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Entry Specialist Data

Location:
Hollywood, FL
Salary:
15
Posted:
April 13, 2023

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Resume:

Cheryl Herring

Billing Specialist/Collector /Data Entry Specialist

adwi0c@r.postjobfree.com

Hollywood, Fl 33023

786-***-****

Work Experience:

Panacea Healthcare Services, LLC Sunrise, Fl. 2019-2020

Collector,

Performs follow-up activities on all accounts to ensure prompt, proper payment.

Complete filing and follow-through on insurance denials

Updates the patient records to identify action taken on the account.

Responsible for achieving and maintaining accounts receivable status at established company.

Oncology Hematology Assoc. of West Broward P.A Tamarac, Fl 2018-2019

Collector

Identify delinquents accounts. Follow up on unpaid claims. Obtain Medical Records for Medicare and other insurance accounts, when possible submit them for review in a timely manner. Review EOBs received from different insurance companies review the account for possible corrections and appeals1st and 2nd level appeals.

Compass Health Systems PA, Miami, Fl, 2018 - 2019

Collector, Customer Service Identify delinquent accounts. Follow up on claims status online or by contacting the different

Generate reports of outstanding receivables, aged claims and rejected claims. insurance carriers. Being accountable for reducing delinquency for assigned accounts. Fix rejected claims in Navicure and resubmit them to payers in a timely manner. Ensure that all claims are billed according to the different payer’s policies. Billed secondary insurances with a copy of the primary EOB. Ensure that the facilities are billed when services have been processed as “all inclusive” by the insurance companies, by obtaining the EOB and forward it to the person in charge of billing the facilities. Work directly with the insurance carriers, healthcare providers, and patients to resolve discrepancies and get all services processed and paid. Review EOB’s received from the different insurance companies, reviewing the accounts for possible corrections and appeals (1st and 2nd level appeals). Post deductibles, co-insurance and co payments for EOBs with zero payment. Submit W9 when requested by the payers.

MDLIVE Revenue Cycle RMC Sunrise Fl, 2017-2018

Collector, Payment Poster

RMC team to review all unbilled charges and generate clean claims for electronic and paper claims submissions to all Health Plans on a daily basis. Ensure the claims are

submitted in accordance to the Health Plan contract. Payments from Excel Spread Sheet daily.

Nova Southern University Davie, FL 2015- 2017

Patient Collector

Collector of the patient Dental payments in assigned clinics, Review and follow up on aged insurance balance accounts to ensure timely review collection. Process payments patient payment. Receive and make calls the patients daily. Process credit card payments for patient account. Reviews and follows up on aged insurance balance accounts to ensure timely revenue collection.

Sheridan Healthcare Sunrise, Fl 2013 -2013

Deposit Reimbursement Assistance

Open and Sort Mail daily for deposit for 6 entity, Prepare Batches for the Patient, Insurance and Correspondences add totals Patient and Insurance. Make deposit slip for each. Scan and rename batch to the Q drive. Post Credit Cards payments to patient account, Make deposit to Brinks. Completion of the Smart Training Course. Check in A/R to see if Refund amount was issued back to the insurance. Add notes to patient accounts.

Dr. Wagner's Office Hollywood, FL 2005- 2013

Collector, Customer Service

Communicated with patient and insurance companies to bring resolution to unpaid balance. Assisted with resolving billing issues through regular inquires, performed collection activities per established guidelines, and monitored the status of accounts. Managed all patient incoming call requests for all account information and adjustments. Assisted with office administrative duties, and trained junior staff members for timely completion of work without compromising on the quality and authenticity of the data.

Delivered Results

1. Recognized by management for being able to tactfully communicate with difficult customers during the debt collection process.

2. Exercised exceptional communication skills, and ensured compliance to HIPPA laws and Federal regulations

Core Skills,

Accounts Receivable, Customer Service, Third Party Billing ICD-9

HCFA 1500 Payment Posting, Benefits Verification, ICD-10

Education

Diploma

North Miami Senior High School - Miami, FL

Certificate

Sullivan and Cogliano Training Center - Miami, FL



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