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Gloria Bahr

Accounts Receivable Specialist

Cedar Hill, MO

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Team player positive attitude toward change and takes initiative to do more than is required. Analyzes problems and devises solutions. Works independently prioritizes work to accomplish goals. Great customer service skills,

Work Experience

Accounts Receivable Clerk

Cardinal Ritter Senior Sevices
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Shrewsbury, MO
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April 2008 to March 2009

Entry of all SNF daily room charges. 
Data entry of all SNF ST, OT, PT therapy visits. 
Matching, batching, coding, and entering invoices 
Performed account receivable monthly reports and issued statements. 
Submitted claims to insurance plans. 
Reviewed aged trial balances 
Collected past due balances

Accounts Receivable Clerk

Ajilon Staffing - St Louis Composting Temporary Position
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St. Louis, MO
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October 2007 to December 2007

Posting Charges and payments  
Reconciliation of bank statements 
Filing, mailing statements and invoices

Accounts Receivable Clerk

Account Temps - Temporary Position - World Wide Technology Inc
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Maryland Heights, MO
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April 2007 to September 2007

Posting Charges and payments  
Reconciliation of bank statements 
Filing, mailing statements and invoices

Medical Insurance Claims Specialist

Simplicity/Micro Systems Inc
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Maryland Heights, MO
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March 2004 to August 2006

Prepares and handles billing for accounts to ensure timely reimbursement. 
Researches overdue accounts and follows up by mail and/or phone to insurance carriers or customers on delinquent payments.  
Reviews claims denied for payment and underpaid claims. 
Resubmits claims with proper documentation for further carrier review. 
Responds to customer inquiries regarding account status in a timely manner.  
Researches customer's accounts thoroughly and documents appropriately. 
Resolves discrepancies and prepares adjustments and refunds as necessary. 
Audits incoming paperwork for completeness and accuracy to ensure proper documentation for billing purposes.  
Records batches received and documents errors. 
Documents all account activity on system.  
Brings recurring issues to the attention of the department supervisor. 
Performs other related duties as directed by supervisor

Medical Claims Analyst

MS Health Services Inc. Lung Therapy Practice
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Chesterfield, MO
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April 2002 to June 2003

Accounts Receivable Clerk 
Data entry of all charges and services. 
Matching, batching, coding, and entering invoices 
Performed account receivable monthly reports and issued statements. 
Prepares and handles billing for accounts to ensure timely reimbursement. 
Researches overdue accounts and follows up by mail and/or phone to insurance carriers or customers on delinquent payments.  
Reviews claims denied for payment and underpaid claims. 
Resubmits claims with proper documentation for further carrier review.

Financial Analyst / Medical Management Specialist/ Accounts Receivable Lead (same company from 1995 thru 2002 only under different management

Mercy Health Plans / Unity Physicians Billing/ Health Care Group Inc
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Chesterfield, MO
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June 1995 to April 2002

Financial Analyst Mercy Health Plan 11/1/2000 thru 04/10/02 
 
Prepared financial statements and analysis for network partners  
Reconciled internal and client enrollment information to ensure proper premium payment 
Updated employees plan activation, termination, or dependent status.  
Identified trends and recommended improvements accordingly.  
Established databases of pertinent information for use in analyzing future plans and forecast 
Data entry of all charges and services. Matching, batching, coding, and entering invoices 
Performed account receivable monthly reports and issued statements. 
Reviewed aged trial balances 
Collected past due balances 
 
Medical Management Specialist (internal transfer) 05/01/99 thru 10/31/2000 
 
Issued referrals enabling their patients to see a specialist physician under their medical plans benefits150-275 calls daily w/ASA average of 30-45 seconds abandonment rate less than 8%. Received and processed additional referral numbers for specialist physicians received via fax  
Checked member eligibility status and provider participation.  
Initiated and composed systematic procedure manuals for training purposes.

Senior Medical A/R Collector

Unity Physicians Billing
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Chesterfield, MO
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May 1997 to April 1999

Trained personnel using systematic procedure manuals previously developed in position on clean up of old accounts receivable monies due physicians prior to buy out of Heath Care Group accounts receivables 
Followed up on unpaid medical claims in A/R contacted third party payer system; HMO/PPO managed care, Medicare, Medicaid and Tricare 
Retrieved needed copies of medical records from physician's office to appeal denied claims from insurance payers. Made needed corrections to claims, resubmitting information to insurance plans for correct payment reconsideration?

Accounts Receivable Lead

The Healthcare Group Inc
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Maryland Heights, MO
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June 1995 to April 1997

Trained accounts receivable personnel in posting charges and payments to accounts. 
Composed policy and procedure manuals used for training purposes for onsite and business office use.  
Ensuring all moneys received and posted daily balanced to monthly bank statements. 
Developed policies for tracking all payments received from batches received from bank. 
Policy insured all monies received within a batch was posted to the accounts or noted on cash posters daily balance sheet as to why payments posted did not match the bank deposit for that specific batch. The daily balance sheet was noted as to what specific errors occurred and where monies were posted for audit purposes. 
Liaison between related physician's offices staff in training and questions raised while  
posting cash within their individual offices.

Education

Associates in Accounting

Sanford Brown Business College

January 1988 to January 1989

Additional Information

COMPUTER SKILLS 
Microsoft Outlook - Intermediate skill level Oracle - Beginner level 
Microsoft Excel - Intermediate skill level Ten Key 
Microsoft Access - Beginner level alphanumeric data entry 
Microsoft Word - Intermediate skill level 
Medical Software- Medical Manager, Simplicity, PCN, Diamond