Accounts Receivable & Collections Specialist
Resume:
Simona Windom
Los Angeles, CA
️ ************@*****.***
LinkedIn: https://www.linkedin.com/in/simona-w-2b4122202
Professional Summary
Dedicated and results-driven Accounts Receivable and Collections Specialist with over 15 years of experience in healthcare billing, insurance claims management, and revenue cycle operations. Skilled in reducing outstanding receivables, resolving complex billing issues, and providing exceptional customer service. Adept in working with multiple EHR and billing systems, negotiating payments, and managing both governmental and commercial claims. Known for accuracy, follow-through, and a solutions-oriented approach.
Core Competencies
Healthcare Collections & Billing
Account Reconciliation & Aging Reports
Insurance Verification & Authorization
Denials Management & Appeals
Contract Compliance & Reimbursement
Medicare & Government Claims
Customer Service & Payment Negotiation
EOB Processing & Claims Follow-Up
Office Administration
System Proficiency: EPIC, IDX, AS400, SMS Invision, Med Assets, Passport, HBO, Premise, Medicity, IMacs, CT-Vision VI-Web, DDE, Circus, PMOC, MS Excel (Pivot Tables), MS Word
Professional Experience
Billing and Collections Specialist
Reproductive Partners Medical Group, Inc. – Westminster, CA Aug 2024 – Jun 2025
• Contacted patients and insurance companies to follow up on outstanding medical bills and claims.
• Negotiated payment arrangements with patients or authorized representatives.
• Identified and resolved discrepancies in billing and payment.
• Sent out past-due letters and statements to patients.
• Accurately posted payments and maintained updated account records.
Patient Account Specialist
Saint Francis Medical Center – Lynwood, CA Feb 2021 – May 2022
• Managed 45–50 claims daily including HMO, PPO, work comp, and commercial claims.
• Reduced accounts receivable by over $150,000 through targeted follow-ups.
• Spearheaded appeals for denied/underpaid claims and coordinated Medicare procedures.
• Processed EOBs and conducted detailed account reconciliations.
Medical Collector
Concern Health Group – Inglewood, CA Nov 2018 – Mar 2019
• Handled full-cycle billing including front and back office functions.
• Conducted follow-ups with various insurance providers and addressed billing discrepancies.
• Assisted patients with intake paperwork and resolved credit card declines.
Patient Account Representative / Non-Government Collector
Keck Medicine of USC – Alhambra, CA Dec 2017 – Jul 2018
• Managed patient accounts from discharge to collections.
• Ensured compliance with billing regulations and streamlined account follow-ups.
• Focused on non-government insurance collections.
Store Manager
Frankie’s Tuxedos, Inc. – Inglewood, CA Nov 2014 – Dec 2017
• Oversaw store operations, trained staff, and maintained inventory systems.
• Promoted services through community outreach and events.
• Managed cash handling, reporting, and customer satisfaction.
Patient Account Representative
Saint Vincent Medical Center – Los Angeles, CA Feb 2007 – Apr 2014
• Reconciled patient accounts and collaborated with insurance companies.
• Negotiated payment plans with patients and facilitated debt recovery.
• Ensured compliance with financial policies and healthcare billing regulations.
Patient Account Representative
Daniel Freeman Hospitals (Cen Nela, Brotman, Coastal) – Culver City, CA Nov 2002 – Jan 2007
• Handled patient account services and resolved outstanding claims across multiple hospital facilities.
• Coordinated with third-party payers and supported internal billing departments.
Education
(Not listed – can be added if available)
References
Available upon request.
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