Collections Specialist Project-Based
Resume:
Tawanna Jackson
Philadelphia, PA *****
{**********@*****.***
** ***** **** ***** ** experience collecting and reconciling Billing and outstanding AR for employer. Collecting an
outstanding AR on an Individual and Project-based effort through thorough investigation. Expertise in ensuring that all
open AR is satisfied t0 completion.
PROFESSIONAL EXPERIENCE
Caregivers America SE, Jenkintown. PA.
Collections Specialist Oct 2021- Current
© Managing and reconciling payment from the MCO by HHA and the MCO provided portals and
Recording all collection efforts in the HHA exchange for Management Review.
© Having the ability to submit corrected claims by phone, by spreadsheet, by MCO portal or CMS-1500
form.
© The ability to identify specific Denials and understand the steps to resolve them.
© The ability to reconcile any denial spreadsheet response from MCO about denied claims payment and
use all forms of collections to correct to completion.
© Investigating any “Take Bake” letters from the insurance company to insure we are not at fault and
working closely with the Fraud and Legal Dept to insure we are reimbursed by the external staffif we
are.
Bolder Healthcare Solutions. ‘Warminster, PA
Patient Services Representative Feb 2021-Feb 2015
© Communicate directly with patients regarding their financial responsibility from services
© Document all calls timely and accurately in the patients’ account in the billing system.
© Establish payment arrangements per company policy
© Manage outstanding self-pay accounts and status for management
© Perform insurance claim follow-ups for insurance denials and appeals
Cigna Health Care Insurance Horsham, PA
Claims Processor II et 2006-April 2011
© Responsible for processing pharmacy mail order claims and denials
© Verified and insured demographic information is correct for billing and distributions
© Managing and monitoring insurance information and collecting Co-Pays if necessary
© Intake information regarding prescriptions directly from Physicians.
EDUCATION
Liberty University Lynchburg, VA.
Associates in Criminal Justice 2007-2010
Recommendations Upon Request
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