Alicyn Demoff
Cedar Lake,IN
Summary
To obtain a position with a customer service oriented company utilizing my extensive knowledge, strong customer service ethic, organizational skills, ability to multi-task and work under pressure in a fast paced environment.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Revenue Cycle Manager/Billing Specialist
Next Step Foundation
05.2024 - Current
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Monitored industry trends to anticipate changes that may impact the organization''s revenue cycle performance.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
- Reduced days in accounts receivable by implementing more efficient follow-up procedures with payers.
- Monitored account aging reports to identify overdue accounts.
- Processed payments by reconciling transactions and updating accounts.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Identified and resolved patient billing and payment issues.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Prepared billing correspondence and maintained database to organize billing information.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Delivered timely and accurate charge submissions.
Revenue Cycle Specialist
Aims LLC
11.2020 - Current
- Code complex inpatient mental health claims
- Code all Psychological testings
- Update all patient demographics
- Process all billing to insurance companies
- Work all claims rejected in clearinghouse
- Handle all claims from inception to end
- Resolve all claim denials in a timely matter
- Ensure compliance is being followed accordingly to guidelines
- Handle all A/R
- Post payments
- Scribe for Psychiatric providers
Medical Billing Specialist
Synergy
07.2014 - 11.2020
- Process billing to patients and third party reimbursement claims
- Code and bill all General Practitioner, Psychiatric and Chronic Care Management claims
- Work all Medicare and Medicaid claims by posting payments, working appeals and denials and ensuring claims are resolved and paid quickly
- Handle all commercial claims from inception to end
- Resolve all claim denials in a timely matter
- Handle all A/R accordingly
- Post payments to claims daily
Customer Service
Underwood Financial Services
01.2013 - 01.2014
- Sell auto, homeowners and life insurance products
- Generate leads and cold call prospective customers
- Provide customer service
- Other office duties as assigned
- Licensed Resident Producer Indiana for Property & Casualty and Life
Pre-Pricing Claims Processor
Cigna Healthcare
01.2009 - 01.2011
- Price health care claims submitted by providers
- Correct claim errors
- Research client policies to adjust pricing of health insurance claims
- Maintain 100% pricing accuracy and average processing of 32 claims per hour
Claims Adjuster II
Progressive Insurance
01.1999 - 01.2003
- Conduct coverage investigations
- Determine liability decisions
- Evaluate and settle bodily injury and property damage claims
- Provide customer service
Education
Bachelors of Arts - History
Purdue University Calumet
Hammond, IN01.1997
Skills
- ICD-10
- Medical Billing
- Medical Terminology
- Insurance Verification
- Medical records
- Revenue cycle management
- HIPAA
- Documentation review
- Data analysis skills
- Data entry
- Insurance adjusting
- Liability claims experience
- Bodily Injury Claims Experience
- Billing cycle expertise
- Denial resolution
- Revenue performance
Certification
- Property & Casualty License
- Life & Health Insurance License
Personal Information
Work Permit: Authorized to work in the US for any employer
Assessments
- Medical billing, Proficient, 01/01/23, Understanding the procedures and forms used for medical billing
- Analyzing data, Proficient, 10/01/20, Interpreting and producing graphs, identifying trends, and drawing justifiable conclusions from data
- Filing & organization, Proficient, 10/01/20, Arranging and managing information or materials using a set of rules
Timeline
Revenue Cycle Manager/Billing Specialist
Next Step Foundation
05.2024 - Current
Revenue Cycle Specialist
Aims LLC
11.2020 - Current
Medical Billing Specialist
Synergy
07.2014 - 11.2020
Customer Service
Underwood Financial Services
01.2013 - 01.2014
Pre-Pricing Claims Processor
Cigna Healthcare
01.2009 - 01.2011
Claims Adjuster II
Progressive Insurance
01.1999 - 01.2003
- Property & Casualty License
- Life & Health Insurance License
Bachelors of Arts - History
Purdue University Calumet
Similar Profiles
Antonio RomoAntonio Romo
Legal Secretary at Step Forward FoundationLegal Secretary at Step Forward Foundation
Antonio RomoAntonio Romo
Legal Secretary Assistant at Step Forward FoundationLegal Secretary Assistant at Step Forward Foundation
Lela RobersonLela Roberson
Group Facilitator at Step With Faith Women's Sober Living FoundationGroup Facilitator at Step With Faith Women's Sober Living Foundation