Accounts Receivable Specialist
Resume:
SKILLS:
Ability to Self Manage
Good Communication Skills
Self Motivated/ Time Management
Good Work Ethics - Fast Learner
Data Analysis Skills
Attention to Detail
Microsoft Word, Excel, PowerPoint,Tiger, Medic, Allscripts PM, Navinet, Epic, ePaces, EHR systems
Fax machine, Multi Line Phones,
Customer Service, Copier/Scanner
EDUCATION: 2013- 2015: Kean University- Bachelor's Degree in Psychology
2009- 2012: Union County College- Associates Degree in Social Services
PROFESSIONAL EXPERIENCE
July 2024- October 2025
Cape Fear Valley Medical Center
Supervisor: Denise Dinapoli
My Title: Accounts Receivable Specialist
•Worked at Cape Fear Valley Medical Center as Accounts Receivable Specialist
•Used Epic and Parallels to Review Claim denials and rejections. Worked special assignments to meet insurance and client deadlines. Used payor portals to obtain patient's insurance information such as eligibility and claim status. Worked Work Ques for all MedicareAdvantage plans.
Monitoring patient Demographics in the System to make sure to always have updated information for claim resubmission. AR: Call Insurance Companies to Retrieve EOB status and Denial Corrections/Resubmissions
Jan 2022- June 2024
Title: Independent Contractor
•Delivery transporter for third party corporation
•Provided consistently strong customer service from order to delivery
•Consistently met organization policy and procedures
•Used GPS systems to optimize delivery routes
Ensured professional appearance and proper maintenance of vehicle/Used GPS systems to optimize delivery routes
December 2022- April 2023
Med Claim Comprehensive
Supervisor: Tiffany Hatcher
My Title: Accounts Receivable Specialist
•Worked at Med Claim Comprehensive as Accounts Receivable Specialist
•Used ePaces to Review Claim denials and rejections. Worked special assignments to meet insurance and client deadlines. Used payor portals to obtain patient's insurance information such as eligibility and claim status.
Monitoring patient Demographics in the System to make sure to always have updated information for claim resubmission. AR: Call Insurance Companies to Retrieve EOB status and Denial Corrections/Resubmissions
July 2022- October 2022
Licking Memorial Hospital
Supervisor: LMH Health Professionals
My Title: Accounts Payable Team
•Worked at Licking Memorial Hospital as Accounts Payable Representative
•Used Epic System to enter payments on a daily basis from banks, patients and insurance companies
•Called patients/ Insurance companies to retrieve open balances, faxing and scanning/copying, Customer service
•Used payor portals to obtain patient's insurance information such as eligibility, claim status and EOP’s
Called Insurance Companies and Patients to Retrieve Patient Balances/ Fix Denial Corrections
Jan 2014- October 2021:
Morris Avenue Medical Center
Supervisor: Thamodie R.
My Title: Medical Billing Coordinator
•Duties: Medical Biller for Various Specialties such as Cardiology, Sleep Medicine, Pulmonary, Internal Medicine, Hospital Billing, Posting Payments from insurance companies and patients monthly payments.
•Work closely with patients to resolve any billing issues, give further explanation of balances and collect payment on past due accounts.
•Used Allscripts Payerpath and Navinet to obtain patient's insurance information such as eligibility and claim status, Input Patients Demographics
Accounts Receivable: Correct Insurance denials, Follow-up on outstanding claims, Investigate Claim denials and resubmission
April 2013- December 2021: SCV Billing Services LLC.
Supervisor: Sharon Vaughn
My Title: Accounts Payable Team Lead/ Independent Contract Worker
•Worked at Physician Billing Consultants LLC, as a medical billing specialist
•Enter charges on a daily basis, posting payments, Called patients and insurance companies to retrieve open balances, faxing and scanning/ copying, customer service
•Used Navinet to obtain patient's insurance information such as eligibility and claim status
•AR: Call Insurance Companies and Patients to Retrieve EOB/EOP. Denial Management/Referrals/Authorizations/Claim Reconsiderations/Appeals/Entering Demographics into the System
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