Billing Specialist Accounts Receivable

DeArndra L. Anderson

**** ********* ** (***) *** – 4632 (Mobile)

Hampton, GA 30228 ********.********@*****.***

SUMMARY

A dedicated professional and self-starter with excellent organizational skills. Highly motivated and possess excellent verbal and written skills as well as the ability to perform administrative tasks effectively and efficiently. Comfortable with the use of Microsoft office programs. EDUCATION

Christian Cornerstone Academy, Atlanta, GA 2000 – 2001 EXPERIENCE

Benevis Atlanta, GA

Ortho Claims Specialist May 2022 - Present

Medicaid AR Specialist September 2019 – May 2022

Expanded Services Billing/ Trainer (For the U.S.) December 2016 – September 2019 Billing Specialist September 2013 – December 2016

Prior Authorization Lead January 2011 – September 2013 Billing Specialist June 2010 – January 2011

Commercial Insurance Verifier June 2009 – June 2010 Medicaid Insurance Verifier March 2009 – August 2009

• Currently bills oral surgery, general anesthesia, and hospital claims for endodontics.

• Calculates time for anesthesia match with records.

• Processes accounting receivables and incoming payments in compliance with financial policies and procedures.

• Performs day to day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables’ data.

• Reconciles the accounts receivable ledger to ensure that all payments are accounted for and properly posted.

• Verifies discrepancies and resolves clients’ billing issues.

• Facilitates payment of invoices due by sending bill reminders and contacting clients.

• Generates financial statements and reports, detailing accounts receivable status.

• Makes outbound calls to various commercial insurance companies to obtain benefit and ID information.

• Determines if selected services are appropriate based on patient need and insurance benefit plan.

• Evaluates patient insurance coverage to determine compatibility with Kool Smiles requirements.

• Follows all regulations and requirements to verify authorization.

• Maintains and promotes patient confidentiality.

• Supervised a team of 10 people, maintains payroll budget for the department, and coordinates training sessions and meetings for the team.

• Analyzes patients’ charts to ensure service limitations are not being exceeded.

• Accurately inputs coverage information into patients’ profiles and compiles coverage tables.

• Maintains patient data and supporting documentation in order to post transactions, verify accuracy and generate reports.

• Verifies state plan limitations based on CDT coding. Atlanta Check Cashing Atlanta, GA

Assistant Manager 2006 – 2008

• Managed other employees, balanced safe.

• Handled several types of phone systems.

• Assisted customers, check cashing, filing, typing, data entry, faxing, and operated lottery machines, and prepared and categorized invoices. In addition, fielded telephone calls.

• Sent and received money transfers for Western Union.

• Represented the company to outside constituents. Dry Clean City Roswell, GA

General Manager 2004 – 2006

• Overseen three stores, hired, trained and supervised employees.

• Deposited daily bank deposits and payroll for all stores.

• Assembled, advertised, prepared store orders, as well as assisted customers.

• Data entry, faxing, store scheduling etc.

Atlanta Spirit Atlanta, GA

Warehouse Supervisor 2002 – 2009

• Overseen the handling, loading and unloading of consignments.

• Authenticates the receipt and dispatch of consignments with the proper documentation.

• Maintains an account of the warehouse inventory.

• Ensures the proper labeling, tagging and packaging of goods and materials.

• Follows all necessary documentation and legal procedures for dispatching and receiving goods.

• Organizes and develops systematic plans for loading and unloading consignments.

• Assigns work and functions to all warehouse staff.

• Supervises and ensures the proper implementation and smooth functioning of all activities. TECHNICAL SKILLS

Comfortable with the use of Microsoft Suites

REFERENCES

Furnished Upon Request

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