Experience

Currance

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Account Resolution Specialist

  • Feb 2022 - Present



LEGACY HEART CARE OF FORT WORTH LLC

• United States
• Medical Practices
• 1 - 100 Employee

• Accounts Receivable Specialist

  • May 2017 - Jan 2022

  Performed duties as Insurance Analyst. Responsible for maintaining/overseeing Accounts Receivable and credit balance processing for the company in accordance with company policy. Consistently met/exceeded Key Performance Indicators. Created and drafted SOPs and audited work. Provided support to front end admins. Managed accounts with AdvancedMD practice management software. Provided feedback for the clinical directors relating to billing. Provided detailed error analysis and resolution.… Show more Performed duties as Insurance Analyst. Responsible for maintaining/overseeing Accounts Receivable and credit balance processing for the company in accordance with company policy. Consistently met/exceeded Key Performance Indicators. Created and drafted SOPs and audited work. Provided support to front end admins. Managed accounts with AdvancedMD practice management software. Provided feedback for the clinical directors relating to billing. Provided detailed error analysis and resolution. Responsible for claim and payer edits for the company. Worked with the Billing Director to perform bad debt referrals on patient accounts. Processed patient and insurance credit card payments. Prepared and submitted statements. Assisted patients that had inquiries about insurance benefits and balances owed for an out of network provider. Show less Performed duties as Insurance Analyst. Responsible for maintaining/overseeing Accounts Receivable and credit balance processing for the company in accordance with company policy. Consistently met/exceeded Key Performance Indicators. Created and drafted SOPs and audited work. Provided support to front end admins. Managed accounts with AdvancedMD practice management software. Provided feedback for the clinical directors relating to billing. Provided detailed error analysis and resolution.… Show more Performed duties as Insurance Analyst. Responsible for maintaining/overseeing Accounts Receivable and credit balance processing for the company in accordance with company policy. Consistently met/exceeded Key Performance Indicators. Created and drafted SOPs and audited work. Provided support to front end admins. Managed accounts with AdvancedMD practice management software. Provided feedback for the clinical directors relating to billing. Provided detailed error analysis and resolution. Responsible for claim and payer edits for the company. Worked with the Billing Director to perform bad debt referrals on patient accounts. Processed patient and insurance credit card payments. Prepared and submitted statements. Assisted patients that had inquiries about insurance benefits and balances owed for an out of network provider. Show less



MedSynergies

• Hospitals and Health Care
• 100 - 200 Employee

• Revenue Cycle Manager- Accounts Receivable

  • May 2016 - May 2017

  Responsible for maintaining/overseeing Accounts Receivable and credit balance processing for 3 groups of clients with over 100 physicians total in accordance with Medsynergies’ best practices, Service Level Objectives and Key Performance Indicators. Manage a team of 12 direct reports and maintain a working relationship with our offshore partners. Responsible for creating and drafting SOPs and auditing work. Ensure team’s work product follows audit controls and perform management sign-off.… Show more Responsible for maintaining/overseeing Accounts Receivable and credit balance processing for 3 groups of clients with over 100 physicians total in accordance with Medsynergies’ best practices, Service Level Objectives and Key Performance Indicators. Manage a team of 12 direct reports and maintain a working relationship with our offshore partners. Responsible for creating and drafting SOPs and auditing work. Ensure team’s work product follows audit controls and perform management sign-off. Attend weekly meeting with client management to update on trends and team progress. Maintain proper system access levels for all direct reports. General management of assigned team.

• Senior Service Associate - Private Practice

  • Apr 2014 - May 2016

  Supervised multiple offshore partners serving the Non-Joint-Venture clients. Provided training and auditing. Ensured teams met daily production requirements. Created new SOPs and presented changes to current policies. Managed accounts with Groupcast, Flowcast, and Centricity. Provided feedback and re-education opportunities for the partners during the audit process. Interfaced with the Client Management team to resolve client upsets, billing, and credentialing issues. Managed and routed… Show more Supervised multiple offshore partners serving the Non-Joint-Venture clients. Provided training and auditing. Ensured teams met daily production requirements. Created new SOPs and presented changes to current policies. Managed accounts with Groupcast, Flowcast, and Centricity. Provided feedback and re-education opportunities for the partners during the audit process. Interfaced with the Client Management team to resolve client upsets, billing, and credentialing issues. Managed and routed work orders through the internal work system. Provided detailed error analysis and resolution.

• Multiple Positions

  • Feb 2003 - Apr 2014

  Managed the on-shore team for the Hospitalist Department. Subject matter expert for Texas Health Resources. Performed client visits to assist with practice information requests and general Account Receivable questions from the practice managers. Managed the practice information request hotline. Managed a team of offshore partners during a physician owned lab project. Responsible for working the claim and payer edits for Texas Health Resources. Worked with the Accounts Receivable… Show more Managed the on-shore team for the Hospitalist Department. Subject matter expert for Texas Health Resources. Performed client visits to assist with practice information requests and general Account Receivable questions from the practice managers. Managed the practice information request hotline. Managed a team of offshore partners during a physician owned lab project. Responsible for working the claim and payer edits for Texas Health Resources. Worked with the Accounts Receivable Department Manager to perform collections duties for the exhaust process on patient accounts. Processed patient and insurance credit card payments. Assisted the call center by helping patients that had inquiries about balances owed. Performed duties as Insurance Analyst for Cogent Healthcare and Midwestern Cardiac Center.



MDM Medical Mgmt & Billing

• United States
• Outsourcing/Offshoring

• Medical Billing and Collections

  • Aug 2002 - Feb 2003

  Perform form 1500 billing, collection and maintenance of patient accounts for 14 doctors. Responsible for follow up on all assigned accounts. Prepare collections, write-offs, and place accounts with bad debt. Work with Medicare and NHIC to get claims paid as well as commercial insurance companies, HMO/PPO plans, and private pay patients. Perform form 1500 billing, collection and maintenance of patient accounts for 14 doctors. Responsible for follow up on all assigned accounts. Prepare collections, write-offs, and place accounts with bad debt. Work with Medicare and NHIC to get claims paid as well as commercial insurance companies, HMO/PPO plans, and private pay patients.



New Hanover Regional Medical Center

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Patient Accounts Tech

  • Mar 2001 - Aug 2002

  Collect commercial and Government insurance payments for in-patient and out-patient accounts. Conduct a follow-up on accounts to verify status of claims. Re-bill insurance companies and pull explanation of benefits. Post adjustments to accounts. Act as a telephone patient counselor as necessary. File claims using ICD-9 and CPT codes. Collect commercial and Government insurance payments for in-patient and out-patient accounts. Conduct a follow-up on accounts to verify status of claims. Re-bill insurance companies and pull explanation of benefits. Post adjustments to accounts. Act as a telephone patient counselor as necessary. File claims using ICD-9 and CPT codes.



US Navy

• United States
• Armed Forces
• 700 & Above Employee

• Hospital Corpsman

  • Feb 1996 - Aug 2000

  Nursing Duties in OB/Gyn and Family Practice clinics. Booked appointments for referral consultations for two base hospitals through Eastern Carolina Coordinated Care. Two years in the Patient Administration and Registration Department maintaining and auditing active duty and dependent personnel medical records, completing pre-admission paperwork, and filling physician requests for medical records. Nursing Duties in OB/Gyn and Family Practice clinics. Booked appointments for referral consultations for two base hospitals through Eastern Carolina Coordinated Care. Two years in the Patient Administration and Registration Department maintaining and auditing active duty and dependent personnel medical records, completing pre-admission paperwork, and filling physician requests for medical records.