Martin Luther

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| Work Experience Patient Account Rep/ Commercial collector08/23/2010- Present Fresenius Medical Care Contact Commercial Insurance Co. when claimants’ claims are not paid properly or according to the provider of service contracted. Review EOB to ensure accurate patient responsibility/provider discount. Review Commercial Insurance contracts when they are updated for rate increase/decrease Appeal claims when necessary when all other efforts have been exhausted via verbal communication Submit all documentation via request from commercial insurance to get a claim paid within a timely manner/ submit proof of timely filing when claim has been deemed denied for past timely filing/other denial reasons. Return all incoming phone calls/e-mails from Commercial Insurance companies while adhering to HIPPA Submit adjustments to proper department for incorrect payments posted, recoupment’s, over-payments Alert MBO/Supervisor when I notice patients claims are not being paid for the same reason or the payment is being sent to the patient not the provider of service.Self Pay Collector03/01/2010-08/06/2010 Texas Health Resources Arlington, TX Responsible for maximum productivity in the recovery of delinquent accounts receivable. Documents all collection activity; maintains and organizes unit and responds to all correspondence, communication and/or verbal inquiries from all relevant parties. Records and maintains complete and accurate documentation of all activity performed on appropriate medium. Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to their area of operation Informs supervisor/manager regarding operational issues, including client and Patient Financial Service needs and concerns. | Insurance Follow-up 9/2007 – 12/2009 Medical Edge Healthcare, Dallas , TX When applicable, contact patients for…...

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