Crystal Evans
Dallas,TX
Summary
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Knowledgeable about debt management, collections policies and insurance payments. Good verbal and written communication skills. Excellent planning and problem-solving abilities. Prepared to bring 10 years of related experience to a dynamic position with room for career growth.
Overview
6
6
years of professional experience
Work History
Revenue Cycle Specialist
Convergent Laboratories
11.2023 - 06.2024
- Managed patient accounts, including billing and collections of payments
- Monitored changes in healthcare regulations and policies that impact the revenue cycle process
- Reviewed patient charts for accuracy prior to submitting claims for reimbursement
- Tracked unpaid claims to ensure timely submission of appeals when necessary
- Utilized data analytics to identify trends in denials and underpayments
- Reconciled discrepancies between invoices received from providers and payments received from third-party payers
- Implemented corrective action plans when errors were identified in billing processes or procedures.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
Medical Claims Examiner
Globe Life
11.2022 - 10.2023
- Created reports summarizing key findings from examinations performed on medical claims submissions
- Assisted in developing departmental policies and procedures related to the examination process
- Developed strategies designed to reduce errors associated with incorrect coding or billing practices
- Analyzed patient records to ensure correct coding and billing procedures were followed according to insurance regulations
- Processed medical claims and ensured accuracy of information provided by doctors, hospitals, and other healthcare providers
- Enhanced claim processing efficiency by conducting thorough investigations and maintaining accurate documentation.
Accounts Receivable Specialist
Access Healthcare
10.2021 - 09.2022
- Collaborated with other departments and teams within the organization concerning Accounts Receivable matters
- Researched discrepancies between invoices and payments received, identifying potential errors or issues for resolution
- Communicated regularly with customers regarding payment status, inquiries, disputes
- Assisted with month-end closing activities, including preparation of journal entries and account reconciliations
- Reviewed and processed adjustments to accounts within established limits
- Prepared monthly aging reports for management review on a timely basis
- Researched invoices and customer database to resolve customer concerns and billing issues.
Revenue Cycle Specialist
U.S. Dermatology Partners
09.2019 - 10.2021
- Managed patient accounts, including billing and collections of payments
- Monitored changes in healthcare regulations and policies that impact the revenue cycle process
- Reviewed patient charts for accuracy prior to submitting claims for reimbursement
- Tracked unpaid claims to ensure timely submission of appeals when necessary
- Participated in training sessions designed to improve knowledge and skills related to the revenue cycle process
- Prepared regular reports outlining key performance indicators related to the overall efficiency of the revenue cycle operations.
Skip Tracer
Matthews and Michaels
08.2018 - 09.2019
- Utilized skip tracing techniques such as database searches, internet research, and social media investigations to locate missing persons
- Identified fraudulent activity associated with accounts being investigated by examining account histories for suspicious transactions or discrepancies between reported and actual balances owed
- Created efficient processes for collecting customer feedback which allowed us to improve our services
- Adhered strictly to federal and state laws regarding collection practices when communicating with debtors via phone or mail correspondence regarding delinquent accounts
- Performed detailed analysis of financial data including bank statements, tax returns, credit reports
- In order to uncover hidden assets or income sources
- Analyzed data from various sources such as public records, court documents, credit reports
- To determine the most appropriate course of action in locating an individual or verifying their identity.
Collection Account Representative
Steward Healthcare
01.2018 - 11.2018
- Actively participated in team meetings providing feedback on processes or procedures that could be improved upon
- Investigated customer disputes promptly and provided resolution within required timeframes
- Negotiated settlements with customers based on individual circumstances
- Identified delinquent accounts, initiated collection activities, and negotiated payment arrangements
- Assisted customers in understanding their financial obligations and repayment plans
- Generated various reports related to collections activity on a daily, weekly, monthly basis
- Maintained detailed records of collections efforts including contact attempts, conversations, payments received.
Education
Diploma - Medical Billing and Coding
Everest College
Dallas, TX11.2009
Skills
- Critical Thinking
- Data Interpretation
- Organizational Skills
- Trends Analysis
- Coordinating documents
- Analyzing performance
- Insurance collaboration
- Problem-solving aptitude
- Analyzing claims
- Time Management Abilities
- Due diligence
- Managing records
- Payment posting
- Conflict Resolution
- Medical Billing Expertise
- Continuous Learning
- Accounts receivable management
- Revenue Cycle Management
- Claims review
- Analytical Problem Solving
- Team building
- Verifying insurance
- Active Listening
- Document Management
- Electronic Health Records
- Claims Processing Proficiency
- LANGUAGES English
- Time Management
- Insurance Verification
- Fluent
- Medical Billing
- Analytical research
- HIPAA Compliance
- Data Entry Accuracy
- Self Motivation
- Denial Management
- Attention to Detail
- Invoice Verification
- Accounts receivable
- Customer service
- Computer skills
- Organizational skills
- Google Docs
- Professionalism and Ethics
- Records coordination
- Healthcare Finance Knowledge
- Problem-solving abilities
- Multitasking
- Adaptability and Flexibility
- Decision-Making
- Team Collaboration
- Task Prioritization
- Analytical Thinking
- Time management abilities
- Adaptability
- Statement Review
- Performance Analysis
- Analytical Skills
Accomplishments
- Used Microsoft Excel to develop claim reconciliation spreadsheets.
- Collaborated with team of 10 in the development of special projects..
Timeline
Revenue Cycle Specialist
Convergent Laboratories
11.2023 - 06.2024
Medical Claims Examiner
Globe Life
11.2022 - 10.2023
Accounts Receivable Specialist
Access Healthcare
10.2021 - 09.2022
Revenue Cycle Specialist
U.S. Dermatology Partners
09.2019 - 10.2021
Skip Tracer
Matthews and Michaels
08.2018 - 09.2019
Collection Account Representative
Steward Healthcare
01.2018 - 11.2018
Diploma - Medical Billing and Coding
Everest College
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