SUZANNE W RILEY 
801 Olive Road ~ Pensacola, Florida, 32514, USA 
Phone:  [Send email to request phone number] 76-3257 ~ Email: [Send email using form at bottom]
_____________________________________________________________________________ 
OBJECTIVE 

A telecommute position  with an opportunity to my refine skills and knowledge to
contribute to company goals. 
__________________________________________________________________ 
QUALIFICATIONS 
       * 8 years of Insurance billing &follow up 
* 3 years of Patient Accounts
* 11 years of Medical Records 
________________________________________________________________________ 
EMPLOYMENT 

08/04/2008 to 09/30/2009
Remote Insurance Biller 
PHNS INC. ~ Dallas, Texas, 75240, USA ~ Phone: 214-257-7070 
-	Perform timely follow-up on patient accounts to obtain expedient resolution
and correct reimbursement. 
-	Responsible for reviewing and researching payment discrepancies and
determining appropriate measures to resolve account, contact third payers to
determine the unpaid status of billed claims, adjusts and update financial,
demographic, insurance and other reports pertaining to patient accounts, process
denial from carriers upon receipt of determination from carrier resolution of
account, and complies with policies for maintaining confidentiality of patient,
client and company. 
-	Worked commercial and some Medicare accounts. 
-	Reason for Leaving: Position was eliminated. 

12/10/2007 to 03/10/2008
Receptionist 
North West Florida Heart Group ~ Pensacola, Florida, 32514, USA ~ Phone:
 [Send email to request phone number] 69-7979 
-	Answered incoming phone calls from patients, schedule appointments, checked in
patients for appointments, verified demographic and insurance information, and
take payments for patient accounts, retrieve prescriptions and lab requisitions
for patients.
-	Reason for Leaving: This was only a 3 month temporary job. 

06/20/2000 - 11/01/2007
Insurance Claims Specialist 
Sacred Heart Home Care ~ Pensacola, Florida, 32501, USA ~ Phone: ***- 430-1176 
-	Prepared claims to be billed to insurance companies; prepared patient
financial charts; called insurance companies about payments; posted payments to
patient accounts; made contract adjustments; filed insurance correspondence;
obtained required documentation to be sent with claims; audited charts; to adhere
to the HIPPA regulations; called insurance providers for clarification of EOB
paperwork; filed appeals; answered patient calls. 
-	Worked commercial and Tricare accounts. 
-	Reason for Leaving: Position was eliminated. 


7/1998 to 6/2000
Patient Account Counselor 
West Florida Hospital Finance Dept. ~ Pensacola, Florida, 32514, USA ~ Phone:
 [Send email to request phone number] 94-4120 
-	Prepared claims to be billed to insurance companies; called insurance
companies about payments; posted payments; made contract adjustments; prepared
patient financial charts; filed insurance correspondence; obtained required
documentation to be sent with the claim; audited charts; trained to adhere to the
HIPPA regulations; called insurance provider for clarification of EOB paperwork;
filed appeals; answered patient calls.
-	Reason for Leaving: Position was being outsourced to Jacksonville FL.


7/1996 to 6/1998
Senior Finance Department Records 
West Florida Hospital Finance Dept. ~ Pensacola, Florida, 32514, USA ~ Phone:
 [Send email to request phone number] 94-4120
-	Assigned duties to employees; pulled financial records for counselors; file
insurance correspondence; copied patients’ insurance information; filed charts;
created new patient charts; answered multi-line phone for medical records
requests; covered receptionist desk as needed, and pulled EOBS.
-	Reason for Leaving: Moved to Patient Account Counselor. 
_____________________________________________________________________________ 

EDUCATION 

PJC Adult High School ~ 1000 College Blvd. ~ Pensacola, Florida, 32504-8998, USA

Major: High School ~ Graduation Date: 12/1976 ~ Degrees & Certificates: Diploma
_____________________________________________________________________________ 

REFERENCES  AVAILABLE UPON REQUEST
_____________________________________________________________________________ 

Suzanne W Riley ~ Phone:  [Send email to request phone number] 76-3257 ~ Email:[Send email using form at bottom]