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Candidate Info
4
years in workforce
1
year at this job
BS
Business Administration
AR Specialist
Analyzed and submitted monthly billing for Medicare, Managed Care, Hospice and Secondary billing for a 180 bed SNF and 24
bed ALF
- Maintained and updated collections tracking spreadsheet to help organize payment information
- Advised and participated in the weekly and monthly PPS and Medicare Triple Check meetings
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures for outpatient services; Meticulously
Candidate Info
16
years in workforce
2
months at this job
HS
High School Diploma
Ap/ar Specialist
- Executed accounts receivable and accounts payable reporting enhancements and reconciliation procedures.
- Managed accounting operations, accounting close, account reporting.
- Performed debit, credit and total accounts on computer spreadsheets/databases
- Received, recorded cash and checks and vouchers.
Candidate Info
5
years in workforce
5
years at this job
AAS
Accounting
AR Specialist I, II, III, IV
- Experience posting payments from insurance companies, as well as patient payments, to the system with excellent accuracy and timeliness.
- Established system to maintain all CCSS authorizations, eligibility and benefit inquiries, claim preparation, and payment discrepancies/resolutions for Value Options accounts receivables.
- Handled payroll, reimbursements, and leave requests for more than 70 employees when employment began at one of the PMS clinics.
- Performed general clerical duties, including but not limited to, operating 6-line phone system for staff of more than 70 employees, creating charts in medical records room, copying and filing, faxing, and greeting patients in a medical front desk setting.
Candidate Info
10
years in workforce
3
years at this job
AS
Accounting
Medical Biller/ar Specialist
- Reduce number of pages in AR aging report from triple to single digits by reviewing AR aging report for up to 10 companies to research and resolve payment discrepancies.
- Conduct audits to ensure print charges are accurate and processed accurately.
- Process electronic billing to post insurance payments and conduct calls to patients to collect outstanding balances for bills and issue refunds as necessary.
Candidate Info
14
years in workforce
11
months at this job
C
Medical Billing And Coding
AR Specialist
Follow-up of all unpaid or denied claims with the appropriate payers of accounts as assigned.
- Research, appeal and resolve claim rejections, underpayments and denials and respond to written payer communications as indicated with appropriate action.
- Process claims and appeals by gathering information, initiating and/or creating via payer potals, scanning appeals, filing electronic or paper rebills and mailing to insurance company in a timely manner.
- Document daily in the billing system all follow up and communication on a patient account in a consistent and concise format and logging daily in Excel accounts worked. Other duties as assigned.
Candidate Info
18
years in workforce
2
years at this job
C
Education
AS
Applied Business
BA
Bags
AR Specialist
- Posting account receivables daily and preparing the daily deposits
- Process insurance verifications prior to surgery
- Insurance follow up on accounts that are older than 90 days
- Other duties as assigned
Candidate Info
18
years in workforce
7
years at this job
AR Specialist/ Accounts Payable, Resident Banker
- Billing facility claims using Point Click Care, which includes Medicaid, Medicare, Managed Care, co-insurance claims
- Follow-up and collections
- Manager of Resident Trust Fund
- Manage all Accounts Payable within the facility
Candidate Info
3
years in workforce
2
years at this job
HS
Skills / Experience
Business Administrations
Undeclared Business
AR Specialist
- Preformed accounts payable responsibilities
- Preformed accounts receivable responsibilities
- Reconciled company payroll
Candidate Info
4
years in workforce
1
year at this job
BS
Business Administration
Ap/ar Specialist
- Customer returns (credit/debits memos) for all U.S. and CA customers.
- Cash deposits/lockbox for all U.S. and CA customers.
- Prepaid flow for all U.S. and CA customers.
- Collections for all U.S. and CA customers.
Candidate Info
11
years in workforce
2
years at this job
Liberal Arts
AR Specialist-commercial ®ulatory Insurances
- Follow-up on insurance denials. Resolve unpaid accounts in a timely manner while maintaining quality and productivity standards.
- Accurately decipher denial reasons and determine correct follow up procedure to maximize appropriate revenue.
- Identify and resolve coding issues and provide coding feedback.
- Identify and resolve payer trends.
- Resolve issues with payments and charges.
- Responsible for editing patient insurance information.
- Review payer fee schedule to determine correct reimbursement.
- Compliance with all state and Federal regulations.
- Use Misys/Epic and of Microsoft Office programs
Candidate Info
19
years in workforce
14
years at this job
Business Administration
Out of State Medicaid Biller /ar Specialist II
- Eligibility for all 50 states.
- Filing claims UB04s
- Appealing denied claims.
- Research and identify payments not reported by client.
- Following up on claim status.
- Ordering medical Records.
- Analyzing Remittance Advices.
- Resolve Problem Accounts.
- Special Projects.
- Maintain weekly reports on accounts returned to the client.
