts

Worked denied explanations of benefit from insurance companies

Called and talked to insurance companies concerning patients outstanding balance

Researched each account using company records and Internet resources that are made available

Conducted custom collections campaigns on each client that consist of emails, phone calls and standard mail correspondence

Developed collections methods that consistently lead to achieving or exceeding company financial goals

Worked closely with team members to create ways to bring in revenue and find success as a group

Solved problems quickly and created resolutions that bring in revenue on a regular basis

Maintained knowledge of billing practices, current laboratory testing services, and current legal/ethical healthcare billing standards to communicate effectively with callers keep the Management informed

MeHarry Medical College Nashville, TN Payroll Assistant 01/1996 - 06/2001

Process employee terminations including final pay calculations, PTO payment, deductions, and ensure payment meets state final pay requirements.

Assist Payroll Administrators by entering and updating employee records in HRIS, securing required documentation, as needed, on a daily basis

Process wage garnishments, child support notices, tax levies as required

Confirming that legally mandated and optional deductions have been processed correctly

Education and Training

Glencliff High School Nashville, TN - High School Diploma 05/1983

Additional Information:

Experience with EDI, SAP, Salesforce, ServiceMax, Microsoft Excel and Quickbooks

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