CHLOE IVORY
Virginia Beach,VA
Summary
Dynamic and experienced Revenue Cycle Analyst with over five years of expertise in healthcare revenue cycle management, including successful provider enrollment experiences. Skilled in auditing, billing, and coding to ensure accuracy and compliance while optimizing revenue processes. Seeking to leverage comprehensive knowledge and proficiency in healthcare systems to contribute to the enhancement of revenue cycle operations.
Overview
13
13
years of professional experience
Work History
Account Receivables Specialist
ECLAT Health
Herndon, VA
10.2023 - Current
- Manages and monitors the full accounts receivable process, ensuring timely and accurate billing and collections.
- Process an average of 60-75 invoices daily, contributing to a reduction in Accounts Receivable (AR) days from 47 to 33 since assuming the position.
- Analyze accounts to identify outstanding balances, perform follow-ups, and resolve discrepancies.
- Process insurance claims, including Medicare, Medicaid, and private insurance, in accordance with payer requirements.
- Review and post payments, adjustments, and denials to patient accounts.
- Conducts detailed account audits to ensure compliance with regulatory guidelines and accuracy of billing.
- Communicates with insurance companies and patients to resolve billing issues and answer account inquiries.
- Utilize billing software and electronic health record systems (Athena IDX) to manage patient data and financial records.
- Generate and analyze reports to track billing trends and identify areas for improvement.
- Collaborate with the billing team to implement best practices for efficient revenue cycle management
Revenue Cycle Auditor
SIGNATURE HEALTH
08.2022 - 02.2024
- Summarized and quantified issues by insurance payer, including pertinent information needed to escalate to provider representatives
- Performed claim appeals as necessary to resolve erroneous claim denials as efficiently as possible
- Implemented streamlined processes for denials management, resulting in a 12% reduction in denial rates and improving revenue cycle efficiency
- Reviewed billing system errors to identify denial trends and offered recommendations for resolution
- Conducted analysis on claim underpayments compared to contractual rates to determine common denominators and themes
- Articulated and summarized findings for management
- Conducted research, analyses, and provided recommendations on routine and non-routine problems
- Reviewed claim forms to identify any system configuration issues and promptly communicated to management
- Reviewed claim and payer rejections to identify and offer suggestions to mitigate future rejections
- Managed the enrollment process and maintained provider information in the PNM network
- Adhered to deadlines and enrollment schedules by tracking files through all stages
- Communicated with providers, payers, MSOs, and CVOs via email, phone, and mail
- Assisted the department in transitioning to a paperless system by centralizing all provider data in software
- Maintained confidentiality and responsibility for all enrollment files throughout the process.
Senior Revenue Cycle Access Specialist
UNIVERSITY HOSPITALS
10.2019 - 08.2022
- Processed all phases of the revenue cycle
- Reviewed demographic information, codes, and charges, and corrects claims to meet specific payer requirements
- Used critical thinking skills to bill services compliantly and question areas of uncertainty
- Obtained authorizations for services in accordance with payor contracts and regulatory guidelines and effectively communicated these authorizations with applicable staff
- Analyzed and performed efficient problem account activity research, identified solutions, and initiated appropriate courses of action
- Acted as a resource for team members as well as clinical staff ensuring coding practices fall within established compliance guidelines for ICD-9, ICD-10, and CPT codes
- Assigned appropriate revenue, procedure, and diagnosis codes after a thorough review of medical records, clinical visit notes, and resource materials
- Performed accurate daily processing of all coding and/or claims output, meeting agency/payor transmission deadlines
- Directed and led employees, supervising activities to drive productivity and efficiency
- Organized schedules, workflows, and shift coverage to meet expected business demands
- Implemented training processes for newly hired employees.
Product Support Specialist
MOEN
05.2017 - 01.2018
- Resolved client issues by delivering excellent customer service and maintaining a positive attitude
- Determined appropriate solutions and plans for client issues and services and forecasted future outcomes
- Maintained composure and patience in the face of difficult customer situations, applying de-escalation techniques and positive customer support
- Organized repair and replacement of faucet components
- Responded to support tickets within 5 – 10 minutes to improve customer service.
Bank Teller
CHASE BANK
12.2015 - 01.2017
- Cashed customer checks, verified identification, and checked account balances in accordance with bank policy
- Reconciled cash and checks against computer records at the end of the shift
- Responded and assisted customers with account inquiries and updates
- Identified customer financial needs, goals, and objectives and offered appropriate financial products to suit needs
- Explained bank services, financial products, and applicable fees to customers
- Increased knowledge of banking products and services by actively participating in available training classes and workshops offered to employees
- Conducted special service and account transactions for customers, including ordering checks and placing stop-payment orders
- Met or exceeded sales goals by promoting bank products and services in customer interactions
- Identified and eliminated errors when balancing ATM transactions, teller cash dispensers, and teller cash recyclers
- Opened new customer accounts, including checking, savings, and lines of credit.
Bank Teller
HUNTINGTON NATIONAL BANK
05.2011 - 10.2013
- Cashed customer checks, verified identification, and checked account balances in accordance with bank policy
- Reconciled cash and checks against computer records at the end of the shift
- Responded and assisted customers with account inquiries and updates
- Identified customer financial needs, goals, and objectives and offered appropriate financial products to suit needs
- Explained bank services, financial products, and applicable fees to customers
- Increased knowledge of banking products and services by actively participating in available training classes and workshops offered to employees
- Conducted special service and account transactions for customers, including ordering checks and placing stop-payment orders
- Met or exceeded sales goals by promoting bank products and services in customer interactions
- Identified and eliminated errors when balancing ATM transactions, teller cash dispensers, and teller cash recyclers
- Opened new customer accounts, including checking, savings, and lines of credit.
Education
Bachelor of Science - Health Information Management
WESTERN GOVERNORS UNIVERSITY
Online06.2026
Diploma-Medical Billing & Coding -
ULTIMATE MEDICAL ACADEMY
Online10.2022
Skills
- Data Analysis
- Healthcare Regulations
- Coding and Billing
- Financial Reporting
- Problem Solving
- Software Proficiency (Epic, Cerner, Athena)
- Auditing and Compliance
- Analytical Thinking
- Team Collaboration
- Adaptability
- Communication Skills
- Provider Enrollment Expertise
Timeline
Account Receivables Specialist
ECLAT Health
10.2023 - Current
Revenue Cycle Auditor
SIGNATURE HEALTH
08.2022 - 02.2024
Senior Revenue Cycle Access Specialist
UNIVERSITY HOSPITALS
10.2019 - 08.2022
Product Support Specialist
MOEN
05.2017 - 01.2018
Bank Teller
CHASE BANK
12.2015 - 01.2017
Bank Teller
HUNTINGTON NATIONAL BANK
05.2011 - 10.2013
Bachelor of Science - Health Information Management
WESTERN GOVERNORS UNIVERSITY
Diploma-Medical Billing & Coding -
ULTIMATE MEDICAL ACADEMY