Cynthia Dumont, CPC-A

Payment Follow-Up:

Contact insurance carriers and patients to inquire about outstanding balances and ensure timely payments.

Account Reconciliation: Maintain accurate accounts receivable records, process payments, and apply credits to resolve accounts.

Denial Analysis:

Identify denial trends: coding or billing errors, and collaborate with teams to implement corrective actions

• Served as a subject matter expert on the HEDIS review team.
• Enhanced accuracy of HEDIS reporting through meticulous documentation and validation of collected data.
• Ensured timely completion of assigned projects, managing multiple review deadlines simultaneously.
• Maintained strict confidentiality of patient information, adhering to HIPAA regulations throughout the review process.

• Ensured compliance with HIPAA regulations by maintaining strict confidentiality in managing sensitive patient information.
• Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
• Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
• Scanned and uploaded medical records into electronic medical records system.
• Tracked and monitored requests for medical records release.