Insurance Specialist, Patient accounts, patient billing, collections
Resume:
Sugar Hill, GA ***** Phone 678-***-****
E-mail *****.******@*****.***
Debby Curtin
Objective To secure a position in customer service /medical administrative that will enable me to expand my area of experience. Resourceful, problem-solver and capable of initiating formative solutions to complex problems and utilizing effective skills as a communicator to maintain a high level of customer service
Functional summary Experience in billing; Medicare part B Primary and as MSP, including extensive knowledge of patient set-up, claims submission, adjustments, offsets and appeals. A strong ability to quickly adapt to, and excel at, new procedures and responsibilities, and a talent for redesigning work flow to maximize efficiency.
Employment 8/15/07 – 12/09 ProHealth Integrated Medical, L.L.C Suwanee, GA
Front Desk / Collections Contracted for 4 months part-time then unto full time
Answered and made out bound calls relating to patient appointment schedules. Followed up with new patients after initial office visits. Verified patients’ insurance benefits, collecting co-payments and conducting patient financials. Mail out patient account statements. Reviewed and audit old accounts from 2004 to 2007 for accounts clean-up. Identifying accounts for permanent write off adjustments, as insurance filing limits met. Notifying patients of delinquent account balances of either deductible amount not met or coinsurance responsibilities. Resubmitting claims for appeal review and submitting accounts to collections.
1/25/06 – 1/31/08 Chiropractic Specialties, Inc. Cumming, GA
Office Coordinator
Effectively maintained 2 Chiropractors office, managed AR and insurance billings; determined individual credit and collection policies. Drafts correspondence and transcribe narrative for both doctors, acting as a liaison between doctors, patients and insurance companies. Maintained front desk with patient scheduling and collection patient co pays and deductibles
Managing daily tasks such as; customer care, insurance / P.I billing, inventory control and shipping and receiving.
Answering high volume calls, in person inquiries, providing superior administrative support.
10/9/04 -1/22/06 Comprehensive Chiropractic Suwanee, GA
Insurance Specialist
Responsible for verified insurance benefits prior to services being rendered.
Submit weekly insurance billing, payment posting, collections and worked insurance appeals (including Medicare) Input / maintenance of patient demographics.
Processing Medicare, commercial, private statements for co-insurance, billing and resolution of both primary and secondary claims.
Collect and negotiate delinquent accounts, followed up on claim status, received inbound calls for authorization and additional documentations. Adjust accounts using EOB’s and various forms of payments.
5852 Sycamore Ridge Dr
Sugar Hill, GA 30518 Phone 678-***-****
E-mail *****.******@*****.***
DEBBY CURTIN
5/99 – 5/28/04 Americare Healthcare Services, Sun Healthcare Group, DME provider Alpharetta, GA
Supervisor, Customer Service Dept.
Managed daily activity of 10 staff members in the CSR department. Worked with key Skilled Nursing Facilities in resolving patients’ medical supplies and billing problems.
Reviewed all new pre-enrolled Medicare B patients’ file for correct documentations and ICD-9 codes. Handled inbound /outbound calls related to Medicare /commercial carriers and patients’ eligibility status. Randomly reviewed physician DME orders for monthly re-ordering.
Conduct random billing reviews for appropriate Medicare reimbursement.
Assisted in billing /collections.
Remits; problem solving on denied claims for re-submission
10/97 -5/99 Radiology of Atlanta & DeKalb Atlanta, GA
Supervisor, Payment posting Dept.
Supervised a staff of 8 employees, recruited, interviewed and hired support personnel and monitor staff duties and production.
Comprehensive knowledge of insurance EOB’s, post payments, applied contractual adjustments and responsible for refunding all overpayments.
Processed and reviewed accounts receivable for 50 physicians and over 1000 patients. Balance and reconciled using 10-key by touch; coordinated daily bank deposits.
Answered telephone inquiries regarding billing issues from patients and insurance companies.
Education 1980-1985 Belair High Mandeville, Jamaica
Graduated with honors
(College prep & Marketing Ed. Credits)
References Available upon request
Experience Microsoft Windows
Dezine (DME VI) Medicare billing software
Eclipse Physician software
e-Clinical Billing software
Medicare CSI & Add-on
Medicare billing, CMS 1500 forms, compliance regulations
Customer Service, Nurse and Doctor relations
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