
Knowledgeable and dedicated healthcare professional with extensive experience in revenue cycle and ambulatory operations. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to operational success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Coordinated complex care and billing episodes for transplant patients and donors
Worked in partnership with SCCA (Seattle Cancer Care Alliance) to complete detailed and expansive billing packages for insurance billing
Extensive communication (written and verbal) across payer representatives, clinicians, treatment plan partners, patients and families.
Verified reimbursement aligned with expected contracted rates.
Drafted Level I and Level II appeals
Billing and follow-up of facility AR
High volume website and phone expertise to monitor claims processing and status updates
Epic EMR super-user with excellent skills utilizing work queues, My Reports and Dashboards
Epic EMR Expert (including super-user training AND modular certifications for both HB and PB)
Strong verbal and written communications
Revenue Cycle flow and management
Scheduling/Authorization experience
Insurance Processing and Medical Billing
Understanding of cash posting and collection
Resolute Hospital Billing certification
Resolute Professional Billing certification
Reporting Workbench/My Reports certification