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Accounts receivable & Billing Specialist

Location:
Powder Springs, GA
Posted:
May 11, 2023

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Resume:

ANNETTE DAVIS

Professional Summary

Competent Accounts Receivable Specialist bringing 25 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in collection and claims procedures, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.

Skills

Accounts Payable and Receivable Workers' Compensation Knowledge CMS-1500 Billing Forms

HIPAA specialist

Billing and coding expertise Account Follow-Up

Medical Billing and Collections

Patient Correspondence Customer service specialist Healthcare Specialist Billing Dispute Resolution Claim Processing

Month-End Closing Procedures

Work History

Billing Analyst/Accounts Receivable Specialist

The Hand and Upper Extremity Center GA. PC – Atlanta, GA

01/2012 to 09/2022

Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

Posted and adjusted payments from insurance companies. Located errors and promptly refiled rejected claims.

Precisely evaluated and verified benefits and eligibility.

Trained new employees on multiple medical billing programs and data entry software. Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.

Communicated effectively and extensively with other departments to resolve claims issues. Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.

Communicated with insurance providers to resolve denied claims and resubmitted. Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers. Reviewed patient diagnosis codes to verify accuracy and completeness.

Orchestrated medical coding, payment posting, accounts receivables and collections.

Liaised between patients, insurance companies and billing office. Posted surgical charges for practice providers.

Insurance Reimbursement Supervisor

Care Medics Formerly THMSI – Alpharetta, GA

01/2002 to 04/2007

Established and updated work schedules to account for changing staff levels and expected workloads.

Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.

Hired, managed, developed, and trained staff, established and monitored goals, conducted performance reviews, and administered salaries for staff.

Performed billing, collection, and reporting functions for office. Completed bi-weekly payroll for 13 employees.

Supervised 13 administrative team members and provided constructive feedback, resulting in higher morale and increased employee retention.

Organized weekly meetings for associates and coordinated availability of conference rooms for participants.

Kept high average of performance evaluations over 90%.

Created spreadsheets using Microsoft Excel for daily, weekly, and monthly reporting Actively listened to customers, handled concerns quickly and escalated major issues to supervisor

Education

Some College (No Degree): Business Administration

University of West Alabama - Livingston, AL

Powder Springs, GA 30127 770-***-**** adw2bt@r.postjobfree.com



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