Calondrus "Cali" Weathersby

Revenue Cycle Specialist with over 10 years of AR, Billing, Cash Posting, Credit Analyst, Dispute Resolution, Insurance Collections and Refund experience. Well organized with great critical thinking capabilities to manage day to day operations looking to maximize growth in complete Revenue Cycle operations.

• Complete Claims Revenue Cycle
• Supervisory Experience
• Medical Terminology
• ICD 10
• Payment/EOB Posting
• EPIC
• eClinicalWorks
• Medisoft
• Centricity
• QNXT
• Cerner
• Paragon
• Payroll/ADP
• PeopleSoft
• Tableau
• Physician/Acute Claims
• CAQH Proview Credentialing
• Microsoft Office
• Insurance Portals

• 10 years+ in medical billing, payment posting/eob's, follow-up and customer service.
• Claims processing
• Claim edits
• Ability to navigate insurance portals and clearinghouses.
• Knowledge of ICD-10, EOB's, CPT, HCFA, HCPCS, UB-04, Auths/ref, PreCerts
• Excellent communication skills.
• Conflict Management
• Credentialing
• Ability to perform under pressure and the needs of the company to meet set goals.
• HIPAA knowledge/regulations
• CMS (Medicare)
• Data entry
• Revenue Cycle