Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 5 years of related experience to a dynamic position with room for career growth.
Hi, I’m
Afiya Fox
Carpentersville,IL
Summary
Overview
14
years of professional experience
Work History
Regent Surgical Health
Full Revenue Cycle Specialist
10.2022 - Current
Job overview
- Full revenue cycle specialist -Payment Posting, Appeals, Billing, Collection and Charge Entry
- HST, Sharepoint and Medtek/Nimble
- Balanced and reconciled accounts.
- Identify trends based on payor payments and analyze data to present to management and revenue cycle team members
- Generated receivables reports and offered improvement recommendations.
- Identified and resolved payment issues between patients and providers.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
Option Care Health
Supervisor, Revenue Cycle Management
09.2021 - 10.2022
Job overview
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Solicited customer feedback to identify and improve on areas of weakness.
- Boosted team performance by developing customer service training materials and conducting service training.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Created and managed project plans, timelines and budgets.
- Educated staff on organizational mission and goals to help employees achieve success.
- Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
- Helped meet changing demands by recommending improvements to business systems or procedures.
Option Care Health
Lead Reimbursement Specialist
10.2019 - 09.2021
Job overview
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Compiled department-specific reports to help senior managers identify trends and improve progress.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Prevented delays and claim denials by correcting information prior to submission.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Trained department employees in proper billing and accounting procedures.
- Built proactive, client-specific edits into system to prevent future denials.
- Monitored and documented accounts receivable trends and account-specific profitability.
Option Care Health
Reimbursement Specialist
01.2019 - 10.2019
Job overview
- Prevented delays and claim denials by correcting information prior to submission.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Contributed knowledge to help improve financial management, billing and tracking systems.
- Compiled department-specific reports to help senior managers identify trends and improve progress.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Used data entry skills to accurately document and input statements.
- Generated monthly billing and posting reports for management review.
- Monitored outstanding invoices and performed collections duties.
- Audited and corrected billing and posting documents for accuracy.
Scribe America
Medical ED Scribe
03.2017 - 03.2019
Job overview
- the flow of Intake area.
- Used Epic to input information into computerized patient record system.
- Attended patient appointments and wrote narrative account of events using proper abbreviations, grammar, and spelling.
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
- Stayed on top of current patient loads to facilitate efficient and organized workflow.
- Accompanied physicians through day in fast-paced, stressful environments.
- Communicated with other medical staff and personnel to obtain additional patient information.
- Received and routed laboratory results to correct clinical staff members.
- Assisted with medical coding and billing tasks.
CarMax
Management Assistant/ Sales Consultant
01.2010 - 03.2016
Job overview
- Gathered information from prospective customers to identify their car buying needs
- Maintained confidential customer information into databases by way of data entry
- Maintained knowledge of current sales and promotions, policies regarding payment and exchanges and security practices
- Completed all cleaning, stocking and organizing tasks in assigned sales area
- Trained and mentored new sales representatives
- Greeted customers in a timely fashion, while promptly determining their needs
- Documented all customer inquiries and comments thoroughly
- Developed and enforced company policy and procedures relating to all phases of human resource activity
- Updated key human resource metrics, including turnover and termination, using reporting tools on the HRMS database
- Supported the Human resource staff with new hire orientation and monthly departmental meetings
- Addressed and resolved general payroll, FMLA, time care related inquiries
- Coordinated complex travel schedules, accommodations and trip logistics for candidates and executives
- Coordinated employment offers with management and extended offers to select candidates
- Gathered personnel records from all employees from each department while utilizing HRIS.
Education
Rush UniversityChicago, Illinois
Bachelor of Health Science
04.2018
University Overview
Honors: Summa Cum Laude
Skills
- Writing reports
- Insurance Verification
- Medical Billing
- Insurance collaboration
- Payment posting
- Claims review
- Analyzing claims
- Revenue Cycle Management
- HIPAA Compliance
- Analytical Problem Solving
- Verifying insurance
- Paperwork management
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Quote
Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less.
Timeline
Full Revenue Cycle Specialist
Regent Surgical Health
10.2022 - Current
Supervisor, Revenue Cycle Management
Option Care Health
09.2021 - 10.2022
Lead Reimbursement Specialist
Option Care Health
10.2019 - 09.2021
Reimbursement Specialist
Option Care Health
01.2019 - 10.2019
Medical ED Scribe
Scribe America
03.2017 - 03.2019
Management Assistant/ Sales Consultant
CarMax
01.2010 - 03.2016
Rush University
Bachelor of Health Science
Similar Profiles
Shamora Burton - MylesShamora Burton - Myles
Office Manager/Executive Assistant at Regent Surgical HealthOffice Manager/Executive Assistant at Regent Surgical Health
CAROLYN E. BRANCHCAROLYN E. BRANCH
RCM Supervisor at Regent ASC Surgical CenterRCM Supervisor at Regent ASC Surgical Center
CAROLYN BRANCHCAROLYN BRANCH
RCM Supervisor at Regent ASC Surgical CenterRCM Supervisor at Regent ASC Surgical Center