Accounts Receivable Customer Service
Resume:
RONALD R. REDONDO
*** ******* **, *** *******, **495 TX
***.********@*****.*** / 903-***-****
SUMMARY
Forward-thinking and experienced medical specialist proficient in multitasking and claims processing. Efficiently resolves disputes and addresses patient inquiries. Collaborates with medical professionals, insurance providers, and clients to manage invoicing in a busy office. Responsible for claims processing, insurance verification, and resolving billing discrepancies. Maintains positive client relationships, negotiates payments, and monitors accounts receivable. Optimizes cash flow, ensures compliance, and maximizes revenue recovery. Vital contributor to healthcare organization's financial operations.
SKILLS
Critical-Thinking
Records Management
Medical Terminology
Communication Skills
Financial Analysis
Claims Processing
Problem-Solving
Customer Service
Attention to Detail
Billing and Collection Procedures
EXPERIENCE
Claims Analyst CBO Remote / Lifepoint Health, LLC. - Louisville, KY 04/2021 – 04/04/25
Review and analyze insurance claims to determine their validity, accuracy, and compliance with policy guidelines and regulations.
Conduct thorough investigations and gather necessary documentation to evaluate the coverage, liability, and potential fraud indicators associated with each claim.
Communicate with policyholders, claimants, and other relevant parties to gather additional information, clarify details, and resolve any discrepancies or disputes related to the claims.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Stay updated on industry trends, policy changes, and regulatory requirements related to insurance claims, and apply this knowledge to ensure compliance and accurate claims handling.
Senior Accounts Receivable Specialist (Team Lead) / Stride Healthcare - Dallas, TX 02/2019 - 04/2021
Oversee the accounts receivable process, including invoicing, collections, and reconciliation, to ensure timely and accurate recording of revenue and collection of outstanding balances.
Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Monitored customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
Collaborate with internal stakeholders, such as sales, customer service, and finance, to resolve customer issues, address billing discrepancies, and streamline the order-to-cash process.
Medical Billing & Collections Specialist / Origins Behavioral HealthCare - Dallas, TX 10/2018 - 02/2019
Review and analyze patient medical records, insurance claims, and billing information to ensure accurate and complete documentation for medical billing purposes.
Prepare and submit medical claims to insurance companies, government programs, and other third-party payers using appropriate billing codes and formats.
Collaborate with healthcare providers, administrators, and billing team members to improve billing processes, resolve recurring issues, and implement best practices.
Provide exceptional customer service by addressing patient inquiries, explaining billing statements, and assisting with insurance claims and reimbursement-related matters.
Skilled at adapting to different work dynamics, whether working independently or as a cooperative team member, in a challenging professional atmosphere.
Medical Collections Specialist / Newport Academy - Newport Beach, CA 07/2018 - 10/2018
Review and analyze patient accounts, medical records, and insurance claims to identify outstanding balances and delinquent accounts for collection.
Identified discrepancies and carrier issues regarding billing and reimbursements.
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Protected medical office operations and integrity by keeping patient information confidential.
Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
Billing & Collections Specialist / Northbound Addiction Treatment Center - Newport Beach, CA 09/2017 - 07/2018
Investigated and resolved issues to maintain billing accuracy.
Coordinate with internal departments, such as sales, customer service, and operations, to obtain necessary documentation and resolve any billing discrepancies or issues.
Communicate with customers to address billing inquiries, provide explanations of charges, and assist with payment arrangements or disputes.
Collaborate with the finance team to provide insights and recommendations for improving billing processes, reducing delinquencies, and optimizing cash flow.
Prepare and send collection letters or notices to delinquent customers, maintaining professionalism and adherence to legal and regulatory guidelines.
Military Veterans / US Army - USA 10/1989 - 10/1993
Protect and defend the nation's interests, including national security, peacekeeping efforts, and humanitarian missions.
Maintain physical fitness, mental resilience, and readiness to respond to emergencies, combat situations, and other operational requirements.
Adhere to military protocols, procedures, and regulations related to weapons handling, equipment maintenance, and operational security.
Develop technical expertise and proficiency in specific military occupational specialties (MOS) or job roles.
Participate in ongoing training, education, and professional development programs to enhance skills and knowledge.
EDUCATION AND TRAINING
AAPC: Medical Billing and Coding 2017
American Career College - Anaheim, CA
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