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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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