Cristina Davidson
Waimanalo,HI
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
4
4
years of professional experience
Work History
Billing Lead Supervisor
Waimanalo Health Center
02.2022 - Current
- Learned every team members' role to offer skilled backup during shortages and high-volume periods.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Evaluated employee performance and coached and trained to improve weak areas.
- Monitored workflow to improve employee time management and increase productivity.
- Maintained compliance with company policies, objectives, and communication goals.
- Achieved results by working with staff to meet established targets.
Revenue Cycle Specialist
Waimanalo Health Center
04.2020 - 02.2021
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Generated receivables reports and offered improvement recommendations.
- Contacted responsible parties for past due debts.
- Researched and resolved complex medical claims issues to support timely processing.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Monitored and updated claims status in claims processing system.
- Followed up on denied claims to verify timely patient payment and resolution.
- Processed insurance payments and maintained accurate documentation of payments.
Patient Access Representative
Waimanalo Health Center
08.2019 - 04.2020
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient billing issues in line with established guidelines.
- Greeted and assisted patients with check-in procedures.
Education
High School Diploma -
Kailua High School
Kailua, HI06.2001
Skills
- Negotiation and Conflict Resolution
- Customer Accounts Management
- Typing and 10-Key Entry
- Billing Cycle Performance
- Accounts Payable and Accounts Receivable
- Work Organizing and Prioritizing
- Data Entry Software
- Insurance Claims Management
- Insurance Plan Verification
- Medical Terms and Procedure Knowledge
Timeline
Billing Lead Supervisor
Waimanalo Health Center
02.2022 - Current
Revenue Cycle Specialist
Waimanalo Health Center
04.2020 - 02.2021
Patient Access Representative
Waimanalo Health Center
08.2019 - 04.2020
High School Diploma -
Kailua High School
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