Position Desired: Any

Cover Letter:
**** M. Ruesewald
(281)636-5402
****@*****.***

OBJECTIVE:

To secure a challenging position in a business that will utilize my managerial, organizational and creative problem solving skills.

WORK EXPERIENCE:
Baylor Scott & White – Health Texas Provider Network, Dallas, Texas USA
Accounts Receivable Department
Workers’ Compensation and Veteran’s Affairs Specialist
07/1/2014 – Present
Proficient in billing and coding for in-office and surgical visits and procedures for twenty-one providers practicing in four locations
Promoted three months after hire to team lead of Workers’ Compensation and Veteran’s Affairs Billing office
Created and implemented new workflows and processes for the practice’s Workers’ Compensation and Veteran’s Affairs programs
Collected approximately $26,000.00 on a patient’s Workers’ Compensation account that had been outstanding for over two years
Compiled a three-hundred page training manual and reference guide for all billing and coding employees in the practice
Identified billing and coding errors from EOBs and corrected them in a timely manner
Monitored static claims and, when necessary, contacted the insurance company for updates
Kept thorough notes on accounts to allow clear communication throughout the clinic on claim and patient payment status
Populated month-end reports and presented the reports at monthly billing meetings
Coordinated precertification and prior authorizations of medications, injections, surgery, and radiology with insurance companies
Negotiated redeterminations and appeals with all insurance companies including, but not limited to: Medicare, BlueCross BlueShield, United Healthcare, Humana, Healthspring, Assurant Health, Cigna, HealthFirst TPA, Medicaid, Web TPA, Aetna, PHCS, and other commercial plans
Informed patients of the practices financial assistance and payment plan policies
Greeted patients cheerfully, and knowledgeably answered important billing and payme

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