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Senior Psychcare - Billing & Collections Specialist Resume Example

James Miller
  • XXXX XXXXXXXXX XX, Houston, TX 77035
  • - XXXXXXXXXXXX
  • - XXXXXXXXXXXXXXXXXXXXXXXXX
Summary

Skilled and experienced revenue cycle specialist  that has over seven years  of  strong knowledge of medical billing and collections practices. Excellent knowledge of medicare, medicaid, and commercial  billing and collections reimbursement guidelines. Good understanding of medical terminology and HIPAA guidelines and regulations. Highly adaptable, rapidly learn new procedures and processes, and quickly adjust to changes in schedule, team structure, assignment parameters, and organizational objective.

Skills
  • Team player with positive attitude
  • Excellent verbal and written communication
  • Exercise good judgment
  • Ability to self-motivate and work with minimal supervision
  • Strong time management and customer service skills
  • Six Sigma Training
  • Experience in a health care billing and collection environment using an health care computer system in area of specialty.
  • Monitoring assigned accounts to ensure maximization of collection dollars.
  • Worked with both in-network and out-of-network providers.
Experience
Billing & Collections Specialist 07/2013 to Present
Senior Psychcare - Houston, TX
  • Ensured that all commercial and government claim filing deadline appeals are submitted timely and resolve claim denials for timely filing are exhausted prior to submitting as a write off or patient responsibility.
  • Initiated contact with guarantors/third party payers to collect on outstanding claims or balances.
  • Submitted claims daily to clearinghouse and resolved claim edits and rejections.
  • Reviewed incoming correspondence and took appropriate action.
  • Analyzed accounts for errors, adjustments and credits, issuing corrected entries when necessary,updated account information accordingly
Team Lead 09/2011 to 06/2013
Christus Health - Houston, TX
  • Met all productivity and collection goals, including dollars collected and accounts assigned.
  • Initiated appeals of denial of payment for services.
  • Identified payer reimbursement patterns and trends and reported to management on an weekly basis.
  •  Maintained a professional competency by staying aware of assigned payer guidelines and policies regarding reimbursement and shared this information with department management and team daily.
  • Promoted individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supported department-based goals which contribute to the success of the organization; served as an mentor, and resource to less experienced staff.
Customer Service Support Associate 06/2007 to 09/2011
Xam Business Service - Houston, TX
  • Secured patient accounts in order to maximize reimbursements in a customer service oriented fashion.
  • Followed up on outstanding accounts and made proper notations in epic system.
  • Filed insurance claims and requested patient statements.
  • Reviewed invoices to verify payments and contractual adjustments.
  • Expedited and maximized payment of insurance medical claims by contacting third party payers and patients.
Education
Business, 2011 Houston Community College - Houston, TX
High School Diploma: 1998 Jesse H. Jones High School - Houston, TX
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Resume Details

This is a real resume for a Billing & Collections Specialist in Houston, Texas with experience working for such companies as Senior Psychcare, Christus Health, Xam Business Service. This is one of the hundreds of Billing & Collections Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Billing & Collections Specialist resume.

Previous Companies:

  • Senior Psychcare
  • Christus Health
  • Xam Business Service

Previous Job Positions:

  • Billing & Collections Specialist
  • Team Lead
  • Customer Service Support Associate

Schools:

  • Houston Community College
  • Jesse H. Jones High School

Level of Education:

  • High School Diploma

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