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Medical Biller/Collector Resume
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| Desired Industry: Healthcare |
SpiderID: 1481 |
| Desired Job Location: Auroa, Colorado |
Date Posted: 11/21/2004 |
| Type of Position: Full-Time Permanent |
Availability Date: ASAP |
| Desired Wage: 35,000.00 |
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U.S. Work Authorization: Yes |
| Job Level: Experienced with over 2 years experience |
Willing to Travel: No |
| Highest Degree Attained: High School/Equivalent |
Willing to Relocate: No |
Objective:
To Obtain a position within your organization that will best utilize my present skill set for the best possible benefit of your organization, as well as myself.
Experience:
February, 2004 to November, 2004
Sr. Collector
Responsibilities: Followed up on Commercial Durable Medical Equipment accounts for a large billing center with over 2,000,000 dollars monthly revenue. Research denials, and perform payor changes and rebills. Maintained Monthly reports on top twenty-five accounts for management and payor review. Identified revenue adjustments and Bad Debt write off's. Scheduled pick up of unused equipment. Converted equipmet to sale per contract guidelines. Answered incoming calls in call center regarding account balances from both parties and payors. Liason with Infusion billing center regarding outstanding accounts.
May, 1997 to February, 2004
Sr. Collector
Responsibilities: Audited and followed up on Home Infusion Therapy claims for high dollar accounts. Maintained communication by both telephone as well as face to face meetings with various Insurance Providers in order to obtain reimbursement for these accounts, composed appeals for denied claims, prepare HCFA 1500 claims for mentioned services.
November, 1987 to May, 1997
Follow up representative
Responsibilities: Prepared medical commercial claims, followed up with insurance carriers for payments, posted adjustments, payments and released discount. Negotiated prompt pay discounts, rebilled accounts when requested by either insurance carriers or patients, maintained recurring accounts for physical therapy accounts, maintained accurate records for financial reporting of hospital revenues and acounts receivable, transferred patients between the various facilities, submitted electronic claims for reimbursement, and trained new employees.
Febuary, 1987 to May, 1987
Accumed Insurance Company
Responsibilities: Reviewed claims for workes compensation for the insurance companies, ensured that the RVS codes were completed according to state regulations.
October, 1978 to May, 1984
Blue Cross Blue Shield of Colorado
Responsibilities: Prepare Medicare claims, stamped and dated mail, as it was received, Microfilmed and filed away paper claims, and Durable Medical Equipment certification document to be procssed.
May, 1984 to December, 1986
Claims Processor
Responsibilities: Processed Medicare claims according to policy and procedure for physician providers and subscribers, maintained communication needed for adjudication of claims
Education:
Colorado College of Medical and Dental Careers
March 1986 to November 1986
Administrative Health Assistant
Skills:
Windows, Microsoft Office Suite Ten Key by touch, Accounts Payable, Accounts Receivable, Claims Coding (CPT, RVS, and ICDP) Various In House Software Systems
Reference:
Kathy Aldridge Friend 303.750.4564
Rebecca Black Friend 303.781.7347
Kris Heistermann Manger 720.922.4701
Jeff Trefz Friend 720.205.9048
Marcia Kerns Friend 303.359.7702
Candidate Contact Information:
| Name: Arleen Hilaire |
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| Street: |
Phone: 303.344.3246 |
| City: Aurora |
Fax: - |
| State: Colorado |
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| Zip: 80011 |
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| Web Site: |
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