Amy Cutlip
30000 FM 2978 Apt. 1033,TX
Summary
Reimbursement Specialist with 6+ years of experience in policy research, claim collections, and customer service. Analytical problem-solver skilled in tracking trends and using systems such as Athena, Xifin, Centricity, and Epic to analyze coverage and secure claim resolutions. Highly motivated and adaptable, bringing strong written and verbal communication skills to enhance client interactions and support efficient operations.
Overview
9
9
years of professional experience
Work History
PB Follow-up
Medix Staffing
Houston, TX
07.2025 - Current
- Reviewed documentation and gathered information to enhance accuracy of claim processing.
- Collaborated with team to resolve complex claim issues, reducing resolution time.
- Utilized claims management software for effective tracking and documentation of claims.
- Conducted investigations to collect evidence supporting claims resolution.
- Maintained accurate records of all claims activities per company policies.
- Participated in meetings with internal departments and external vendors to address and resolve disputed claims.
- Researched laws and regulations pertaining to insurance policies and procedures.
- Analyzed claim data to identify trends and recommend process enhancements.
AR Specialist
Fort Worth HEART, PA
FORT WORTH , TX
08.2023 - 12.2024
- Resolved billing and payment concerns to enhance patient satisfaction.
- Investigated past-due invoices and delinquent accounts to recover revenues and minimize outstanding balances.
- Managed collection of patient account payments to ensure accurate financial records.
- Collaborated with patients to discuss payment arrangements.
- Ensured thorough logging of all collection activities, adjustments made, and any denials received.
- Submitted claims to insurance companies.
- Analyzed financial data to identify trends in revenue cycles.
- Performed insurance verification, pre-certification, and pre-authorization.
- Processed credit card transactions through point-of-sale terminals or online systems.
- Executed account updates, and noted account information in company data systems.
- Entered procedure codes, diagnosis codes, and patient information into billing software to facilitate invoicing and account management.
- Examined assigned codes and modifiers for engine verification.
- Assessed claims to ensure correctness, and identify issues.
- Answered customer questions to maintain high satisfaction levels.
Reimbursement Specialist
Boston Scientific
Houston, TX
03.2020 - 06.2023
- Researched rejections and investigated issues to successfully appeal claims.
- Determined medical necessity, using individual insurance carrier regulations.
- Submitted claims to insurance companies.
- Processed invoice payments and recorded information in account database.
- Drafted documents according to payer guidelines and submitted to appropriate parties.
- Investigated past due invoices and delinquent accounts to recover revenues and minimize unpaid accounts.
- Maintained confidentiality and integrity of patient data.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Researched rejections, investigating problems to appeal claims.
- Collected coinsurance and deductibles from patients for rendered services.
- Performed updates on accounts to maintain accurate client information. and noted account information in company data systems.
- Managed high call volumes while maintaining quality customer service.
- Documented customer interactions accurately in the database.
- Handled escalated calls with professionalism and empathy.
Hotel Front Desk Receptionist
La Quinta
Tomball, TX
02.2017 - 12.2019
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Streamlined front desk operations in high-volume hotel, ensuring efficient service delivery.
- Maintained smooth operations by correctly assigning rooms and coordinating guest check-ins and check-outs.
- Collaborated with staff to meet incoming guest needs, smooth check-in processes and maximize satisfaction.
- Cultivated professional relationships with guests through responsive and dedicated assistance, enhancing customer retention.
- Arranged special accommodations for guests to maintain optimal satisfaction.
- Facilitated customer loyalty by enrolling guests in rewards program and providing exceptional service to encourage repeat stays.
- Processed guest payments for room charges, food and beverage charges and phone charges.
- Computed guest billings and posted charges to room accounts.
- Reserved guest rooms over phone, in person and via computer for travelers and provided confirmations.
- Answered phones to respond to customer inquiries and transfer calls to appropriate staff members.
- Received incoming calls and coordinated with hotel staff to fulfill requests and resolve issues.
- Input customer data into reservation software and made immediate updates to reflect room changes.
- Shared information with patrons on entertainment and sporting events in nearby areas and made reservations to establishments to boost local tourism.
- Contacted housekeeping services and maintenance personnel regarding problems with guest rooms.
- Collaborated with housekeeping and maintenance staff to address and mitigate facility issues.
- Balanced accounts and conducted nightly audits to keep bookkeeping current.
Education
Associate of Science - Healthcare Administration
Lonestar College
Tomball, TX05-2022
Skills
- Claims processing and management
- Claims management software
- Claims resolution techniques
- Claims coding accuracy
- Medical billing
- Eligibility verification processes
- Insurance verification techniques
- Payer policies knowledge
- Medicaid and Medicare knowledge
- HIPAA compliance expertise
- Policy compliance
- Accounts receivable management
- Records organization and review
- Microsoft Office proficiency
- Interpersonal communication
- Conflict resolution
Timeline
PB Follow-up
Medix Staffing
07.2025 - Current
AR Specialist
Fort Worth HEART, PA
08.2023 - 12.2024
Reimbursement Specialist
Boston Scientific
03.2020 - 06.2023
Hotel Front Desk Receptionist
La Quinta
02.2017 - 12.2019
Associate of Science - Healthcare Administration
Lonestar College