Accounts Receivable Revenue Cycle
Resume:
Mavis Lee
Lynchburg, VA *****
**********@*****.***
Professional Summary
Objective: I am an enthusiastic, self-motivated, reliable, responsible and hard-working person. I am a mature team worker and adaptable to all challenging situations. I can work well both in a team environment as well as using my own initiative. I can work well under pressure and adhere to strict deadlines.
Work Experience
Revenue Cycle Specialist
Signature Performance-Remote, VA
January 2024 to Present
Ensuring accurate billing for VA and other government, timely payment collection, and efficient claims processing. They oversee tasks like patient billing, payment posting, and accounts receivable, working to maximize revenue and ensure financial stability for the provider. Account Receivable Follow Up Ensemble Health Partners-Remote June 2021 to October 2023
Accounts Receivable Specialist in the Revenue Cycle Dept, Responsible for Government payers submitted claims with delinquent status regarding reimbursement from insurance by monitoring payers' status of claims approximately 30 days overdue. Examines denied and underpaid claims to determine reason for discrepancies. Communicate directly with payer to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement. Identify the specific reason regarding underpayments, denials and cause of payment delay. Also address the root call of issue in A/R Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews and sends patient statements. Follows and reports status of delinquent accounts. Reviews accounts for possible assignment and makes recommendations to the Billing
Supervisor, also prepares information for the collection agency. Performs various actions including contacting patients by phone, correcting and resubmitting. Verify payments from insurance companies by phone or payer Portals. Relay changes of information to Team Lead or Management regarding changes or updates. Gathered documentation needed if an appeal was needed. Forward information to payer via payer portal /mail or fax. Account Specialist
Chiropractic Health Center-Lynchburg, VA
January 2015 to June 2021
Verify patient Chiropractic benefits via insurance portal or telephone. Explain patient eligibility coverage, also Veteran’s Admin Specialist responsible for timely filing and accurate claims filing, review and resolution of denied insurance claims. Reviewed all pertinent information such as provider medical records, services claims, insurance explanation of benefits, insurance carrier denial letters and electronic remits to ensure that payments and denials are worked promptly and appeals, or the denied claims are submitted appropriately.
Discuss with patients current and past due and balances owed. Call patients regarding unpaid balances and set up terms for payment. Print monthly statement reports. Responsible for setting up budget agreements, sending letters to patients and monitoring budget payments until balance paid in full. Responsible for working patient accounts to identify refunds, accounts to be sent to collections or to move money. Follow up with insurance claims. Post commercial and insurance payments. Forward medical records and medical notes to the attorney and Disability office. Monitor status of all personal injury and workman comp cases. Communicate on a regular basis with the parties involved who claim paid. Monitor reports regularly to make sure overall accounts receivable on patients and insurance are up to date. Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews and sends patient statements. Evaluates patient’s financial status and establishes budget payment plans. Review accounts for further collection activities regarding necessary legal steps.
Education
High school diploma
Forestville High School-Forestville, MD
September 1987 to June 1988
Skills
• Accounts Receivable
• Medical Coding
• Medical Office Experience
• Accounts Payable
• Accounting
• Account Reconciliation
• Medical Billing
• Insurance Verification
• Administrative Experience
• Office Management
• General Ledger Accounting
• Bookkeeping
• Epic
• Clerical Experience
• EMR Systems
• Payroll
• Medical Records
• Management
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