Caitlin Buck
Hendersonville,TN
Summary
Well-qualified Medical Billing Specialist proficient in Epic and Cerner systems. Demonstrated success analyzing existing systems and providing recommendations for improvement. Forward-thinking and hardworking with flexible and diligent approach. Experienced with managing revenue cycles, ensuring efficient billing and collections processes. Utilizes analytical skills and attention to detail to resolve payment issues and optimize financial performance. Track record of fostering team collaboration and adapting to dynamic healthcare environments.
Overview
12
12
years of professional experience
Work History
Revenue Cycle Representative
MediRevv
Coralville, IA
06.2021 - Current
- Maintained up-to-date knowledge of payer policies, regulations, and guidelines, ensuring compliance throughout the revenue cycle process.
- Identified root causes of claim denials through thorough analysis, implementing corrective actions for improved results moving forward.
- Analyzed financial data to identify trends and areas of improvement within the revenue cycle process.
- Have worked both Commercial and Medicare Advantage payers
Claims Representative
Iowa Specialty Hospital
Clarion, IA
03.2020 - 06.2021
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Developed in-depth understanding of workers compensation policies and procedures.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Insurance Department Agent
ENT Medical Services
Iowa City, IA
05.2019 - 03.2020
- Coded office visits and procedures done in the office and prepared claims to send to insurance companies
- Organized and posted patient payments
- Answered phone calls from patients and other physicians offices, collected payment information and scheduled appointments
- Completed follow up on denied claims
- Delivered exceptional customer service by proactively addressing concerns and fostering a positive experience throughout all interactions.
Revenue Cycle Representative
University of Iowa Hospitals and Clinics
Coralville, IA
04.2015 - 05.2019
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Identified root causes of claim denials through thorough analysis, implementing corrective actions for improved results moving forward.
- Identified and resolved payment issues between patients and providers.
- Given High Dollar ($5000.00 and above) claims within first year of employment
Leave of Absence Coordinator
Sedgwick CMS
Coralville, IA
08.2013 - 04.2015
- Develop and assess Leave of Absence claims
- Make recommendation for approval or denial based on federal and state regulations
- Assisted in conducting regular audits of leave records, identifying discrepancies and taking corrective action as necessary to maintain accurate data.
- Conducted thorough investigations into suspected cases of FMLA abuse or fraud, protecting company resources from misuse while upholding the rights of legitimate claimants.
- Reduced processing time for leave applications by implementing a streamlined system for tracking and recording absences.
Claims Assistant
Sedgwick CMS
Coralville, IA
05.2013 - 08.2013
- Built claims for Short-term Disability and Leave of Absence requests
- Assisted Leave of Absence, Short-Term Disability and Return to Work examiners
- Provided exceptional customer service through clear communication, empathy, and proactive problem-solving during difficult situations.
- Ensured compliance with company policies and industry regulations through meticulous documentation of claim files.
Education
Bachelor of Arts -
Greensboro College
Greensboro, NC12.2021
Skills
- Claim submission
- Insurance verification
- Denial management
- Medical billing expertise
- Commercial insurance
- Claims review
- Verifying insurance
- Analytical problem solving
- Insurance collaboration
- Teamwork and collaboration
- Customer service
Timeline
Revenue Cycle Representative
MediRevv
06.2021 - Current
Claims Representative
Iowa Specialty Hospital
03.2020 - 06.2021
Insurance Department Agent
ENT Medical Services
05.2019 - 03.2020
Revenue Cycle Representative
University of Iowa Hospitals and Clinics
04.2015 - 05.2019
Leave of Absence Coordinator
Sedgwick CMS
08.2013 - 04.2015
Claims Assistant
Sedgwick CMS
05.2013 - 08.2013
Bachelor of Arts -
Greensboro College
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