BETTY (SUSIE) VANJAARSVELD
Raleigh Neurosurgical
Franklinton,NC
23
years of professional experience
Results-driven Medical Billing Specialist with 26 years of comprehensive experience in processing and documenting payment transactions. Proven expertise in research, problem-solving, and account management that enhances client and vendor relationships while reducing outstanding balances. Committed to accuracy and efficiency, fostering collaboration to drive organizational success.
Work History
Revenue Cycle Manager
1 Year 7 Months- Managed revenue cycle workflows across scheduling, charge capture, billing, and collections for surgical patient accounts.
- Directed claim submission processes, reducing denials through timely follow-up and accurate payer edits.
- Oversaw accounts receivable activity, prioritizing aging balances and resolving unpaid claims with payers.
- Implemented process improvements for patient registration, insurance verification, and authorization tracking.
- Collaborated with clinical and billing teams to resolve charge discrepancies and missing documentation.
- Monitored payer correspondence and appealed underpaid claims to recover appropriate reimbursement.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
Revenue Cycle Specialist
1 Year 6 Months- Reviewed patient accounts for accuracy and completeness, enhancing billing integrity.
- Developed comprehensive reports on billing activities, highlighting payment trends and denial rates for strategic insights.
- Developed reports detailing billing activities, including payment trends and denial rates.
- Maintained up-to-date knowledge of insurance policies, procedures, and regulations to ensure compliance and optimize billing processes.
- Processed appeals related to denied or rejected claims in a timely manner.
- Analyzed claims data to identify trends in denials and rejections.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Built and strengthened client relationships to form long-lasting, profitable bonds.
Account Resolution Specialist/Team Lead
1 Year- Provided tailored advice and assistance to customers, addressing unique needs and preferences.
- Updated account information to maintain customer records.
- Answered a constant flow of customer calls with minimal wait times.
- Handled customer inquiries for products, services, and company information promptly and accurately.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Managed patient registration process, confirming data accuracy and completeness.
- Investigated insurance claims denials and appeals.
- Confirmed insurance eligibility and coverage for patients, ensuring access to necessary services.
Account Resolution Specialist
3 Months- Monitored aging accounts and reached out to customers to discuss payments.
- Monitored aging accounts, contacting customers to discuss payment options and encourage timely resolution.
- Assessed individual situations and developed effective resolutions.
- Negotiated payment arrangements for defaults, establishing plans or securing full remittance of outstanding balances.
- Completed in-depth research to investigate claims and resolve problems.
- Maintained high volume of calls and met demands of the busy and productive group.
- Assisted in implementing procedures and policies that improved processes for timely payments.
Medical Account Advisor
16 Years 10 Months- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Resolved denied claims through effective communication with insurance providers and facilitated resubmission.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Responded to requests for information from various individuals by providing HIFCA documents.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Trained new employees on multiple medical billing programs and data entry software.
- Addressed and rectified patient billing and payment issues to ensure timely resolutions.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payment to contracts.
- Precisely evaluated and verified benefits and eligibility.
- Oversaw claims for collections of unpaid bills for unpaid bills against estates of debtors.
- Evaluated patients' financial status and established appropriate payment plans.
- Located errors and promptly refilled rejected claims.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Facilitated communication between patients, insurance companies, and the billing office to streamline billing processes.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Managed a billing calendar and scheduled claims for payments.
- Submitted charges promptly and accurately to ensure proper billing..
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Prepared accounts with past due balances and transferred those cases to a collection agency.
- Adhered to established standards to safeguard patients' health information.
- (formerly Medbill, Formerly Kareo)
Education
High School Diploma
Skills
Month-end closing
Research and analysis
Collections management
Billing cycle management
Insurance verification
Billing software
Denial resolution
P>Month-end closing
Revenue analysis
Data analytics
Billing audits
P>Month-end closing procedures
P>Collections
P>Billing review
P>Data management
P>Due diligence research
P>Workflow automation
P>Customer service support
P>Patient communication
Cash flow
Account monitoring
Analytical problem solving
Collecting payments
HIPAA Compliance
Cash flow management
Claims management
Data analytics
Timeline
Revenue Cycle Manager
Raleigh Neurosurgical
03.2025 - CurrentRead More
Revenue Cycle Specialist
NSN Revenue Resources
09.2023 - 03.2025Read More
Account Resolution Specialist/Team Lead
PBS Radiology Billing Service
03.2022 - 03.2023Read More
Account Resolution Specialist
OrthoNC
11.2021 - 02.2022Read More
Medical Account Advisor
Health Prime
01.2004 - 11.2020Read More
Wake Forest - Rolesville High School
High School Diploma
Read More