Detail-oriented and results-driven
Accounts Receivable Specialist
with comprehensive experience in
US Revenue Cycle management
(RCM) billing industry. Proven
expertise in managing end-to-end
accounts receivable processes,
including billing, collections,
payment posting, and account
reconciliations. Committed to
contributing to organizational
financial stability and growth
through efficient AR management
and strategic process
improvements.
• Proficient in utilizing WayStar platforms for efficient
claims processing and account management.
• Handle correspondence and resolve issues through effective
communication with payers and providers.
• Utilize Denial Management System to streamline processes and
enhance operational efficiency.
• Verify patient eligibility and benefits through both phone inquiries
and web portal systems to ensure accurate claim submissions.
• Process and manage refund requests for insurance overpayments
and refund letters, ensuring timely resolution.
• Utilize Denial Management System to reduce Accounts Receivable
(AR) days and optimize revenue for healthcare providers.
• Handle correspondence and resolve issues through effective
communication with payers and providers.
• Verify patient eligibility and benefits through both direct calls and
web portal systems, ensuring accurate claim submission.
• Process and manage refund requests for insurance overpayments
and refund letters, ensuring timely resolution.
• Accountable for credit collections, including managing accounts
ranging from current to more than 180 days past due, driving
successful recovery efforts.
• Proficient in utilizing WellSky and Way-Star platforms for efficient
claims processing and account management.
• Accountable for managing credit collections on accounts, including
those ranging from current to over 180 days past due ensuring
timely resolution and recovery.
• Utilize Denial Management System to streamline processes and
enhance operational efficiency.
• Verify patient eligibility and benefits through both phone inquiries
and web portal systems to ensure accurate claim submissions.
• Proficient in utilizing Med FM, Availity, TriZetto and other platforms
to streamline claims processing and account management.
• Efficiently manage Denial Management System to ensure smooth
operations and accurate claim submissions.
• Verify patient eligibility and benefits through phone interactions and
web portal systems to ensure accurate and timely processing.
• Focused on reducing Accounts Receivable days and maximizing
provider revenue through effective claim management and followup.
• Managed and resolved various types of denials, including calling and
non-calling claims, ensuring timely and accurate resolution.
• Worked with multiple payers, adapting strategies to meet diverse
payer requirements and improve claim outcomes.
• Verify patient eligibility and benefits through phone interactions and
web portal systems, ensuring accurate and efficient claim processing.