*Provide quality, professional, personalized service to all members according to Plan guidelines. *Handled telephone, written and walk-in inquiries in a courteous, professional, thorough manner to assure member satisfaction and education.*Used problem-solving skills and knowledge of benefits, claims/membership policies and procedures to assure correct application of benefits. *Ability to assess when further action is required by sending inquires promptly to research team for appropriate action. *Ability to utilize a variety of computer software programs and written materials to access information needed to assure accurate responses to questions.

*Prepare and complete write off, contractual adjustments and refunds*Identifies and communicates payer trends and issues to Management on a timely basis*Prepared and maintained spreadsheet of all facilities for monthly A/R reviews to provide status and discuss any issues on aged receivables with management*Identify issues and takes corrective actions to resolve, report and recommend ways to improve the system*Perform follow up calls to carriers to status receipt of claim and when payment will be issued*Performs all duties related to account receivables for multiple facilities in a central billing office

•*Assisted with the development and the maintenance of tracking systems for consumer utilization of services*Track and document all financial data to assure an effective and efficient program operation*Responsible for entering and maintaining all new client enrollment and closures*Performed and maintained eligibility verifications for all clients and authorizations for Vocational and Medical Health Home Services into electronic billing services*Auditing of patient accounts and prepared monthly A/R review to provide status updates*Performed follow up calls to carrier to status receipt of filed claims and processing status of all rebilled claims*Prepared and completed write offs, contractual adjustments and refunds

*Performed all duties related to account receivables for multiple facilities in a central billing office*Demonstrated high-level of problem-solving skills to identify issues and took corrective actins to resolve, report and recommend ways to improve the system*Billed secondary and third insurances as required*Identified and communicated payer trends and issues to Management on a timely basis*Process re-billings to insurance carriers to include: Primed UB04 itemized charges*Performed follow up calls to carries to status receipt of claims and when payment will be issued*Prepared and maintained spreadsheet of all facilities for monthly A/R reviews to provide status and discuss any issues on aged receivables with management*Prepared and completed required write offs, contractual adjustments, refunds and recoupments*Collaborated with other members of the healthcare team to provide knowledgeable information pertaining to insurance carriers and the overall operations of our department to correct, precent and trend issues we may encounter in the futureDaily responsibilities included: auditing patient accounts A/R reviews, third party agreements, prioritizing, creating and maintaining provider contacts, trending issues, payer setup, billing, claims editing, denial management and communicating issues between departments and business units

* Primary contact for physicians*Operations management of multiple departments daily*Resolve insurance reimbursement issues*Accounts receivable, accounts payable*Contract negotiations and management of existing contracts*Employment and termination of staff when needed

*Making up to 120 outbound calls daily and documentation of every call*Arranging payments to quickly resolve any open balances*Researching payments*Verification of employment & assets for legal referrals*Proven ability to exceed goals in a fast-paced environment*Received collector of the year 3 consecutive years and always maintained in top 10*Transferred within the company to accept a new position