Accounts Receivable Follow Up

Christine Kern

Nesconset, NY, ***** 631-***-**** **********@*****.***

OBJECTIVE: Seeking a position in a medical office with billing responsibilities

WORK EXPERIENCE

Accounts Receivable Representative/Payment Poster 1/15- Present

Northwell Orlin & Cohen Medical Specialist, Merrick, NY

·Accurate and timely insurance patient payment posting

·Process and posting of credit card payments

·Payment batch reconciliation

·Verifies accuracy of patient insurance and demographic information

·Investigates duplicate payments and takes appropriate action to resolve. Initiates refund requests, where necessary, in accordance with departmental procedures.

·Perform follow up on all outstanding accounts assigned in accordance with departmental procedures.

·Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures.

·Follows up on payer payment variances. Applies managed care contract rules to determine payment accuracy. Reports trends of payer behavior.

·Cross trained in all phases of third party billing, follow up, cash, credit and collections and customer service related activities.

·Establishes and demonstrates competency in accounts receivable systems and associated applications

Accounts Receivable/Payment Poster 6/14- 1/15

Billing Services Inc., Ronkonkoma, NY

Responsible for interacting with the Client’s patients, payer and front desk staff to clarify health insurance coverage and financial responsibility

Completed and processed insurance claims in addition to appeals for denied claims

Monitored that payment from insurance clients were within contract guideline percentages

Posted, balanced and reconciled daily and end of month for 13 major accounts including; The Hospital for Special Surgeries (HSS), Anesthesia, Pain Management and Orthopedic practices

Working knowledge of downloading EFT’s, Lock box payments, Clearinghouses

Transferred co-pays and unapplied monies

Investigatory research for appropriate refund requests

Skills used: Excel Spreadsheets; Processed credit card payment

Accomplishments

Company had clients in 3 different systems. The majority of employees were given clients in one system only. I was one of the 3 employees who learned and worked in all three systems.

Accounts Receivable Representative 3/08- 6/14

Medical Arts Radiology-Bay Shore, NY

Accountable for posting payments for 7 major radiology practices

Liable for bank deposits, end of day reports and crediting over 600 patient accounts

Highly knowledgeable of contractual insurance agreements

Insurance follow up for Blue Cross/ Blue Shield, Multiplans and Magnacare

Established a 75% success rate collecting on insurance appeals

Diligent in observing all HIPPA guidelines

Review third-party aged trial balances and follow-up on all unpaid claims either by phone, mail, or online in accordance with departmental procedures and insurance guidelines

Ensure the timely filling and collections of the designated region according to insurance billing and collection guidelines

Analyze Managed Card contracts to verify accuracy of payments

Knowledge of Electronic Remittance Advice & Electronic Fund Transfers

Medical Office Administrator/ Billing 8/01- 10/08

Prime Diagnostic Imaging- Ronkonkoma, NY 11779

Responsible for scheduling, appointment setting and handling a large volume of patient calls

Verified patient insurance benefits prior to appointment/ Highly effective in obtaining authorizations for diagnostic testing and procedures

Superior knowledge of all aspects of Medicare, Medicaid, Worker’s Compensation, No Fault, PPO’s and private insurance. Achieved maximum reimbursement with minimum denials

Data entry on all Medical Part A&B billing charges and supplies

Other

Knowledgeable of Microsoft Office, Excel, ADS, Medics Premier & Medical Manager, EMR, Allscripts

Contact this candidate