Caitlin Brown
Saratoga Springs,UT
Summary
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 13+ years of related experience to a dynamic position with room for career growth.
Overview
13
13
years of professional experience
Work History
AR SPECIALIST
VWInc
01.2022 - Current
- Departmental A/R reduction, Research and resolution of payments, Generate, submit, follow up specific to underpayment or timely filing appeals and denials, Obtain and review medical records to support formal appeals & justify medical necessity, Insurance verification - Medicaid, Medicare, and Commercial Insurance Plans, Claims processing for Medicaid, Medicare, and Commercial Insurance Plans
GRIEVANCE & APPEALS SPECIALIST + UNDERPAYMENT ANALYST; PFS
Providence St Joseph Health Systems
10.2015 - 10.2021
- Departmental A/R reduction through special projects, Meet productivity of 51 accounts per day; exceeded, Research and resolution of payments, Generated documents and reports for Payor Provider Rep calls, Contract knowledge, Generate, submit, follow up specific to underpayment or timely filing appeals and denials, Insurance verification - Medicaid, Medicare, and Commercial Insurance Plans
SENIOR PATIENT FINANCIAL SERVICES REPRESENTATIVE
Banner Health
05.2013 - 10.2015
- Oversaw minimum of 10 employees, Trained new hires, Process implementation, Generated documents and reports for departmental/team meetings, Departmental A/R reduction through special projects, Facilitated escalated Payor Provider Rep calls, Inbound Escalated calls, Meet productivity of 60 accounts per day; exceeded, Claims QA, Research and resolution of payments, Contract knowledge, Follow up for appeals and denials, Insurance verification - Medicaid, Medicare, and Commercial Insurance Plans, Claims processing for Medicaid, Medicare, and Commercial Insurance Plans
BILLING AND COLLECTIONS INSURANCE REPRESENTATIVE
Physicians Physical Therapy Office
02.2012 - 04.2013
- Full Cycle billing, follow up for appeals and denials, Insurance verification - Medicaid, Medicare, Workers' Compensation, and Commercial Insurance Plans, Claims processing for Medicaid, Medicare, Workers' Compensation, and Commercial Insurance Plans, Update patient demographics, Write-offs/adjustments/payment posting, Identification and resolution of billing errors, Correspondence with facilities/insurance carriers, Spreadsheets, Data entry for paper and electronic claims, Follow up on all claims, A/R report to keep zero balances, Payment posting from Insurance and Patients, Invoice Billing & Reconciliation, Write-offs/adjustments, Research Invoices/HCFA to prove timely filing
LEAD BILLER - DME MEDICAL BILLING AND COLLECTIONS
Hanger Orthopedics
01.2011 - 01.2012
- Oversaw a minimum of 5 employees, Training of new hires, Generated documents and reports, Accuracy Reviews, Reviewed Bankruptcies, Outbound (75) -minimum / Inbound calls (80+) - Exceeded, Cross Trained, Full Cycle billing, follow up for appeals and denials, Insurance verifications - Medicaid, Medicare and Commercial Insurance Plans, Claims processing for Medicare, and Commercial Insurance Plans, Update patient demographics, Invoicing/Rebilling, Write-offs/adjustments, Identification and resolution of billing errors, Correspondence with facilities, Data entry for paper and electronic claims, Followed up on all claims, A/R report to keep zero balances, Invoice Reconciliation, Research Invoices/UB-04 to prove timely filing
Education
High School Diploma -
Mesquite High School
Gilbert, AZ05.2008
Skills
- Billing
- Collections
- CPT / ICD 9 ICD 10 Coding
- Medical records
- Referrals / Authorizations
- Claims processing / Reimbursement
- Payment Posting
- Commercial / Medicare / Medicaid Insurance
- Fortis / Next Gen
- MS4 / AS400
- Cerner / OnBase
- Avadyne Health / Chartmaxx
- Meditech / EPremis
- EPIC
- Central Reach / Waystar
- Quadax
- Intergy / Emdeon
- Medical terminology
- Microsoft Products
- Excellent Customer Service Skills
- Research Skills
- Highly Motivated
- Positive/ Confident/ Assertive/ Team Player / Solution Seeker
- 60 WPM
- 10 Key (13500kph)
Timeline
AR SPECIALIST
VWInc
01.2022 - Current
GRIEVANCE & APPEALS SPECIALIST + UNDERPAYMENT ANALYST; PFS
Providence St Joseph Health Systems
10.2015 - 10.2021
SENIOR PATIENT FINANCIAL SERVICES REPRESENTATIVE
Banner Health
05.2013 - 10.2015
BILLING AND COLLECTIONS INSURANCE REPRESENTATIVE
Physicians Physical Therapy Office
02.2012 - 04.2013
LEAD BILLER - DME MEDICAL BILLING AND COLLECTIONS
Hanger Orthopedics
01.2011 - 01.2012
High School Diploma -
Mesquite High School
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