CHERYL BUSCHER
Lebanon
Work Preference
Summary
Billing specialist skilled in optimizing revenue cycle processes through accurate claims preparation and effective follow-up. Demonstrates strong problem-solving abilities to resolve discrepancies and ensure compliance, while enhancing customer satisfaction in high-volume environments.
Overview
16
16
years of professional experience
Work History
Billing and Follow up Colleague
Trinity Healthcare
Livonia
04.2022 - 03.2026
- Executed daily billing and follow-up tasks within revenue cycle process.
- Documented claims in Epic, ensuring accuracy for billed and settled items.
- Identified and escalated issues impacting billing accuracy and follow-up efficiency.
- Adhered to proactive practices by contacting payers for payment status and responding to correspondence promptly.
- Collaborated with hospital departments to resolve billing discrepancies and obtain necessary data.
- Researched claim rejections, implemented corrections, and referred claims for timely resolution.
- Utilized Epic tools and payer websites for claim submissions, status checks, and authorization inquiries.
- Performed charge corrections and verified patient insurance information to ensure prompt payments.
- Maintained updated knowledge through continuing education and advanced training.
Housekeeping
N & R of Lebanon North Nursing & Rehab
Lebanon
08.2020 - 04.2022
- Conducted light housekeeping duties such as laundry, vacuuming and dusting.
Nurses Aid to Behavior Health Residents
Olive Mountain Residential Care
Lebanon
10.2019 - 07.2020
- Monitored resident health and reported changes to nursing staff.
Billing and Collection Coordinator
Mattax-Neu-Prater Eye Center INC
Springfield
09.2018 - 06.2019
- Review unpaid or denied eye care claims and determine appropriate follow-up actions.
- Correct and resubmit claims with missing or inaccurate information.
- Monitor payer trends and identify recurring issues affecting reimbursement.
- Maintain detailed documentation of all follow-up activities in the billing system.
- Collaborate with providers, coders, and patients to resolve billing concerns.
- Stay updated on insurance policies, coding guidelines, and ophthalmology-specific billing requirements (e.g., CPT, ICD-10, HCPCS codes for eye procedures).
Collections Representative
Amerita
Greenwood Village
07.2017 - 08.2018
- Analyzed outstanding balances, initiating collection actions for prompt resolution.
- Investigated assigned correspondence and executed timely actions for information resolution.
- Identified short-payment and non-payment patterns, notifying supervisors for immediate action.
- Reviewed residual account balances post-payment, generating necessary adjustments according to guidelines.
- Managed secondary billing procedures to ensure accurate financial records.
- Issued overpayment notifications to clients as required.
- Processed refund requests efficiently, ensuring timely resolutions.
Revenue Cycle Specialist
Denver Health and Hospital Authority
06.2010 - 06.2017
- Ensured optimal reimbursement for physician billing through timely follow-ups and cash applications.
- Reconciled payer remittance, managing denials and appeals for various claims.
- Investigated outstanding accounts by interpreting explanation of benefits for services at Denver Health.
- Tracked aging reports for denied claims and followed up on unresponsive insurance inquiries.
- Processed necessary refunds while auditing accounts for compliance with commercial payers.
- Conducted carrier calls and web status checks to expedite claims resolution.
- Monitored reimbursement processes to enhance efficiency in handling government worker's compensation claims.
Education
High School Diploma -
Loveland High School
Loveland, COCertified Dental Assistant -
Fort Collins Vocational School
Fort Collins, COGraduate Certificate - Medical Coding
US Career Institute
Fort Collins, COSkills
- Revenue cycle management
- Insurance verification
- Epic systems
- Customer service
- Problem resolution
- Attention to detail
- Decision-making
- Organizational skills
- Multitasking skills
- Critical thinking
- Computer skills
- Microsoft Office
- Dependability
- Process improvement
- Team collaboration
- Professional demeanor
- Interpersonal communication
- Teamwork and collaboration
Languages
English
Professional
Timeline
Billing and Follow up Colleague
Trinity Healthcare
04.2022 - 03.2026
Housekeeping
N & R of Lebanon North Nursing & Rehab
08.2020 - 04.2022
Nurses Aid to Behavior Health Residents
Olive Mountain Residential Care
10.2019 - 07.2020
Billing and Collection Coordinator
Mattax-Neu-Prater Eye Center INC
09.2018 - 06.2019
Collections Representative
Amerita
07.2017 - 08.2018
Revenue Cycle Specialist
Denver Health and Hospital Authority
06.2010 - 06.2017
High School Diploma -
Loveland High School
Certified Dental Assistant -
Fort Collins Vocational School
Graduate Certificate - Medical Coding
US Career Institute