Accounts Receivable Insurance Verification

Biyonka Matthews-Wilson

Antioch, TN ***** *************@*****.*** +1-619-***-****

Professional Summary

Detail-oriented Accounts Receivable (AR) Specialist with extensive experience in claims processing, payment posting, and insurance verification. Adept at working in fast-paced healthcare environments, resolving account discrepancies, and ensuring timely reimbursements. Strong background in medical billing, coding (ICD-10, CPT), and financial reconciliation. Skilled in using Epic, Microsoft Office, and various EMR systems to enhance operational efficiency.

Professional Experience

Accounts Receivable (AR) Specialist

Medsrv (Remote) Nov 2022 – Oct 2023

Manage accounts receivable processes, including payment posting, insurance claims resolution, and coding corrections.

Review and reconcile outstanding insurance payments and patient accounts to ensure accurate billing.

Collaborate with insurance companies and providers to resolve denied or underpaid claims.

AR & Claims Specialist

HCA Parallon Workforce Solutions (Nashville, TN) February 2024 – October 2024

Managed accounts receivable (AR) and claims processing, ensuring accurate and timely billing.

Investigated claim denials and outstanding balances, working closely with insurance providers and patients to resolve discrepancies.

Processed insurance reimbursements, applied payments, and reconciled account discrepancies.

Utilized Epic and other EMR systems to track claims status and update patient records.

Ensured compliance with HIPAA regulations and industry billing standards.

Prior Authorization Specialist

Cigna (Nashville, TN) November 2023 – February 2024

Processed prior authorizations for pharmacy claims, ensuring compliance with insurance requirements.

Assisted providers and patients in securing timely medication approvals.

Accounts Receivable (AR) Specialist

Medsrv (Remote) Nov 2022 – Oct 2023

Manage accounts receivable processes, including payment posting, insurance claims resolution, and coding corrections.

Review and reconcile outstanding insurance payments and patient accounts to ensure accurate billing.

Collaborate with insurance companies and providers to resolve denied or underpaid claims.

Insurance Verification Specialist

LifeStance Health (Remote) February 2021 – October 2022

Verified insurance eligibility and benefits for medical and behavioral health services.

Reviewed deductibles, co-pays, and policy details to ensure accurate patient billing.

Complex Authorization Specialist (Remote)

TRIWEST Healthcare Alliance May 2016 – October 2020

Conducted authorization reviews and claims research for VA and civilian providers.

Ensured accurate documentation of patient information, coding, and provider selection.

Hospital Registration Specialist

Vanderbilt University Medical Center (Nashville, TN) July 2011 – February 2016

Managed patient registration, insurance verification, and financial assistance inquiries.

Assisted in resolving patient billing issues while ensuring HIPAA compliance.

Education

Bachelor of Science in Nursing (In Progress) Tennessee State University, Nashville, TN

Medical Diploma Concorde Career College, San Diego, CA

High School Diploma Options Secondary School, San Diego, CA

Skills & Certifications

Accounts Receivable & Claims Processing

Medical Billing & Coding (ICD-10, CPT, ICD-9)

Insurance Verification & Prior Authorizations

Revenue Cycle Management & Payment Posting

EMR Systems: Epic, Medipac, Starpanel, VPMS

Microsoft Office (Excel, Word, Access, SharePoint)

Certified Medical Assistant (CMA)

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