Accounts Receivable Billing Specialist
Resume:
Freypell Fabien
Locust Grove, GA 30248
H (678) C 347-***-****
********.******@*****.***
Experienced multi-skilled accounts receivable coordinator pursuing a growing opportunity in healthcare that will allow me to utilize my exceptional financial experience, evolving Medical Insurance Billing & Coding expertise, education and training.
Education
Corinthian College – Medical Insurance Billing & Coding Diploma
Kingsborough College – A.A.S. Business Administration
Webb PMF- Continuing Education Insurance Billing & E&M Coding
iCode Academy Graduate - 2024
Qualification Summary
CPT, ICD-9, HCPCS Coding Patient Scheduling EOB Payment Posting
Medical Terminology Insurance Verification Excel, Word, PowerPoint
Filing Patient Record Patient Registration Knowledge of Managed Care Plans
Knowledge of Insurance Programs Claim Submission Bank Balance/Reconciliation
Medicare/Medicaid HIPAA/OSHA Training CMS1500 (electronic, manual)
Licenses and Certifications
CBCS, NTHS, ACA Certified Collector
Employment History
Children’s Healthcare Of Atlanta – Arthur Blank Hospital
Accounts Payable Analyst – 01/2023 – Present
Processing of invoices, involved receiving, reviewing, and verifying invoices for accuracy, matching them with purchase orders and receiving documents, obtaining necessary approvals, and entering data into the system.
Researching and resolving invoice discrepancies and issues
Managing payments by preparing and processing electronic transfers and payments, ensuring timely and accurate vendor payments, and reconciling accounts payable transactions.
Maintaining records and reporting, including keeping accurate financial records and documentation, monitoring outstanding balances, assisting with month-end closing, and supporting audits.
Handling vendor relations by responding to inquiries and resolving issues, and maintaining vendor files.
Reconcile Supplier/Vendor Statements
Pediatric Ear Nose & Throat of Atlanta
Revenue Cycle Specialist 05/2020 – 06/2022
Prepared, reviewed and transmitted claims, both paper and electronic
Assigned correct CPT charge directly from physician superbills
Performed charge entry directly from physician-assigned superbills
Reviewed medical records to obtain physician-assigned E&M procedure coding
Resolved in-scope billing edits within charge review work queues
Worked Explanation of Benefits (EOB) correspondence daily to resolve non-payment and short payment issues
Followed up on unpaid claims
Verified insurance payments for accuracy and compliance
Identified and billed secondary or tertiary insurances
Handled clinician and staff inquiries regarding insurance payments as well as denials, account status
Managed weekly and monthly Accounts Receivable reports, and/or credit balance reports
Children’s Healthcare Of Atlanta – Marcus Autism Center (Contractor)
Charge Entry Specialist 11/2019 – 04/2020
Performed charge posting for patient encounters and charge reconciliation
Maintained charge review work queues in support of assigned physician practices
Performed charge entry directly from physician-assigned superbills
Reviewed medical records to obtain physician-assigned E&M procedure coding
Cross walked physician- assigned evaluation and management procedure coding to match final patient results
Resolved in-scope billing edits within charge review work queues
Georgia Behavioral Health Partners
Lead Billing Coordinator / 12/2015– 10/2019
Work claim rejections, communicating with the clinics to resolve claims and documentation issues
Perform EOB audits, reviewed, assessed, and adjudicated claims for timely and proper payment
Worked aged receivables utilizing A/R reports
Researched, corrected, and resubmitted or reprocessed unpaid claims as necessary
Investigated and Resolved denials and underpayments with insurance carriers
Submitted carrier appeals and consideration requests in a timely manner
Maintain Confidentiality of patient information
Concentra - Central Billing Office
Account Representative / A/R Specialist - 02/2012– 11/2015
Account Resolution via communications with employers, patients, insurance companies, TPA’s and Laboratories
Resolve incoming customer service calls with Insurance Companies and Patients
Process and submit reconsiderations, rebills & correspondence to insurance companies
Application of adjustments and write-offs when appropriate
Generate rebills for partial & overdue balances
Appropriately process requests for appeals, refunds, and filing of secondary claims
The Pain Specialist
Billing Specialist / A/R Specialist - 11/2011– 01/2012
Maintained follow up on past due patient accounts and insurance claims
Investigated explanation of benefits (EOBs); correcting and refilling insurance claims
Conducted pre-collection telephone calls to patients regarding overdue balances
Responded to inquiries, verbal or written, regarding assigned patient accounts
Set patient payment plans and coordinated collection on the plans
Georgia Regional Hospital @ Atlanta
Patient Accounts Rep/Billing Generalist - 09/2010 – 11/2011
Worked EOB's RA’s daily and resolved any non- payment and short payment issues
Maintained patient payment plans and coordinated collections on those plans
Handled patient and staff inquiries about insurances, account status
Managed weekly and monthly accounts receivable (AR) reports, and/or credit balance reports
Provided customer service to all contacts to avoid repeated customer complaints
Organized timely responses to inquiries, verbal or written, regarding assigned patient accounts
Center of Hope for Cancer and Blood Disorders
Billing Specialist - 08/09– 09/09 (Internship)
Scheduled appointments, patient and non-patient registration, collected copayments and entered patient demographics
Entered and verified vendor invoices and payment information
Documented and tracked patient billing and collection activities, scheduling, telephone management
Recorded insurance information, prepared and submitted claims to insurance companies or government agencies
Performed collection calls on patient accounts with outstanding balances until payment is received
Researched and resolved delinquent accounts and transactions
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