Experience

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  Covenant Surgical Partners

  • Nashville Tn

  • Patient Account Specialist

    • Oct 2011 - Present
    • Nashville Tn

    Understanding of billing requirements for primary and seconedary claims. Follow up with contracted payers and non-contracted payers to ensure proper payment of claims. Appeal claims that were denied or rejected. Research credit balances and refund overpayments to payer or patient. Post cash daily and pull information from our lockbox, via website or SSI report. Follow up through our RCM System on AR weekly to ensure our claims have gone out correctly, have been paid or rebill claim if "no claim on file".Reconcile bank statements weekly to ensure all payments have posted. Take incoming Calls for resolution or credit card payments. Do a month end close making sure all cash has been posted and balances. Write off bad debt from previous 6 months on patients outstanding balances.

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  Accredo Healthcare - a Medco Company

  • Reimbursement Specialist

    • May 2009 - Oct 2011

    Understanding of billing requirements for contracted prescription card payers.Follow up with payers to ensure proper payment through an ESD database system for Home Delivery Mail. Appeal denied or rejected claims. Worked an invoice report to ensure that invoices generated correctly and resolved any errors on invoices, Billed some claims through electronic system. worked a monthly Age Trial Balance report to keep tract of what is still outstanding and over 365 days old and try to keep accounts under 60 days current.

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  Dialysis Clinic, Inc.

  • Nashville Tn

  • Medical Billing Specialist

    • May 2004 - Jun 2007
    • Nashville Tn

    Specializing in billing and collections activity for California Regional clinics (Oroville, Redding and Fort Bragg) for over 165 patients.Insurance verification and follow-up on adjustments or refunds to ensure that credit balances are taken care of in a timely manner. Reconciliation for billing and accounts receivables for closing for month end.

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  Ford Motor Company

  • Franklin Tn

  • Collector II/ CSR

    • Apr 1996 - Sep 2003
    • Franklin Tn

    Held Several positions within the entity of Ford Credit (Collections, Bankruptcy Coordinator, Property Tax Representative and Customer Service Representative, handling over 200 accounts for billing and collections resolutions and negotiated payment plan for car payment.