ABIGAIL MATTHEW
MCKINNEY,TX
Summary
Experienced Revenue Cycle Specialist with 5 years of experience in Healthcare Financial Operations Skilled in claims management, improving revenue collection, and following up on payments. Proven Expertise in analyzing claim issues, maintaining compliance with regulatory standards and identifying revenue improvement opportunities
Overview
5
5
years of professional experience
Work History
Revenue Cycle and Claim Specialist
Adecco
Dallas, TX
11.2022 - Current
- Analyzed and identified denied claims and patterns, while implementing corrective actions.
- Collaborated with healthcare providers, insurance companies, and billing staff to expedite claim processing, optimize reimbursement, and reduce claim denials.
- Improved billing accuracy and managed revenue cycle processes, including collection, coding, patient registration, billing, claim processing, and improving revenue.
- Reviewed EOBs, researched missing payments, and prepared documents for posting.
- Followed up on payments and resolved claims by completing appeals and working with commercial and government payers.
- Follow up with insurance companies for appeals, claim status, coverage verification, and respond to medical record requests.
- Acted as a resource for staff with billing issues.
- Contacted patients about pending balances for copay, coinsurance, or deductibles.
- Responded to written correspondence from payers and patients.
- Worked on claims to resolve payment issues.
- Managed claims from all aging categories, including appeals.
- Followed up with payers to resolve outstanding claims.
Medical Billing and Coding Specialist
Assurant
Dallas, TX
05.2020 - 11.2022
- Conducted audits of patient records to verify code accuracy and compliance with state regulations, and processed claims through electronic health record (EHR) systems to reduce claim processing time.
- Analyzed medical documentation to assign appropriate codes and implemented a code-review protocol that standardized coding practices to improve efficiency.
- Provided training and support to healthcare providers and administrative staff on coding standards and compliance requirements, boosting team knowledge and accuracy.
- Updated patient accounts and billing information in the system, supporting a streamlined billing process to enhance billing efficiency.
- Communicated with insurance companies to resolve and appeal claim discrepancies in billing and coding.
- Contacted patients for claim information, billing error resolution, and payment issues.
- Reviewed and analyzed complex claims for resolution.
Patient Financial Service Representative
Med-El Corporation
, UK
11.2019 - 02.2020
- Assisted patients with resolving account issues, setting up payment plans, and understanding billing statements to streamline resolution of claims issues and improve payment times.
- Verified insurance eligibility and resolved outstanding claims with insurance companies and prior authorizations to support timely reimbursement and prevent claims denials.
- Updated and maintained patient records in the billing system and provided patients with clear information regarding their financial responsibilities to ensure data accuracy and compliance with HIPAA regulations.
- Handled patient-sensitive financial information with confidentiality and communicated directly with patients regarding billing questions, achieving improvement in patient satisfaction scores.
- Answered incoming calls from patients regarding billing inquiries and resolved customer service issues.
- Processed payments accurately and efficiently in a timely manner.
Education
Certified revenue cycle specialist - CRCS
Bachelor of Science -
.
Skills
- Revenue cycle management
- Claim management
- Report Writing
- Document Coordination
- Hospital billing (UB-04)
- Claims and compliance processing
- Denial Management
- Electronic Health Records
- Debt collection
- Record Keeping
- Insurance verification
- Medical billing and coding
Timeline
Revenue Cycle and Claim Specialist
Adecco
11.2022 - Current
Medical Billing and Coding Specialist
Assurant
05.2020 - 11.2022
Patient Financial Service Representative
Med-El Corporation
11.2019 - 02.2020
Certified revenue cycle specialist - CRCS
Bachelor of Science -
.