Summary
Overview
Work History
Education
Skills
Timeline
Generic
Cheree Sylvester

Cheree Sylvester

Kennewick,WA

Summary

Adept at navigating complex healthcare billing practices, I enhanced reimbursement processes at DaVita by identifying denial trends and recommending improvements, achieving smoother claim resolutions. My expertise in HCPCS Coding and exceptional client service skills fostered strong relationships with insurance providers, ensuring compliance and advancing internal learning. Professional with strong experience in reimbursement processes and healthcare administration. Proven ability to manage complex billing systems, ensure compliance, and maximize revenue recovery. Valued for team collaboration, adaptability, and achieving measurable results. Skills include claims processing, coding, payer relations, and problem-solving. Reliable and responsive to evolving needs in fast-paced environments.

Overview

23
23
years of professional experience

Work History

Regional Reimbursement Specialist

DaVita
10.2001 - 07.2024
  • Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
  • Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
  • Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
  • Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
  • Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
  • Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
  • Prevented delays and claim denials by correcting information prior to submission.
  • Followed up on denied and unpaid claims to resolve problems and obtain payments.
  • Established strong working relationships with insurance providers, fostering open communication channels for smoother claim resolutions.

Education

Medical Administration

Bryman College
SeaTac
09.2001

Skills

  • HCPCS Coding
  • Insurance Verification
  • Client Service
  • Policy evaluation
  • Managed Care
  • Eligibility Verification
  • Customer Service
  • Multitasking
  • Reliability
  • Customer service support
  • Adaptability and Flexibility
  • HIPAA Compliance
  • Claims Processing

Timeline

Regional Reimbursement Specialist

DaVita
10.2001 - 07.2024

Medical Administration

Bryman College
Cheree Sylvester