Accounts Receivable Medical Billing
Resume:
DEBRA SINCLAIR
***************@*****.***
Career Profile:
Highly motivated, skilled professional with over 20 years, experience in medical billing, office management and patient relations. Strong interpersonal, written, and verbal skills. Organized, detail oriented, ability to multitask and work under pressure.
Core Qualifications: Navinet, Medicare, Medicaid, PIP/WC, E Clinical E-Premis, Practice Complete. Practice Partner, Medi-Soft, Medical Manager, Execu-flo. Microsoft Office, and OccMed.
Hemophilia of Georgia/Temp
08-15-2021 -11-20-2021
● Accounts Receivable Coordinator
●High volume of Patients needing Rx approvals from Insurance carriere
●Rx’s sent to Pharmacy usually needing approvals and dosages calculated.
●All patients followed on a spreadsheet for accuracy.
●Appeals when necessary for certain carriers.
●Called patients to inform them of the delivery of their infusion meds.
●Scheduled office visits through Primary care when warranted.
●Verified all insurance carriers and Authorizations.
●Searched and attached Clinical records for patient meds.
PROFESSIONAL EXPERIENCE: SENIORA/R REPRESENTATIVE
Eagle’s Landing Diabetes & Endocrinology, GA
06-2018 – 08-2020
●Successfully submitted high volume of claims
●Processed payment payments
●Appeals, charge corrections
●Denials, Follow -up
●High volume patient calls
●Identified and resolved claim edits
●Reviewed aging accounts
●Insurance Verification
11-2016 – 5-2018
CREDIT SERVICES, PISCATAWAY, NJ – COLLECTIONS SPECIALIST
●High call volume center to collect debt from Lab customer and automobile debt.
●Received payments by phone and by mail, balance billing and skip tracing.
●Handled all accounts and set up payment arrangements for customers.
●Worked other projects if assigned by the owner of the company.
●Checked to make sure claims were paid in a timely manner with reimbursement.
●Collected patient balances. Patient calls were also handled if there were billing issues.
7-201*-**-**** - MEDI-CORP, CRANFORD, NJ – AR SPECIALIST
●Worked all Anesthesia claims for the Physicians and the CRNA.
●Handled patients calls regarding balances and payments via credit cards.
●Submitted claim denials, first and second levels appeals.
●Special projects when requested by management.
6-200*-*-****-MCKESSON TECHNOLOGIES, SOMERSET, NJ –SENIOR A/R SPECIALIST
●Billed various Insurance carriers PPO, HMO. MEDICARE, MEDICAID, WC, PIP.
●Did follow-up of Insurance payments and appeals.
●Reviewed all accounts for reimbursement accuracy
3-200*-*-****-UMDNJ-NJMS
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