Customer Service Accounts Receivable

Theresa Cartwright

**** ******** *****, **************, ********* 37072

1-615-***-**** ***************@*****.***

PROFESSIONAL SUMMARY

Experienced Accounts Receivable Specialist bringing over 10 plus years of experience in the credit and collections field. Talented in performing high volume of outbound calls to secure payments on past due accounts. Well-versed in reducing loss and write-offs by offering customers payment plans and alternative debt restructuring options. Providing excellent customer service skills. Collaborator, knowledge of collection and claims procedures with effective communication skills utilized in resolving customer queries.

SKILLS

Credit & refunds Collections

Hospital and Physician claims billing (UB 94 & HCFA 1500) EOB review

Medical Billing

PBX Operator and Receptiontist

Indigent Claim (Medicaid)

High volume revenue recovery and collection

Medicare Part A& B, Medicaid, Workers Compensation claims, Non Gov Providers

Call center (Inbound/Outbound) calls

Scheduler and Unit Sectary

838 Medicare Credit Balance Report

Attend to detail

Sitter with Psych and medical patients

EXPERCISES:

PATIENT SAFETY ATTENDANT

HCA TRISTAR CENTENNIAL MEDICAL CENTER 9/2023 TO 10/24

Follows directions from Primary/Charges nurse to meet the patient needs.

Reports any changes in patient status to Primary/Charge nurse

Assist in the care and safety of the high-risk patient population. Which are patients who are suicidal, at risk of inadvertent self-harm, at risk for assaultive behavior or demonstrate dangerous and unpredictable behavior, at risk for elopement, or are extremely confused.

Monitoring high risk patients by direct observation or camera.

Document on behavioral health patients every 15 minutes and non- behavioral health patients every 4 hours

Sitter-Psych

UNIT SECRETARY, Tristar Centennial Médical Center 11/2024 TO PRESENT

Promote Customer service providing courtes

Assistance to patients Family Physicians,

and Visitors at the nursing station in a professional manner

Accurately process orders and promptly convry stat orders to the relevant personnel to ensure timely responcse.

Maintain complete and accurate medical records for patients by appropriate labeling system.patient charts and ensure par levels of supplies stocked, contributing to efficient operations

Follow directions effectively

COLLECTION SPECIALIS 1

Community Health Systems, CHS - ANTIOCH, TN 10/2014 to 09/4/23

Collections Specialist 1

Responsible for forty-five accounts

Collection Specialist 1

Delivered exceptional customer service on collection calls and maintained calm and professional demeanor as well Ins Payor.

Researched accounts and completed due diligence to resolve collection problems.

Achieved performance goals on consistent basis.

Processed payments and contracts on accounts.

Relationship Building

MEDICAID CLAIMS

Call Tn Medicaid to follow up on secondary claims.

Rebill secondary claim if not on file.

Verified Insurance information.

Resolve all issues COB and denial.

Report any delays in processing the claim for payment.

FEE PRO BILLING ANALYST II 07/2009 to 10/2014

Community Health Systems, CHS - ANTIOCH, TN

Executed billing tasks and recorded information in company databases.

Kept all patient information secure and confidential.

Followed up with appropriate parties to obtain prompt payments.

Checked insurance eligibility by making appropriate phone calls and.

Follow up on Physician claims HCFA 1500

Complete billing for Cardiologist, Radiologist, Emergency Room Setting

Resolving overpayment, COB issues, refunds, adjustments

Relationship building

CAREGIVER 5/2023 TO PRESENT 09/2023

Helping Hearts- Nashville, TN

Care of elderly in their home

Meal prep, bathing, errand, companionship

Compassion, Integrity, Trust

Improving the quality of the patient care

Document the care of patient if the health has changed.

Help them be able to do daily activities.

Be able to communicate with the family

BILLER COORDINATOR 04/2014 to 10/2014

Rezult Group/Cogent - Brentwood, TN

Researches and revolves denials from insurance carriers.

Professional fee claims edits or denials using variety of proprietary and external tools while maintaining strict compliance with all applicable guidelines. Responsible fifty accounts

PHI patient information is secure and confidential.

Followed up with appropriate parties to obtain prompt payments.

Checked insurance eligibility by making appropriate phone calls and

Works closely with billing partner on issues which prevent claims from final billing.

Established relationship.

LINE OPERATOR 10/2013 to 01/2014

Novita Technology - Hendersonville, TN

Followed best manufacturing practices for operation of production equipment.

Followed job order for product specifications, dimensions, tolerances and sequence of operations.

Inspected finished products for quality and adherence to customer specifications.

Reduced accidents and injuries by observing safety policies and procedures\/

Auto Parts build over 100 platted to be shipped.

APPOINTMENT SCHEDULER 04/2013 to 07/2013

Equity Staffing Group/Inspires, UHC - Brentwood, Tennessee

Functioned as first point of contact and set appointments for prospective clients.

Addressed client inquiries and updated database information.

Established and maintained client rapport by utilizing quality customer service.

Set appointments for nurses to do in home care, explaining program Optima, receiving medication in mail.

Seventy-five calls day

Enrollment Specialist 07/2010 to 10/201

FRESENIUS MEDICAL CARE RX (SNELLING PERSONAL)

Enroll patients into Medicare Mail Pharmacy program.

Reviewing patient medication with them and insurance information

Most of the patients have Diabetes diagnosis.

Data Entry

Handle Incoming calls (Receptionist)

Traveling Healthcare Consultant

Frasier Healthcare Consulting Inc -Arlington, TX July 2009 to July 2010

Traveling Healthcare Consultants

Listed below are the Hospital that I was working at to bring in Revenue,

Follow up on and rebill claims to all payer that was not on file.

Claims that are 150 days and more for follow up.

With that working denial and sending out appeal letters. Working Worker Compensation claim for hospital. Calling the employer verifying if the injury is a comp work claim. Retrieving all information to submit the claim for payment and with the claim number, contact person and mailing address.

Billed late charges and secondary claims through SSI billing system.

CHS South Texas Regional Medical Center- Biller/Collector

Caritas Christi Health System- Revenue Cycle- Collection Specialist

Northwest Physicians, LLC- Medicare Specialist

Medicare Credit Balance Analyst

DaVita Inc- Medicare Credit Balance Specialist -Brentwood, TN May 2006-2009

Worked the Medicare 838

Working in the Revenue Operations Team

The primary responsibility of the Credit Balance is to research and resolve medium to high complexity governmental and non-governmental credit balances payers.

Identify root causes for credit balance creation and take appropriate steps to prevent future credit balance.

Requesting a refund check or requesting a recoupment from the payer and requesting an adjustment of the balance.

Track refund requests, recoupment requests and adjustment requests utilizing spreadsheets, datebases and paper media.

Prepare and analyze reports detailing current and historic credit balance, identifying trends, variances, aberrant data and other information as needed.

Completion of accurate and timely CMS-838 and Medicare BAD Debt Schedule.

EDUCATION

Erlanger Health System - Erlanger, KY

Certificate CPAR, 10/2006

National Health Career Association - Nashville, TN

Certificate of Certified Medical Administrative Assistant, 09/2005

Hume - Fogg High School - Nashville, Tn

High School Diploma 07/1981

First Aid CPR AED Issued date 1/14/23 expired 1/2025

CPI BLUE CARD Issued date 10/12/23 expired 10/2025

Certificate of Completion Certified Caregiver – 4/11/2023

Certificate of Completion Certified Arc - 4/11/2023

Certificate of Completion COVID-19 - 4/11/2023

Certificate of Completion Reporting and Documenting

Client Status and Care 8/17/2023

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