Medical Accounts Receivable Specialist
Resume:
Cindy Greenwood
Mesa, AZ ***** +1-360-***-**** **********@*****.***
Professional Summary
Organized Medical Accounts Receivable Specialist/Biller/ Cash poster boasts 20 plus-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment and remote environment. Work Experience
Accounts Receivable Specialist
AMS Neuro Mesa, AZ
August 2024 to January 2026
• Identified opportunities for process improvement within the accounts receivable function, resulting in increased efficiency
• Resolved complex billing issues by conducting thorough research and analysis of customer accounts
• Trained new team members on accounts receivable processes and procedures Medical Billing/Collections Specialist
Arizona Specialty Surgery Center Chandler, AZ
July 2023 to July 2024
Timely and accurate billing of ASC claims to commercial and government payers via Waystar. Medical Accounts Receivable Specialist
Medirevv/Tegria RCM for Providence Health and Services Seattle, WA January 2019 to April 2023
• Applied HIPAA privacy and security regulations while handling patient information.
• Completed and submitted appeals for denied claims.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Submitted appeals using provider portals and phone communication.
• Reviewed claims for coding accuracy.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Input details into accounts and tracked payments.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Handled billing, waivers and claims for private and commercial clients.
• Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
• Upheld strict quality and accuracy standards through daily process adjustments.
• Verified validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments and from customers.
• Charge corrections.
• Clearinghouse rejections and edits.
• Trending work queues.
• Reported denial trends for front end edits to reduce denials on the backend.
• Reported denial trends to add system scripts for auto adjustments.
• Worked with provider relations representatives to resolve mass claim denials, erroneous recoupments and underpayments.
• Assisted in training coworkers and new hires.
• 10 years experience with Epic.
Medical Biller, Accounts Receivable
Providence Health and Services Portland, OR
July 2014 to January 2019
• Applied HIPAA privacy and security regulations while handling patient information.
• Completed and submitted appeals for denied claims.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Submitted appeals using provider portals and phone communication.
• Reviewed claims for coding accuracy.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Input details into accounts and tracked payments.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Handled billing, waivers and claims for private and commercial clients.
• Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
• Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
• Interpreted medical terminology and pharmacological information to translate information into coding system.
• Performed day-to-day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables' data.
• Facilitated payment of invoices due by sending bill reminders and contacting clients
• Generated financial statements and reports detailing accounts receivable status.
• Upheld strict quality and accuracy standards through daily process adjustments.
• Utilized daily audit information to update aging reports.
• Verified validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments and from customers.
• Resolved invalid or unauthorized deductions by following pending deductions procedures. Medical Biller, Accounts Receivable
Care Medical DME Portland, OR
August 2010 to June 2014
• Applied HIPAA privacy and security regulations while handling patient information.
• Completed and submitted appeals for denied claims.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Submitted appeals using provider portals and phone communication.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Input details into accounts and tracked payments.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Handled billing, waivers and claims for private and commercial clients.
• Facilitated payment of invoices due by sending bill reminders and contacting clients
• Upheld strict quality and accuracy standards through daily process adjustments. Education
High School Diploma
Ephrata High School Ephrata, WA
June 1983
Skills
Revenue cycle management Medical Billing Resident's rights Record keeping Forecasting Data entry Medical office experience Office experience Managed care Health insurance Customer service Investigative research Sales Microsoft Office Medical records EMR/EHR Windows Organizational skills Accounts receivable CPT Coding Microsoft Outlook Time management Appeals Process improvement Accounting systems Pivot tables Account reconciliation report Insurance claim appeals processing Computer operation Insurance verification HIPAA Aged receivables report Month-end close Written communication Attention to detail Insurance medical billing Cash application ICD-9 Medical collection Microsoft Teams Microsoft Excel Budgeting Data reporting Problem-solving ICD-10 Medical terminology Management
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