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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 831-227-1148 abc@xyz.com

 

Insurance Billing and Collection Specialist

 

Profile of Qualifications

 

  • Detail-oriented Professional with 25+ years of experience in insurance billing and collections.
  • In depth understanding of strategic account follow up, denial and appeals processes.
  • Skilled in generating precise reports to maintain quality control.
  • Regarded for the ability to deliver outstanding results with the highest degree of expertise, service and professionalism.

 

Key Areas of Expertise

 

   Insurance Operations

   Account Follow Up

   Billing

   DDE

 

   Collections

   Administrative Functions

   SSI

   HMS

   Quality Assurance

   Medical Billing & Management Systems

   MS Office Suite

Professional Synopsis

 

El Camino Hospital - Mountain View, CA 2015

Patient Account Representative

  • Fulfilled critical role maintaining efficiency throughout daily operations, focused primarily on insurance follow up, denials and appeals.
  • Leveraged strong industry knowledge to resourcefully research unpaid balances, while additionally analyzing EOBs, adjustments and write offs.
  • Utilized interpersonal skills to provide top notch customer service and collect payments via phone.

 

Watsonville Community Hospital, Watsonville CA 2010-2014

Billing Manager

  • Demonstrated strong leadership skills throughout hands on personnel management and oversight of billing operations.
  • Appropriately identified billing discrepancies and developed effective resolutions.
  • Assumed key position throughout migration from MDX to SS1.
  • Maintained quality control throughout billing processes by verifying and assessing prior to processing.

 

Wateonville community Hospital, Watsonville, CA 2005-2010

Business Office Analyst

  • Exemplified billing, collection and compliance expertise throughout day to day operations.
  • Strategically generated daily, weekly, monthly and quarterly QA and compliance reports.
  • Developed and implemented innovative, individualized solutions to issues regarding accounts, patients and systems.

 

Watsonville Community Hospital, Watsonville, CA 1993-2005

Patient Account Representative

  • Chief responsibilities included management of billing and collection for commercial, Medicare, Tricare and government matters.
  • Collaborated extensively with Business Office Analyst to strategically fix charge issues.
  • Cultivated positive relationships with patients by utilizing strong interpersonal skills to resolve complaints.

 

Dr. Tarsitano s Medical Office, Watsonvillle, CA 1992-1993

Receptionist/Biller

  • Contributed extensively to daily office operations, including billing, collection, scheduling and staffing.
  • Provided excellent customer service throughout patient interactions and payment processing.

 

Dr. Magma s Medical Office, Watsonville, CA 1987- 1992

Receptionist/Biller

  • Championed process improvement initiatives throughout office operations, including staffing, billing management, collections and account follow up.

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