Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
Work History
Financial Assessor
Northwestern Memorial Hospital
Chicago, IL
06.2018 - 05.2023
Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required regarding claims ensuring timely filing of claims and clean complete accurate claims.
Met or exceed productivity standards, targets, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator. Timely follow-up and collection of third party payer receivables.
Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Insurance Follow-Up Specialist
M3 Financial Services
Westchester, IL
09.2015 - 05.2017
Reviewed patient accounts and updated insurance information in the system.
Identified and corrected errors related to billing, coding, and reimbursement from insurance companies.
Processed claims for payment according to established procedures.
Researched and resolved insurance discrepancies for assigned accounts.
Followed up with insurance carriers regarding claim status of unpaid or rejected claims.
Assisted patients with inquiries regarding their medical bills.
Worked collaboratively with other departments to ensure accurate follow-up processes were followed.
Utilized multiple payer websites to obtain detailed information about benefit eligibility and coverage levels.
Ensures all payments are posted accurately and timely with minimal errors.
Business Office Supervisor
South Shore Hospital
Chicago, IL
03.2009 - 05.2014
Supervised and managed daily operations of the business office, including accounts receivable and payable, payroll, banking and billing.
Developed and implemented policies and procedures to ensure accurate financial records, effective internal controls and compliance with applicable laws.
Reviewed invoices for accuracy prior to payment processing.
Reconciled bank statements on a monthly basis to ensure accuracy of account balances.
Provided customer service to clients regarding billing inquiries or other payments-related issues.
Education
High School Diploma -
DuSable High School
48th And Wabash
06.1991
Skills
Medical Insurance Follow-up
Medical Denial Management
Initiate and Obtain Prior Authorization
Appeals
Payment Posting
Experience with all Payors/Plans
Knowledgeable in Hospital and Physician Revenue Cycle
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