CYNTHIA FRANKLIN
Prattville,AL
Summary
Dedicated to reducing account aging. Increased team productivity in collections. Highly proficient in insurance denial management. Resolved billing disputes. Resolved inquiries promptly. Maintained compliance with [Regulation]. Effectively resolved billing issues. Proactively communicated with insurance providers. Patient-focused professional skilled at managing financial inquiries. Handled patient inquiries with professionalism. Insurance claims processing Knowledge of CPT and ICD-10 codes Handling high-volume patient accounts Denial management and appeals Payment posting and reconciliation Team training and onboarding
Overview
14
14
years of professional experience
Work History
Patient Account representative, Physician Credentialing
Baptist Health Family Medicine
Montgomery
01.2008 - 11.2011
- Credentialed physicians, Credentialed Family Medicine Facility and Alabama Liver Digestive facility nurse practitioners and physicians assistances to become providers of service with the insurance companies for the facility.
- Documented all physicians in CAQH.
- Trained customer service representatives.
- Followed up with insurance companies and collections for Medicare, Medicaid, Workman's comp., Bluecross and Blueshield, Commercial.
- Refunds, Payroll, Financial Counseling.
- Nominated to be on the board of the utilization review team.
- Credentialed physicians, Credentialed Family Medicine Facility and Alabama Liver Digestive facility nurse practitioners and physicians assistances to become providers of service with the insurance companies for the facility. Documented all physicians in CAQH. Trained customer service representatives. Followed up with insurance companies and collections for Medicare, Medicaid, Workman's comp., Bluecross and Blueshield, Commercial. Refunds, Payroll, Financial Counseling. Nominated to be on the board of the utilization review team.
Customer Service, Collector
Baptist Health
Montgomery
11.1997 - 06.2002
- Customer Service and Collections.
- Trained customer service and Collection personnel.
- Medicaid collections.
- Make CSR adjustments for finance charges, late fees and for transfer balances.
Customer Service
UAB
Birmingham
- Handled calls for 4 facilities, worked liability claims.
- Resolved all liability claims and resolved customer inquiries by phone.
Education
High School Diploma -
Autauga County High
AL, USA01.1976
Skills
- Increased team productivity in collections
- Highly proficient in insurance denial management
- Resolved billing disputes
- Resolved inquiries promptly
- Maintained compliance with [Regulation]
- Effectively resolved billing issues
- Proactively communicated with insurance providers
- Patient-focused professional skilled at managing financial inquiries
- Handled patient inquiries with professionalism
- Insurance claims processing
- Knowledge of CPT and ICD-10 codes
- Handling high-volume patient accounts
- Denial management and appeals
- Payment posting and reconciliation
- Team training and onboarding
Timeline
Patient Account representative, Physician Credentialing
Baptist Health Family Medicine
01.2008 - 11.2011
Customer Service, Collector
Baptist Health
11.1997 - 06.2002
Customer Service
UAB
High School Diploma -
Autauga County High