Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cynthia Satterfield

Nashville,GA

Summary

I have over 20 years experience in AR Revenue Cycle.

I have worked with Medicare/Medicaid, Commercial payers, and HMO's in different positions by contacting the payers on delinquent accounts to assist in getting claims processed and paid in a timely manner. As a Denials Coordinator, I identified trending claim denials and their root causes and reported them back to Manager as well as corresponding departments. I have a solid ability in developing objectives and strategies to settle claims. Excellent skills compiling, categorizing, and auditing information to process claims.

Overview

7
7
years of professional experience

Work History

Insurance Specialist III-Remote

Xtend Healthcare
Herndon, VA
04.2022 - Current
  • Responsible for collection of accounts. I work assigned Medicaid claims daily. I research denials received from payers. Make telephone inquiries to insurance carriers to collect delinquent claims. Updated patients insurance as needed. Answered all correspondence that was received from payers.

Ambulatory Claims Editor

Tift Regional Medical Center
Tifton, GA
02.2021 - Current

Responsible for billing Medicare and Medicare Advantage insurance plans and assuring billing guidelines stay current for all hospital based physician billing. Perform miscellaneous clerical duties. Collaborate with different departments in order to resolve potential denials of claims. Maintain claim edits with Clearing House to insure clean claim rates. Maintain departmental productivity goals.

Denials Coordinator

Tift Regional Medical Center
Tifton, GA
04.2020 - 02.2021

Responsible for pulling denial information in from dashboard and analyzing data and distributing findings to responsible departments. Maintain a caseload and monitor day to day compliance of appeal decision time frames. Reports trending denials to management to eliminate denials. Maintaining denial percentage below 5% for all hospital and ambulatory locations.

Acute Patient Representative

Tift Regional Medical Center
Tifton, GA
09.2016 - 02.2020

Responsible for collection of accounts. I worked Medicare, Medicaid, Medicaid CMO's, and Commercial payers. I worked assigned claims daily. Mailed insurance claims that were not transmitted electronically. Made telephone inquiries to insurance carriers to collect delinquent claims. Updated patients insurance as needed. Answered all correspondence that was received from payers. Submitted medical records when requested.

Education

High School Diploma -

Crisp County High School
Cordele, GA
06.1993

No Degree - Business Administration

Valdosta State University
Valdosta, GA

Skills

  • Microsoft Office Suite
  • Prior authorization processing
  • Patient contact
  • Excellent administrative abilities
  • Insurance coverage verification
  • Reporting skills
  • Documentation abilities
  • Collaborative relationships
  • Insurance industry experience
  • Planning and Coordination
  • Data integrity
  • Over 20 years experience in AR Revenue Cycle
  • Cerner Billing System
  • Finthrive Billing system

Timeline

Insurance Specialist III-Remote

Xtend Healthcare
04.2022 - Current

Ambulatory Claims Editor

Tift Regional Medical Center
02.2021 - Current

Denials Coordinator

Tift Regional Medical Center
04.2020 - 02.2021

Acute Patient Representative

Tift Regional Medical Center
09.2016 - 02.2020

High School Diploma -

Crisp County High School

No Degree - Business Administration

Valdosta State University
Cynthia Satterfield