Cindy Davis
Salem,VA
Summary
Proven skills in revenue cycle management for behavioral heath and substance abuse facilities for NRVCS. Proficient in reducing debt, collecting payments and collaborating with insurance companies to resolve concerns. Excellent communicator and multitasker.
- Experienced behavioral health and substance abuse billing professional adept at working with Credible and ICD10 codes. Analytical and knowledgeable specialist offers effective resolutions for current concerns and ideas for future improvements with a rate of accuracy. Proactive and tenacious with superior work ethic.
- Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Reliable Revenue Cycle Billing Specialist with strong ability in Training. Offered Training to new Supervisors and Program Assistants. I also trained individuals on how to navigate the MCO websites, creating reports and how enter authorizations into Credible. Highly organized, proactive and punctual with team-oriented mentality.
Overview
11
11
years of professional experience
Work History
Billing Specialist
Eggleston And Eggleston
Roanoke, VA
10.2023 - Current
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Generated periodic reports summarizing account balances and collection activities.
- Worked closely with patients to discuss payment arrangements when needed.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
Revenue Cycle Specialist
New River Valley Community Services
Blacksburg, VA
12.2012 - 09.2023
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Analyzed claims data to identify trends in denials and rejections.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Prepared financial statements for management review.
- Researched discrepancies on unpaid invoices and reconciled them.
- Developed reports detailing billing activities, including payment trends and denial rates.
- Processed appeals related to denied or rejected claims in a timely manner.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Identified areas where process improvements can be made within the revenue cycle.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Advised healthcare providers on best practices for submitting accurate claims for reimbursement.
- Provided training sessions on billing software applications and procedures to staff members.
- Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
- Evaluated existing workflows for efficiency and effectiveness in order to recommend changes as needed.
- Contacted insurance providers to check patient coverage.
- Produced accounting reports and provided targeted recommendations for improving revenue standing.
- Built and strengthened client relationships to form long-lasting, profitable bonds.
Education
Some College (No Degree) - Pharmacy Tech
National College of Business And Tech-Lexington
Salem, VASkills
- Collecting Payments
- Coordinating Documents
- Claims Review
- Insurance Collaboration
- Medical Billing
- Financial Planning
- Client Relationship Development
- Due Diligence
- Quality Evaluation
- Adobe Software
- Word Processing
- Verbal and Written Communication
- Problem-Solving
- Analytical Research
- Client Financial Status Assessment
- Team Training and Mentoring
Timeline
Billing Specialist
Eggleston And Eggleston
10.2023 - Current
Revenue Cycle Specialist
New River Valley Community Services
12.2012 - 09.2023
Some College (No Degree) - Pharmacy Tech
National College of Business And Tech-Lexington
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