Benita Coleman
Normal,IL
Summary
Highly dedicated and experienced healthcare professional with over 10 years of progressive experience across diverse healthcare settings. Proven expertise in delivering high-quality patient care, optimizing revenue cycle management, and effectively coordinating care teams. Possesses strong analytical, problem-solving, and communication skills, consistently contributing to improved operational efficiency and patient satisfaction.
Professional with strong commitment to delivering exceptional customer service and achieving results. Adept at addressing customer needs and resolving issues efficiently. Reliable team player known for adaptability and effective communication skills. Proven track record in fostering collaborative environments and driving customer satisfaction.
Overview
12
12
years of professional experience
Work History
Denial/Follow Up Representative
Addison Group
09.2023 - 05.2024
- Reviewed and meticulously researched claims to identify denial reasons, performing accurate data entry and edits to ensure proper billing practices.
- Generated comprehensive appeals based on specific dispute reasons and contract terms tailored to individual payers.
- Effectively escalated exhausted appeal efforts to achieve timely resolution of complex claims.
- Resolved service-related problems by thoroughly clarifying customer complaints, accurately determining root causes, and implementing optimal solutions.
- Verified patient insurance information with precision to facilitate accurate billing.
- Efficiently processed patient payments and provided exceptional customer service.
- (Remote)
Denial/Follow Up Representative
Community Health Network
04.2019 - 05.2023
- Reviewed and meticulously researched claims to identify denial reasons, performing accurate data entry and edits to ensure proper billing practices.
- Generated comprehensive appeals based on specific dispute reasons and contract terms tailored to individual payers.
- Effectively escalated exhausted appeal efforts to achieve timely resolution of complex claims.
- Resolved service-related problems by thoroughly clarifying customer complaints, accurately determining root causes, and implementing optimal solutions.
- Verified patient insurance information with precision to facilitate accurate billing.
- Efficiently processed patient payments and provided exceptional customer service.
- (Remote)
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
Denial/Follow Up Representative
R1 RCM
03.2016 - 04.2019
- Reviewed and meticulously researched claims to identify denial reasons, performing accurate data entry and edits to ensure proper billing practices.
- Generated comprehensive appeals based on specific dispute reasons and contract terms tailored to individual payers.
- Effectively escalated exhausted appeal efforts to achieve timely resolution of complex claims.
- Resolved service-related problems by thoroughly clarifying customer complaints, accurately determining root causes, and implementing optimal solutions.
- Verified patient insurance information with precision to facilitate accurate billing.
- Efficiently processed patient payments and provided exceptional customer service.
Utilization Review Specialist
Ajilon Professional Staffing
09.2015 - 03.2016
- Notified RN Case Managers of potential problematic cases in a timely and proactive manner.
- Actively participated in Utilization Review Committee meetings, contributing to case discussions and policy adherence.
- Conducted all activities with the highest standards of professionalism and strict adherence to confidentiality protocols.
Patient Care Technician
Davita
04.2013 - 08.2015
- Provided clear and comprehensive instruction to patients regarding the hemodialysis process.
- Proficiently initiated and terminated the dialysis process, ensuring patient safety and comfort.
- Maintained close supervision of patients throughout the dialysis process, monitoring vital signs and responding to any changes.
Patient Care Technician
Fresenius Medical Care
08.2012 - 06.2014
- Provided clear and comprehensive instruction to patients regarding the hemodialysis process.
- Proficiently initiated and terminated the dialysis process, ensuring patient safety and comfort.
- Maintained close supervision of patients throughout the dialysis process, monitoring vital signs and responding to any changes.
Education
Medical Billing and Coding -
Medtech College
Greenwood, IN01.2016
Certified Clinical Hemodialysis Technician - undefined
Fresenius
Indianapolis, IN04.2014
Nursing Assistant Program - undefined
Prime Way Institute
Indianapolis, IN03.2009
Skills
- Revenue Cycle Management: Medical Billing & Coding, Denial Management, Claims Resolution, Appeal Generation, Payer Relations, Payment Processing, Knowledge of applying CPT, ICD-10 codes, medical terminology, 1500 claim form, UB04, Knowledge of Medicaid/Medicare and other different insurance payers
- Customer support
- Customer relations
- Data entry proficiency
- Goal-oriented mindset
- Patient Care: Clinical Hemodialysis Technician, Certified Nursing Assistant (CNA), Patient Education, Vitals Monitoring, Treatment Initiation/Termination
- Technical Proficiency: Knowledge of using Availity, Epic, Microsoft Word, Outlook, Excel
- Analytical problem-solving
Timeline
Denial/Follow Up Representative
Addison Group
09.2023 - 05.2024
Denial/Follow Up Representative
Community Health Network
04.2019 - 05.2023
Denial/Follow Up Representative
R1 RCM
03.2016 - 04.2019
Utilization Review Specialist
Ajilon Professional Staffing
09.2015 - 03.2016
Patient Care Technician
Davita
04.2013 - 08.2015
Patient Care Technician
Fresenius Medical Care
08.2012 - 06.2014
Certified Clinical Hemodialysis Technician - undefined
Fresenius
Nursing Assistant Program - undefined
Prime Way Institute
Medical Billing and Coding -
Medtech College
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