Collections Specialist Administrative Assistant

Mary Ellen Larkin

**** ******** **. **. ********, WI. 53403

224-***-**** ****************@*****.***

CAREER OBJECTIVE

Seeking a position in which to use my experience, profound skills, and exceptional knowledge related to collections and account management. Interested in securing a position which will allow for increased responsibility and training opportunities.

SUMMARY

Professional medical collections specialist with over 15 years of experience in the medical accounts and collections field. Extensive experience communicating with all major insurance carriers and Medicaid regarding patient eligibility and benefit verification, reviewing account files to verify demographic information and inform patients about outstanding balances prior to scheduled appointments, registering patients upon arrival to walk-in clinic services, establishing patient payment plans, and securing payment on current and outstanding account balances.

PROFESSIONAL EXPERIENCE

The Children’s Health Center, S.C., Gurnee, IL

2001 – Present

Account and Collections Specialist

Extensive experience verifying insurance benefits and maintaining patient account balances and account follow-up for all patient accounts

Manage delinquent accounts, initiating payment plans and collection procedures per practice policy and return all phone messages left for billing department in a prompt, professional manner

Communicate insurance carrier/Medicaid benefits to Guarantor

Responsible for communicating cost-of-service quotes to patients for non-covered procedures

Review and update account files to ensure accuracy of patient demographics and insurance information

Collaborate with Administrative Assistant regarding insurance claim resubmissions

Perform audits of patient accounts to ensure accuracy and timely payment

Review account aging on a weekly basis and contact Guarantors’ regarding outstanding balances

Follow up on all non-payment explanations of benefits and exercise practice policies to obtain claim payment

Responsible for identifying problems on assigned accounts and following through to conclusion

Register patients upon arrival to walk-in clinic services, verify insurance benefits, and collect patient’s co-pay, co-insurance, and payment on current outstanding balance

When requested- schedule appointments, transfer calls, rotate departments during staff shortages, and balance co-pays/co-insurance/account payments at end of morning shift

Cancer Treatment Centers of America at Midwestern Regional Medical Center, Zion, IL

1999 – 2001

Oncology Registration Specialist

Greet and interview new patients, collect necessary medical and background history, verify patient insurance coverage, obtain precertification from insurance carriers, and enter patient data into hospital’s computer system

Escort patients to hospital rooms while providing information about programs offered during projected treatment stay

Schedule procedures for current patients and process paperwork for patients receiving care at Re-Evaluation clinics

Coordinate transportation with the hospital’s limo service for patients receiving Oncology services

Distribute paperwork to appropriate departments within hospital setting, after entering information into computer system

Update hospital computer system with demographic, insurance, and billing corrections as-needed

Provide relief to hospital switchboard operator when requested

Cancer Treatment Centers of America at Midwestern Regional Medical Center, Zion, IL

1996-1999

Medical Collector

Responsible for reviewing, maintaining, and distributing insurance payments for patient accounts

Manage delinquent accounts, initiating collection procedures as required per hospital policy

Ensure that medical collection activity is conducted as per hospital, local, and state guidelines

Coordinate correspondence with insurance carriers, advocating for patients based on treatment recommendations and policy terms

Qualified to review and document hospital proposals and payment plans intended to benefit patients experiencing financial hardship

Contact this candidate