AR Specialist Resume Samples

Description :

1. Posted of Medicaid, managed care, hospice, applied income and private pay payments.
2. Performed account audits, adjustments, credit re-allocations and write-offs.
3. Prepared/processed resident statements, collection letters and refunds.
4. Maintained completed the accurate payment databases for each community. Communicated extensively with the business office management, regional management, administrators, leadership, accounting and billing team members.
5. Conducted review of each resident account ensuring the completion and accuracy of payer source configurations, coverage levels, and authorizations.
6. Performed exhaustive and meticulous review of each account ensuring all information pertinent to admission.
7. Verified insurance eligibility for patients via insurance portals and telephone.
8. Served as a resource to staff by answering phone calls and attending to walk-in patients.

Experience

7-10 Years

Level

Senior

Education

Business Administration

Description :

1. Performing following-up activity on outstanding physician claims under the direction of my accounts receivable supervisor.
2. Proactively following-up on outstanding physician claims in accordance with the medical system current standards (between 65 to 100 accounts daily).
3. Identifying issues and trends that result in non-payment of claim due to internal/external review, elevating significant issues to the Supervisor.
4. Working collaboratively with other team members to expedite resolution of outstanding claims.
5. Maintaining strict patient confidentiality according to HIPAA regulations.
6. Providing excellent customer service to patients, insurance representatives, and peers.
7. Running AR reports determining outstanding balances, cash collections, inventory, product usage and doctor referrals.
8. Working in Brightree to reconcile invoices for patients including posting payments, adjusting accounts and working denials.

Experience

10+ Years

Level

Management

Education

Business Management

Description :

1. Contacting physician offices for needed patient demographic information as well as clinical icd10 codes or progress notes.
2. Obtaining needed authorization from Carecentrix for horizon bc/bs patients.
3. Managing the daily bank deposits, generating and posting credit memos and account adjustments.
4. Maintaining both corporate and consumer accounts and keep within credit terms and lines.
5. Entering disputes on invoices when customers refuse to pay any of them because they feel invoice is not valid as currently billed.
6. Posting the customer payments by recording cash, checks, and credit card transactions.
7. Posting revenues by verifying and entering transactions form lock box and local deposits.
8. Maintaining records by microfilming invoices, debits, and credits.
9. Providing backup support to other groups in the accounting department, type periodic reports and perform other general administrative duties.
10. Working with collections personnel to verify the status of delinquent accounts and solicit payments on overdue accounts.
11. Posted payments and make adjustments to accounts and analyze credit accounts for refunds.

Experience

10+ Years

Level

Consultant

Education

Certification

Description :

1. Overall management and recovery of accounts receivable, specifically assigned to blue plans.
2. Working with management, project support and AR specialists as a team to maximize returns for a specified client with revenue cycle optimization.
3. Timely management of unpaid claims and ensure secondary claims are submitted and paid.
4. Building strategies that minimize errors and produces clean claim submissions.
5. Resolving incoming requests from the client and patient financial representatives in a timely fashion.
6. Assisting RCM Manager with process improvements to increase revenue and manage time.
7. Enforcing managements goal to spot denial trends, documenting them and find an immediate resolution.
8. Creating and implementing a new form of tracking denial trends that saves time and provides a quick and efficient way to monitor them with "live spreadsheets".
9. Maintaining and recovering collection accounts utilizing HCI (healthcare receivables management company).
10. Effectively prioritizing tasks and execute them in a high-pressured environment.

Experience

2-5 Years

Level

Junior

Education

MBA

Description :

1. Led an integration between sap and jp morgan bank software for automatic customers posting process while reconciling bank journal entries on the accounting side.
2. Performed the evaluation of a chargeback system to be integrated with SAP for generating automatic reports for deductions and claims from pharmaceutical wholesalers.
3. Monthly allocation for different ar provisions, posting, and reconciliation of balance sheet and PL accounts.
4. Liaised with Assistant Controller and Controller in supporting AR GL month end process.
5. Performed analysis reconciliations of balance sheet and miscellaneous PL accounts on a monthly basis review and resolved variances.
6. Analyzed operational and financial data, investigated the variances, identified the business drivers.
7. Prepared meaningful variance analysis commentary for management.
8. Assisted with the recommendation, development, and implementation of process improvements in support of department goals.
9. Monitored aging results and recommended the course of action to be taken on past due accounts for a portfolio of $17mm.
10. Interacted with directed and undirected customers, customer service and various inter-company departments to obtain resolution of past dues and account disputes.

Experience

10+ Years

Level

Consultant

Education

Associates

Description :

1. Correcting, deleting and/or void invoices upon location managers request with backup explanations and upload corrected invoices.
2. Processing request to open new customer accounts and rent tenants account for U.S CA.
3. Uploading monthly and weekly vouchers for greyhound and send out their invoices via email/mail.
4. Adding/maintaining the email list for all customer who prefers to have their invoice emailed.
5. Part of focus billing system release - testing and retesting before going live.
6. Correcting any issues with focus billing system - putting in tickets with it focus support team, following up on those tickets, answering any questions it had to fix those issues, testing those issues in QA-environment before it can implement them in PD-environment.
7. Compiled and sorted documents, prepared and posted invoices and credit and debit memos.
8. Calculated and posted receipts to appropriate general ledger accounts and verified details of transactions, such as funds received and total account balances.

Experience

2-5 Years

Level

Junior

Education

Associates

Description :

1. Creating and maintaining the spreadsheets on the daily income and collections for the New York state insurance, fund and tri-star accounts to provide the percentages on what has been received a month to date.
2. Receiving the daily cash report/deposit information and submitting this information to the AR department.
3. Researching and reviewing the outstanding invoices for anomalies and issues within the billing process to correct the invoice. This ensures payments are received in a timely manner.
4. Preparing the write-off/re-bills as needed for invoices which are uncollectable.
5. Reviewing the client-specific information to ensure all invoices are being submitted accurately per the customer request as this varies by employer and adjuster.
6. Reviewing the department voice mail and submit these to our accounts receivable reps as needed.
7. Working with our other departments as needed to maintain quality collections efforts and prevent invoices over 60 days aged.
8. Reviewing denials received and submit appeals to the client providing all the additional information they have.

Experience

7-10 Years

Level

Senior

Education

High School

Description :

1. Reviewed, followed up, and worked on unpaid claims, old claims, no response claims, outstanding claims, and denials.
2. Demonstrated the ability to read and interpret EOBs, and face sheets from medical facilities.
3. Created, processed, and submitted claims to various insurance companies electronically, mailed, and or by fax, ensuring their accuracy by contacting the patient, health companies or institutions.
4. Submitted electronic claims and paper claim to primary or secondary insurance.
5. Edited, corrected, and handled failed claims with proper information and re-submitted claims as required.
6. Received incoming calls from patients and insurance companies, troubleshooting issues with billing.
7. Counseled patients with outstanding balances and set up payment plans in conjunction with the central medical billing department.
8. Performed the tasks of creating, organizing, updating, and maintaining accounts on data spreadsheets by using medical billing software.
9. Responsible for assisting patients, carriers, and other concerned parties in areas of insurance payment issues.
10. Worked adjustments, zero pays, wrote off and transferred financial responsibility to patients as required.

Experience

10+ Years

Level

Management

Education

Associates

Description :

1. Used AS400 and SAP to manage and research multiple international Dunkin Donuts franchisee accounts, chargebacks, inter­company charges and billing, and wrote off bank fees and bad debt.
2. Used MS Excel to maintain daily ar logs and create reports for management.
3. Kept billing and invoicing deadlines allocated by the Dunkin Donuts brand, working with confidential banking accounts and other documents.
4. Called in ACH daily bank totals and closed out daily batches in as400 and sap.
5. Performed corporate collections on domestic and international accounts in the range of 30 to over 180 days delinquent.
6. Assisted HR Director and chief human resource officer with scheduling vendor and brand meetings, employee luncheons with CEO, and employee-related events and functions.
7. Streamlined credit request process and built reports for 5,000 member-franchisee database using ms excel.
8. Independently managed the process of franchisee credit requests and escalations.
9. Successfully chaired employee fun committee and independently organized annual employee carnival saving $10,000 from the previous year.

Experience

2-5 Years

Level

Junior

Education

College

Description :

1. Thoroughly investigated past due invoices and minimized number of unpaid accounts. Recorded and filed patient data and medical records.
2. Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
3. Carefully reviewed medical records for accuracy and completion as required by the insurance companies.
4. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
5. Strictly followed all federal and state guidelines for the release of information.
6. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
7. Acquired insurance authorizations for procedures and tests ordered by the attending physician.
8. Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Experience

10+ Years

Level

Consultant

Education

High School