Accounts Payable Specialist

Professional Summary

Skills

MELISSA FLORES

**** **** ******, *******, ** 79410 • Cell: 806-***-**** • *******@*****.*** I HAVE 20 PLUS YEARS IN THE MEDICAL FIELD. I AM HIGHLY MOTIVATED WORK WELL WITH OTHER, I AM CROSSED TRAINED IN SEVERAL JOB TITLES IN THE MEDICAL FIELD AND ALWAYS OPEN TO LEARING.

Account reconciliation

Accounts payable specialist

Expertise in invoice and payment transactions

Invoice coding familiarity

MEDICAL BILLING

PAYMENT POSTING

A/R

DENIAL

WORK REJECTED CLAIMS TO DETAILS

Work History

Customer Care Represenative, 11/2016 to 05/01/2018 Caprock Cardiovascular Center, LLP – Lubbock, TX

Answered an average of 40 calls per day by addressing customer inquiries, solving problems and providing new product information.

Gathered and verified all required customer information for tracking purposes. Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.

Managed high call volume with tact and professionalism. Effectively managed a high-volume of inbound and outbound customer calls. Accurately documented, researched and resolved customer service issues. Prepared reports and communication for senior management and clients. Billing Manager, 04/2015 to 02/2016

PREMIER HEALTHCARE – LUBBOCK, TEXAS

Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed. Correctly coded and billed medical claims for various hospital and nursing facilities. Entered orders into the EMR system efficiently and without errors. Loncar Lyons Jenkins 02/01/2019 to 06/15/2021

Medical Record Clerk

Compiled necessary documents for surgical billing packages. Determined prior authorizations for medication and outpatient procedures. Pre-certified medical and radiology procedures, surgeries and echocardiograms. Resourcefully used various coding books, procedure manuals and on-line encoders. Accurately posted and sent out all medical claims. Posted and adjusted payments from insurance companies. Maintained and updated collections tracking spreadsheet to help organize payment information. Compiled and tracked outstanding balances owed to medical facilities. Accurately posted surgeries, hospital visits and payments for assigned carriers. Printed and reviewed monthly patient aging report and solicited overdue payments. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Submitted electronic/paper claims documentation for timely filing. Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.

Confidently and adeptly handled claim denials and/or appeals. Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable. Medical Office Receptionist, 03/2014 to 02/2016

INTERVENTIONAL PAIN MANAGMENT – LUBBOCK, TEXAS

CHECK PATIENTS IN AND OUT, ANSWER PHONE, MANAGE CALLS DIRECT MESSAGE VIS EHR TO DR AND NURSES, BALANCE DAILY CASH FLOW BILLNG, COLLECTIONS, BILL WORKERS COMP BILL PRIVATE PAY BILLNG FOR PRIVATE INSURANCES, CONTRACT DR. FROMHOSPITAL BASE PHYSICAN TO MEDICAL OFFICE PHYSICAN. GET PHYSICAN CREDENTIALED WITH INSURANCE .

Medical Billing, 11/2011 to 03/2014

Dr. Ronnelle S. Burley, MD – Lubbock, TX

Correctly coded and billed medical claims for various hospital and nursing facilities. Entered orders into the EMR system efficiently and without errors. Prepared patient charts accurately and neatly for the clinic. Compiled necessary documents for surgical billing packages. Determined prior authorizations for medication and outpatient procedures. Accurately posted and sent out all medical claims. Posted and adjusted payments from insurance companies. Compiled and tracked outstanding balances owed to medical facilities. Accurately posted surgeries, hospital visits and payments for assigned carriers. Printed and reviewed monthly patient aging report and solicited overdue payments. Education

Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Maintained strict patient and physician confidentiality. Submitted electronic/paper claims documentation for timely filing. Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable. Maintained updated knowledge of coding requirements, through continuing education and certification renewal.

Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

Payment Poster, 03/2008 to 09/2011

Behavioral Health at Lake Aire Medical Center – Georgetown, TX Reconciled discrepancies between accounts receivable general ledger account and accounts receivable trial balance account.

Researched and resolved accounts payable discrepancies. Reviewed all expense reports for accuracy and proper expense disclosure. Supervised invoice processing, purchase orders, expense reports, credit memos and payment transactions.

Filed and addressed employee complaints in accordance with company policies and government regulations.

Posted receipts to appropriate general ledger accounts. Balanced monthly general ledger accounts to accurately record cost and month end accruals. Coded and entered at least 100-200 invoices each day into the in-house accounting software. GED:

IRVING HIGHER EDUCATION CENTER - IRVING TEXAS

MEDICAL ASSISTANT: 1987

VTI of Texas - IRVING TEXAS

Contact this candidate