jessica claire 100 montgomery st 10th floor 555 4321000 resumesampleexamplecom summary seasoned patient account representative versed administration medical billing coding resultsdriven proactive team player 20 years field computerms office outlook excel word access communications written verbal problem identificationsolution systemprocess denial trendinganalysis skills negotiating claims resolution project management conflict resolution training development experience business analyst 122008 032021 warnermedia la state functions evaluated work productivity quality performance results reviewed outstanding ar volumes generated reports team assignments status summary analysis appraisal note team set quarterly fiscal yearend va collections records contract washington dc va medical center prior cpac transition managed dcmd vamc fee basis contingency project created systemprocess status reporting payment tracking contingency reimbursement worked client special projects multiple legacy ar cleanupsspindowns closed old hospital accounting systems acquisition network migration medicare bad debt reimbursement escan transunion insurance verification deployment loas high dollar ar adjustment writeoff subrogation erisa liens payer specific projects navigated insurance online payer sitesprovider portals availity navinet cigna aetna uhc carefirst bcbs analyzed claimsaccounts payment integrity review drg pricing fee schedules payer contracted rates loas decide expected reimbursement identify underpayments submit reconsideration requests escalate payer reprocessing completed large scale eomeoy cleanup projects utilized multiple patient accounting systems medical billingimaging ehr software siemens invision vista ibm as400 iseries ingenix advancedmd cerner nthrive idx cms dde mckesson onedrivecontent webpt furnished provisionalinterim staffing coverage multiple departments across entire revenue cycle utilizing various system work ques excel spreadsheet work reports executed medical billing functions ub04 cms 1500 acutehospital renal esrd hd projects billing institutional ambulatory pt ar collections billing professional performed claimsdenial analysis insurance denial trending via excel eopcarc review payer communications reduced receivablesaging buckets medicare medicaid tricare commercial payers work comp auto pip claims reconsiderations appeals adjustment corrections researched payment discrepanciespostings resolution conducted corrective actions quality reviews versed hipaa cms regulations timely filing statutes regulatory liaison coding billing depts adhoc reporting coding discrepancies icd910 cpt hcpcs advised major payer denial trends reporting discrepancies aggregate amounts suggested potential fixes underlying causes fee negotiations supervisor 012006 072008 wells fargo englewood co directed team fee negotiators securing discount settlements oon medical claims crafted annual performance reviews supported pto records approved settlement proposals global agreements salvages adjustments reversals analyzed team results strategic planning performance development goal attainment training quarterly bonus payouts resolved elevated provider issues coordinated priority client claims meet strict settlement deadlines delivered qualityprocess auditing bill review analysis using uc industry benchmarking toolssoftwareproprietary webbased application senior collections specialist 052003 112005 gentiva carecentrix city state negotiated assigned contracts highdollar accounts special projects reported changes ar analyzed denial trends solved systemprocess problems developed new processeswork flows improve collections efficiencies effectiveness diminished ar thru payer appeals claims corrections adjustments coding changesupdates exceeded benchmarks productivity quality financial performance thru high performance key job responsibilities creative initiatives solid teamwork administered customer servicecollections inbound call center environment answering questions medical claims billing coding dxicd9 cpthcpcs eobs communicated via phone online portals insurance carriers network providers resolve patient account issues major accomplishment developed new denial appeal process economies scale recoupment major contracted payers education training business economics finance 011992 u university iowa associates degree business 061989 mcc iowa valley college hampton high school marshalltown ia gpa 37 high school diploma 051986 hhs hampton high school hampton ia gpa 38