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Click here or scroll down to respond to this candidate Candidate's Name
Street Address Chelmsford Trail
Arlington, TX Street Address
PHONE NUMBER AVAILABLE
EMAIL AVAILABLE
PROFESSIONAL PROFILE
Talented Accounts Recievable & Payable Specialist who has gained a combination of billing and
collection skills through various assignments. Highly experienced in reconciling insurance and patients
payments and resolving account disputes. A responsible employee ready to deliver professional service to
a stable medical company.
CORE COMPETENCIES
ICD-9-CM ICD-10-CM EMR Systems- Epic
Medical Terminology Medical Practice Operations Patient Billing
Medical Insurance Claims Typing-75 WPM Customer Service
Advanced Microsoft Office HIPPA Compliant UB04 & CMS 1500 Claims
PROFESSIONAL EXPERIENCE
Aerotek- Medsynergies Irving, TX April 2017 to Current
Accounts Receivable Associate, Sr-Credit Balance
Review outstanding insurance balances in Epic to identify and resolve issues preventing
finalization of claim payment; including coordinating with payers, patients and clients when
appropriate.
Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age
of overall AR.
Review credit balances and validate reimbursement requests and initiate reallocation or refunds
when appropriate
Facilitate team communication and training of fellow team members.
Participate in special projects and perform other duties as assigned.
K-Force- NThrive February 2017 to April 2017
Accounts Recivable Associate- Government (Medicare/Medicaid) PAR
Follow up on all claims from billing through final resolution.
Review and prepare claims for manual and/or electronic billing submission
Follow up on payment errors, low reimbursment, denials, etc.
Review insurance EOB's and intitiate appeals as necessary.
Keep current with all managed care pricing models, rules, and regulations.
Conifer Frisco, TX October 2016 to December 2016
Accounts Receivable Associate, Claims Demial & Appeals Specialist
Review and analyze claim denials in order to perform appropriate appeals for reimbursment.
Research, appeal and resolve claim rejections, underpayments and denials with appropriate Payer.
Initiate collection follow-up of all unpaid or denied claims with the appropriate Payer.
Respond to written Payer communications as indicated with appropriate action in a timely
manner.
Identifies, documents, and communicates trends in recurring denials and recommends process
imporvements or system edits to eliminate future denials.
Revenue Cycle Solutions Dallas, TX June 2015 July 2016
Accounts Receivable Associate- SR-Billing & Collections
Billing/rebilling primary & secondary insurance payers.
Knowledge of UB04 and/or 1500 billing forms
Possess the ability to review and interpret EOBs to ensure total charges were billed and
payments/contractual and adjustments were posted correctly.
Follow-Up with Medicaid, Medicare, Private or third party payers to collect on outstanding
balances, denied or rejected claims.
Review and appeal unpaid and denied claims. Analyze codes to ensure proper billing.
Medfusion Lewisville, TX May 2014 June 2015
Accounts Payable Associate, Medical Billing Analyst
Work with client representatives to communicate status of clients Accounts Receivable (A/R),
charge entry issues identified and resolve errors or rejections due to coding errors, updates or
charge entry errors.
Completed accurate and timely monthly reconciliation of lab billing accounts.
Researched unclear items on AR aging reports to ensure all data is correct and adjustments are
completed.
Escalate client issues with suggested resolutions to management.
Meet all personal and departmental A/R goals.
The Mergis Group Dallas, TX March 2013 - November 2014
Human Resource Generalist
Responsible for HRIS administration; processing new employee set-ups and status changes.
Prepare, maintain, and performs audits on all employee files, including I-9 and benefit files,
assuring accuracy, compliance and confidentiality.
Administers I9 documentation/employee background screening.
Ensure all required paperwork and documentation is completed for all candidates throughout the
sourcing process.
Functions as E-Verify administrator.
Delta Dallas Dallas, TX January 2012 to December 2012
Medical Insurance Verifications Specialist
Utilize initial referral form to determine if additional information will be needed in order to
complete verification of benefits.
Notify physicians if prior authorization is required, fax forms to physician for completion.
Place outbound calls to patients or physicians office to notify of any delays or requests for
additional information.
Provided excellent customer service to patients, insurance carriers, and healthcare professionals.
Perform other duties as necessary.
Citi Group Las Colinas, TX June 2005 to September 2010
Sr. Mortgage Collector- Latge Stage
Initiate contact with debtors by both phone and letter while in compliance with the FDCPA and
consumer privacy laws.
Collect on past due mortgage accounts aging 60 to 120 days past due using dialer and manual
systems.
Make determinations as to strength of mortgagor income situation to determine other potential
resolutions such as Modification, Full Payoffs, Short sales, and Reinstatements.
Resolve customer issues.
Work with Loss Mitigation unit managers as to any other projects in process, as needed.
EDUCATION
University of North Texas August 2016- current
Master of Science in Health Services Administration
University of North Texas @ Dallas August 2014 to May 2016
Bachelor of Science: Applied Arts & Sciences
Mounain View College August 2009 to May 2011
Associate of Arts: Arts
REFERENCES
Available Upon Request
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