Senior Medical Accounts Recovery Specialist

SHELLIE GREENBACH

Modesto, CA 209-***-**** ******************@*****.***

PROFESSIONAL SUMMARY

Senior Account Recovery Specialist with 14+ years of experience recovering revenue on complex and high-balance medical accounts. Expert in insurance follow-ups, denials management, and appeals processes while maintaining full HIPAA and FDCPA compliance. Proven track record resolving escalated cases, improving recovery outcomes, and training team members to meet productivity and quality goals.

PROFESSIONAL EXPERIENCE

Senior Account Recovery Specialist - Level 4

HealthCare Revenue Recovery Group, Knoxville, TN (Remote) July 2010 - Present

- Manage complex and high-balance medical accounts with focus on maximum revenue recovery

- Conduct insurance follow-ups, claim reviews, and appeals to resolve underpayments and denials

- Analyze Explanation of Benefits (EOBs), billing histories, and payer responses to identify recovery opportunities

- Handle escalated and aged accounts requiring advanced problem-solving and negotiation skills

- Communicate professionally with patients, insurance carriers, and healthcare providers regarding account balances and disputes

- Negotiate payment arrangements and settlements in compliance with company guidelines and regulatory requirements

- Ensure full compliance with Health Insurance Portability and Accountability Act (HIPAA), Fair Debt Collection Practices Act (FDCCA), and applicable state and federal regulations

- Maintain accurate documentation and account activity in billing and collections systems

- Consistently meet or exceed productivity, quality, and recovery performance metrics

- Train and mentor team members on best practices for account recovery and compliance CORE COMPETENCIES

Medical Collections Insurance Follow-Up Denials Management Appeals Processing HIPAA Compliance FDCPA Compliance Account Recovery Escalated Account Resolution Payment Negotiations EOB Analysis Claims Analysis Revenue Cycle Management Patient Account Management Staff Training and Mentoring Time Management Problem Solving Healthcare Billing Systems Account Documentation

EDUCATION

Highschool Diploma

Calle Highschool

TECHNICAL SKILLS

Medical Billing Software Collections Management Systems Electronic Health Records (EHR)

Microsoft Office Suite Customer Relationship Management (CRM) Systems

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