Reimbursement Specialist Resume

Objective: A challenging position in a growing company with opportunity for advancement.

Skills: Proficient in Application Extender
Proficient in the Oracle operating system
Proficient in Microsoft Word
Knowledgeable in Microsoft Excel
Strong knowledge of HIPAA laws

Experience:

Confidential, Plano, Texas June 2012 to present

Reimbursement Specialist

Managed a large volume of patient accounts for a company who provides in home hemo-dialysis to patients
Responsible for working a large group of patient accounts to include contacting insurance carriers for payment status and submitting adjustments on closed accounts.

Confidential, Lewisville, Texas November 2001 to March 2012

Patient Care Billing Specialist

Obtained and examined all relevant information in order to assess the validity of patient statements.
Arranged for debt repayment and established repayment schedules, based on customers’ financial situations.
Kept detailed records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
Was instrumental in training new personnel in the patient billing process.

Credit Account Analyst

Supervised and managed credit accounts trial balance for a high volume durable medical equipment provider.
Consulted with patients and insurance carriers to resolve credit balances.
Analyzed credit balances to determine the degree of risk involved in re-booking funds as revenue or recommending refund payments as appropriate.

Account Administrator-Third Party Collections

Executed daily operations of a two million dollar aged trial balance for a high volume durable medical equipment provider.
Received payments and verified accuracy against established contracts.
Resolved/clarified billing codes and diagnoses with conflicting, missing, and unclear information by consulting with doctors and others to get additional information.
Protected the security of medical records to ensure that confidentiality was maintained.
Responded to written and telephone request for medical records and released information to personnel and agencies according to regulations.
Trained new personnel in the daily operations of the department.

Education:
Business and general education classes

Diploma

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