Breauna Kay
Killeen,TX
Summary
Revenue management professional with proven ability to streamline billing operations and resolve payment discrepancies. Known for collaborative approach and achieving consistent results. Reliable team player with strong analytical skills and adaptability to changing needs.
Experienced with revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Track record of effective communication and collaboration to enhance financial performance.
Overview
15
15
years of professional experience
Work History
Revenue Cycle Specialist III
Baylor Scott & White Health Plan
01.2012 - Current
- Directed claims processing workflows, ensuring accurate submission and timely reimbursement.
- Resolved denied claims through thorough account review and corrective follow-up.
- Reviewed billing discrepancies, corrected coding errors, and supported compliance standards.
- Coordinated insurance verification and authorization requests to prevent payment delays.
- Analyzed accounts receivable aging and prioritized collection follow-up actions.
- Posted payments accurately and reconciled remittance information with patient accounts.
- Mentored staff on revenue cycle procedures, documentation requirements, and denial resolution.
- Improved billing efficiency by refining workflow steps and reducing processing errors.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Identified and resolved payment issues between patients and providers.
- Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
Education
Nursing Coursework
Central Texas College
Killeen, TXHigh School Diploma -
Middleton High
06-2012
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
- Patient registration
- Insurance verification
- Paperwork management
- Verifying insurance
- Denial management
- Medical billing expertise
- Analytical problem solving
- Accounts receivable management
- Managing records
- Financial counseling
- Collecting payments
- Writing reports
- Revenue cycle management
- Coordinating documents
- Records coordination
- Medical billing
- Payment posting
- Insurance collaboration
- Healthcare finance
- Revenue quotas
- Analyzing claims
- Debt collection procedures
- Teamwork
- Teamwork and collaboration
- Customer service
- Attention to detail
- Time management
- EMR ATHENA MEDITECH EPIC CERNER GET NEXT
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
Timeline
Revenue Cycle Specialist III
Baylor Scott & White Health Plan
01.2012 - Current
Nursing Coursework
Central Texas College
High School Diploma -
Middleton High