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Collections Specialist Medical Billing

Location:
Farmington, CT, 06032
Posted:
March 06, 2023

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Resume:

Angela Smith

o

Summary

Highly motivated and goal-driven collections specialist with demonstrated customer service skills and customer outreach experience. Knowledgeable in Medical Billing - Full Revenue Cycle accounts receivable and collections. Handles full cycle collections from discrepancy disputes through to completion of payment posting and account reconciliations.

Work History

Family Medicine Center AT Asylum Hill 01/2022 to 11/15/22

Front Desk Receptionist

Check Patients in & Out

Make Appointments

Copay up front

oContact patient as needed collect Insurance information,

oPulling Medical Clinical Report (Epic)

oChecking Website for Eligibility.

oIntegrated Physician Management Services 04/2021 to 08/11/21

oContract

oContact patient as needed collect Insurance information,

oPulling Medical Clinical Report (Epic)

oChecking Website for Eligibility.

o Working with other billing operation staff to enhance.

oCollection process.

oPersonal Care Assistant – Hartford Healthcare, Hartford, CT 2015-Pres.

oProvided in-home personal care and nursing assistance for patients.

oAssisted patients with daily functions: bathing, meal preparation, shopping, medication reminders.

oSelf-Pay Collections Specialist / Medical Accounts Receivable, Consulting Cardiologist, P.C, Glastonbury, CT

o2015—2018

oProvided exceptional customer service for inbound and outbound calls regarding billing inquiries and concerns.

oReviewed and called on self-pay patient accounts and delinquent patient accounts.

oMade numerous outbound calls to review payment options and schedule payment plans with self-pay patients.

oAccepted and processed cash, credit card, and check payments; posted payments to patients’ accounts.

oResearched denied insurance claims and resolved discrepancies, resubmitted claims.

oMaintained and managed the weekly denial reports; followed up on outstanding insurance claims over 45 days.

oMonitored and prepared requests for external collections to the Attorney.

oMedical Poster, St. Francis Medical Center, Hartford, CT 2013 (Contract)

oUpdated and maintained patients’ demographics ensuring notes are entered correctly and copies of EOB’s, denials and other correspondence are provided to the Collector.

oApplied insurance payments according to specific dates and procedures according to the EOB.

oPosted all payments from patients, flag EOBs for payment clarification details.

oPayment Poster, UCONN Health, Farmington, CT

o2012

oAccurately posted cash, credit, and check payments to all self-pay patient accounts.

oApplied insurance payments according to specific dates and procedures according to the EOB.

oProvided excellent customer service on all inbound and outbound calls, file important patient files and records.

oMet or exceed departmental productivity standards on a consistent basis.

oAccounts Receivable Rep., Connecticut Surgical Group, Hartford CT

o2007-2010

oReviewed and updated denied claims and provider insurance ensuring information is accurate.

oResearched, monitored and contacted patients with the status of their accounts.

oProcessed primary and secondary insurance claims.

oWorker Compensation Specialist, Jefferson Radiology, East Hartford CT

o2001-2006

oAttached HCFA 1500 Form with patient medical records per HIPPA release form.

oPulled EOBs and file important patient information.

oDistributed mail throughout office.

oEDUCATION

oGreater Hartford Community College

oCertified Nurse Assistant

oBranford Hall Career Institute, Windsor, CT

oDiploma

********@*******.***

860-***-****

459 Broadview Terrace

Hartford, CT 06106

Competencies

Billing & Collections

Revenue Cycle

Discrepancy problem solving

Payment Posting

Invoice processing

Accounts receivable

MS Excel & MS Word

Patient, persistent and courteous

Cast Payment Posting

Insurance Eligibility

HIPPA

Skills

MS Office Suite

Medical Billing

Claims

Phone communications

Outbound Calls

HIPPA

Attention to detail

References

Available upon request

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