Amy Mcnutt
Columbus Oncology Associates, Inc.
WESTERVILLE
10
years of professional experience
Detail-oriented revenue cycle professional with experience resolving complex claim denials, interpreting EOBs, and managing payer portal corrections. Strong background in medical necessity reviews, prior authorization denials, COB, and timely filing appeals. Known for critical thinking and consistent improvement of AR outcomes.
Work History
Accounts Receivable Specialist
3 Years 11 Months- Manage accurate, timely review of payor denials to support AR follow-up and reduce accounts receivable aging over 180 days to less than 10%.
- Develop multilevel appeal documentation for denial cases, incorporating medical necessity statements, prior authorization details, benefit exclusion rationale, COB handling, and timely filing rules.
- Investigate denial reasons, submit corrections via payor portals, and contact payors directly to clear payment denials.
- Review clearinghouse claim rejections, trace issue sources, and resolve rejection-related discrepancies.
- Analyze denials and payment variances trends to support resolution workflows and escalate when appropriate.
- Validate benefits and eligibility through RCM tools and payor portals to maintain accurate claim readiness.
- Developed the current SOP for submitting claims to manufacturer copay assistance and foundation programs
- Trained colleagues on the above Copay and Assistance Program
Claims Specialist
2 Years 1 Month- Adjudicated medical claims for accuracy, ensuring proper coding, eligibility, and authorization alignment.
- Investigated complex claim denials, resolving payer issues through policy review and documentation analysis.
- Coordinated follow-up with payers, providers, and billing teams to expedite claim resolution.
- Reviewed benefit coverage and reimbursement rules to support compliant claims processing decisions.
- Monitored claim status queues, prioritizing aged accounts and unresolved exceptions for timely action.
Account Manager
2 Years 11 Months- Managed ongoing relationships with practice managers to facilitate effective collaboration and communication.
- Facilitated provider credentialing processes to secure comprehensive coverage across all relevant payers.
- Executed timely and accurate processing of insurance payments to maintain seamless claims and billing operations.
- Cultivated relationships with practice managers to enhance collaboration and streamline communication.
- Used Kareo, eClinicalWorks, NextGen, and Greenway RCM systems to support revenue cycle operations.
Medical Claims Specialist
1 Year 5 Months- Reviewed medical claim denials and made appropriate corrections to support successful payment processing.
- Reviewed, triaged, and prioritized work queue tasks to ensure timely filing and address high-dollar denials.
- Supported daily ledger balancing against deposit records to uphold financial reconciliation.
Education
GED
Skills
Denial resolution
RCM systems expertise
Clearinghouse experience
Payer portals
Payment reconciliation
Pulling
reading and understanding EOBs
Medical and coding terminology
Critical and logical thinking
Timeline
Accounts Receivable Specialist
Columbus Oncology Associates, Inc.
11.2022 - CurrentRead More
Claims Specialist
Trinity Health
10.2020 - 11.2022Read More
Account Manager
Healthcell, Inc
10.2017 - 09.2020Read More
Medical Claims Specialist
ETrans Media
05.2016 - 10.2017Read More
Merrillville High School
GED
Read More