Summary
Overview
Work History
Education
Skills
Timeline
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Amber Hillyer

Amber Hillyer

Sr. Revenue cycle specialist
Silver Springs,CA

Summary

Experienced medical collector with over 20 years of experience in commercial and w/c claims resolution for inpatient, outpatient, W/C, PI, PT, DME, & Pharmaceutical claims. Eager to contribute, highly resourceful, hard working professional seeking full time remote position.

Overview

21
21
years of professional experience

Work History

Sr. Revenue Cycle Specialist

St. Joseph Heritage Healthcare
Anaheim, CA
02.2015 - 05.2022
  • Identified and resolved payment issues between insurance and providers.
  • Balanced and reconciled patient accounts.
  • Generated receivable reports & Insurance trends to offer improvement recommendations.
  • Created well-researched presentations on revenue cycle data to deliver to upper management and executives.

Patient Account Representative

SuperCare
City Of Industry, CA
08.2013 - 02.2015
  • Responded to patient, family and external payer inquiries.
  • Posted payments and processed refunds.
  • Worked with outside entities to resolve issues with billing, claims and payments.
  • Electronically submitted bills according to compliance guidelines.

Workers Compensation Collector

Industrial Pharmacy Management
Costa Mesa, CA
06.2010 - 07.2013


  • Litigated claims negotiation and settlement.
  • Maintained claims data in citrix systems.

Collections Supervisor

Valley View Medical
La Mirada, CA
02.2002 - 11.2010
  • Supervised and coordinated activities of collections employees attempting to gather monies owed from clients and insurance.
  • Contacted clients, Attorneys, & Insurance to collect outstanding payments via one-time or negotiated settlement.
  • Generated and mailed updated statements monthly and processed demand letters, electronic lien filing & follow up..
  • Trained collections agents and reviewed work to reach compliance with legal requirements and company policies.

Education

Tri-Cities Regional Occupational Program
Whittier, CA
01.2000

Skills

  • Revenue Cycle Management
  • Claims Analysis
  • HIPAA Regulations
  • HCPCS Coding Guidelines
  • CMS Guidelines
  • Settlement Negotiation
  • Electronic Filing System

Timeline

Sr. Revenue Cycle Specialist

St. Joseph Heritage Healthcare
02.2015 - 05.2022

Patient Account Representative

SuperCare
08.2013 - 02.2015

Workers Compensation Collector

Industrial Pharmacy Management
06.2010 - 07.2013

Collections Supervisor

Valley View Medical
02.2002 - 11.2010

Tri-Cities Regional Occupational Program

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Amber HillyerSr. Revenue cycle specialist