An Insurance Collection Specialist is responsible for supervising and collecting from overdue accounts. A well-drafted Insurance Collection Specialist Resume mentions the following duties and responsibilities – collecting outstanding accounts receivable from all related accounts, reducing accounts receivable delinquency, making repayment plans, reviewing and monitoring assigned patient accounts, staying in touch with insurance carriers, and corresponding with the patient account, and identifying issues relating to non-payment.
The ideal candidate for this role should be able to depict on the resume such skills as – strong written and verbal communication skills, the ability to interact with all types of people, attention to detail, the ability to complete critical tasks, attention to details, knowledge of medical accounting software, and strong negotiation skills. Formal education is not mandatory for this post, however, a high level of work experience can substantiate academic requirements.
Summary : As an Insurance Collection Specialist, Responsible for Reviewing the patient's account can result in filling out refund check requests, resubmitting claims to correct insurance companies, calling insurance companies, posting correct contractual adjustments, insuring patients are refunded for overpayments in a timely manner, moving funds from overpayment accounts to correct invoices, entering on-line claim adjustment requests.
Skills : Medical Terminology, Insurance Verification, Billing, Customer Service, Bilingual Spanish, Multi-Tasking, Hard Working, Reliable.
Description :
Responsible for working all credit balances through the Flowcast ETM system and all insurance letters requesting a refund.
Posted charges for self-pay patients seen at the Imaging Sciences PET Center and move the payment to the invoice.
Verified daily charge files received and uploaded into Coderyte system for internal coders to work.
Downloaded fatal files from Flowcast.
Led Billing/Account/Charge Entry Specialist Drop files from various systems used in the department and convert them into excel files.
Created excel files for insurance verification, charge entry, coder review files.
Assisted in troubleshooting and resolving safety, service, and operational issues.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Insurance Collection Specialist Resume
Summary : Excellent telephone skills in resolving complex issues for customers Knowledge in working with patients regarding medical records and billing Knowledge of how to estimate the portion due related to services received and what the insurance plan pays Experience with helping patients understand the account balances due Experience in dealing with irate patients Knowledge of ICD-10 coding and HCPCS coding Knowledge of how to appeal claims and getting paid on the first appeal process.
Skills : Microsoft Office/excel, Billing, ICD-9, ICD10, HCPCS, Medical Terminology.
Description :
Had to appeal charges that were denied in error, or correct claims to re-bill charges according to the State of Texas Medicaid provider manual.
Utilized the EMR program to evaluate what was done by the physician compared to what was billed and assessed the claim accordingly.
Utilized Super Coder to compare the procedure codes for un-bundling purposes.
Amounts would be calculated in a program called Patient Portion Pricer through the Experian software.
Reviewed patient charts and provided necessary documents when requested.
Worked the account maintenance reports to keep updated record of outstanding debts by sending out collection letters, making phone calls to patients and sending out statements.
Ran and converted DBMS files from Flowcast into excel for insurance collector's follow up.
Experience
7-10 Years
Level
Management
Education
High School Or Equivalent
Insurance Collection Specialist Resume
Headline : Over ten years of experience working in the health care field which include positions as Admitting Representative, Unit Secretary, and most recently as an Insurance Collection Specialist for an emergency transport company.
Skills : Process Improvement, Computer .
Description :
Reprocessed claims from over 300 hospitals in the US.
Reviewed patients plans and compare to hospital EOB to find reasons of non payment.
Sent Electronic Medical Records for Medically Necessary appeals.
Called Attorneys to see if bankrupcy, disability , workers comp or motor vehicle case has settled Billing workers comp and communicating with the adjustors Billing motor vehicle auto claims and communicating with the adjustors until claims are paid.
Contacted Veterans affairs to find the prior auth for a hospital stay due to non payment.
Learned all the rules and regulations for the states Medicaid/ Medicare Timely Filing and also each insurance company has a strict TF for Hospital ..
Learned to successfully bill and get reprocessed even if the claim was PTF with POTF, sometimes I would escalate my call and ask for a manager at the insurance company to make sure the claim processed.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Insurance Collection Specialist Resume
Headline : As an Insurance Collection Specialist, responsible for Prioritizing and managing time efficiently to meet productivity and quality standards by accurately processing un-resolved accounts as assigned.
Skills : MedDRA Coder, MedDRA Coder, Medical Terminology, Excellent Data Entry.
Description :
Researched denied claims for various insurance companies including Medicare, Medicaid and private insurance companies.
Completed adjustments on claims by finalizing balances after insurance payments were posted.
Worked all necessary reports by systematically solving problems in order for claims to release for processing at insurance companies.
Reviewed daily Insurance Correspondence to assist in updating information to ensure accuracy of patient accounts.
Worked with patients Electronic Medical Records program.
Communicated with all Durable Medical Equipment (DME) locations through email and telephone conversations regarding patient account issues.
Collaborated directly with insurance companies and patients through fax, email and telephone conversations in order to correct claim issues.
Experience
5-7 Years
Level
Executive
Education
BS
Insurance Collection Specialist Resume
Headline : To establish a long-term career in a company where I may utilize my Insurance Collection Specialist professional skills and knowledge to be an effective Associate Program Manager and inspiration to those around me.
Skills : Organizational Skills, Planning Skills.
Description :
Worked with insurance companies to get claims paid.
Insuranced claim filing.
Worked accounts for sixteen surgery centers.
Submitted appeals.
Worked hard to find better ways to get claims paid.
Made it my goal to keep accounts current and get claims processed as soon as possible.
Used Due to the volume of accounts and claims I have had to use organizational skills.
Experience
5-7 Years
Level
Executive
Education
Associate's
Insurance Collection Specialist Resume
Summary : As an Insurance Collections Specialist, responsible for Updating Epic registration and rebills claims in Epic and/or IDX as needed, Initiating contact with patients to coordinate benefits, make self-pay arrangements or initiate Medicaid and/or charity care applications.
Duties included verifying all insurances presented by phone, internet or fax, and submitting electronic and paper claims.
Worked on claims for patients in getting status of claim and where the insurance carrier did not pay or short paid the claim and I have been able to resolve them.
Trained many staff in regards to insurance benefits, submission of claims to carriers, and collecting money from the insurance carrier for claims.
Used my customer service skills with patients and insurance companies.
Participated in conference calls and meetings with management in order to correct contract disputes and/or problems Past member of employee activity committee.
Assigned to train new employees.
Learned to search each patients account thoroughly to find a Pseudo claim or any kind of insurance to hospital contact to have a denied for TF claim reprocessed.
Experience
7-10 Years
Level
Management
Education
Bachelors In Education
Insurance Collection Specialist Resume
Headline : To obtain a part-time Insurance Collection Specialist position with an emphasis on Sales Support/Office Management utilizing extensive experience and skills. Productive in contributing effectively towards the objectives of a team, and is able to share knowledge, ideas and information.
Handled office and administrative support activities inbound and outbound calls, on delinquent accounts customer/ patients with local hospitals.
Set up payment arrangement and garnishments from payroll accounts.
Worked with Medicaid to see if was eligible for pay for patient at time of service rendered.
Corresponded with other available sources to receive payments.
Selected Achievements: Maintained compliance with the Fair Deb Collections Practices Act (FDCPA) and associated principles, as well as meeting requirements for consumer privacy laws and company procedures.
Obtained correct and current contact information for debtors via skip tracing.
Delivered unparalleled customer service in responding to debtor inquiries and requests.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Insurance Collection Specialist Resume
Objective : Insurance Collections Specialist with 3+ years of experience in applying self-pay discounts when necessary after a thorough review of the invoice/account, Reviewing invoices/accounts in self-pay that are pending agency placement, and verifies if placement should occur.
Skills : Microsoft Office, Insurance Collections.
Description :
Pursued payment on rental and sales equipment from Medicare/Medicaid and private insurance companies.
Verified Compliance with Federal and State laws on sales and rentals of medical equipment for proper billing.
Contacted insurance companies regarding appeals and denials of claims.
Specialized in high dollar claims.
Assisted sales personnel.
Answered phones, sorting and distributing office mail.
Assisted coworkers as needed.
Experience
2-5 Years
Level
Junior
Education
High School Diploma
Insurance Collection Specialist Resume
Headline : Responsible for Corresponding with eligibility reps at the hospital to verify if the patient has an alternative payment source, Setting follow-up ticklers in IDX and Epic when rebilling claims to ensure all claims are processed.
Worked commercial collections and government payers.
Appealed and credited balances refund request and refiled claims as needed.
Worked for this facility on 2 different occasions.
Had 2years prior to this term and prior to THR purchasing.
Contacted various insurance payers, Commercial and Non Commercial for follow up purposes.
Assisted Charge posting, by identifying any inconsistences with the charge amounts and billing errors.
Utilized detailed reporting measures to identify trends within the billing process, as well as followed up and overturned denials on denied claims.
Experience
5-7 Years
Level
Junior
Education
MS
Insurance Collection Specialist Resume
Summary : To gain employment in an Insurance Collection Specialist position with a respectable company that is focused on standards of quality and internal growth for not only the company but the employees as well.
Skills : Customer Service, Planning Skills.
Description :
Reviewed insurance claims billing, payment postings, notes on the account.
Contacted insurance companies via phone, letter, and fax for updated claim information.
Contacted patients with updates on where an insurance claim stands.
Worked insurance claims to resolution.
Worked reports from department supervisor and managers.
Contacted insurance companies via telephone, e-mail communications, web sites, and facsimiles to collect payment of hospital medical claims for all of the hospitals within the Parkview Health network.
Processed e-mail requests for bill review to disputed coinsurance, copayment, deductibles, and non-covered services per insurance policies.
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