Denise Carpenter
Cohesive HealthCare
Seminole,OK
11
years of professional experience
Experienced with managing billing cycles and maintaining financial accuracy. Utilizes billing software to streamline processes and resolve discrepancies. Knowledge of financial regulations and compliance ensures accurate and timely billing operations.
Work History
Corporate Billing Specialist
6 Months- Managed accounts receivable to ensure timely payment collection and minimize outstanding balances.
- Implemented improvements to billing processes, increasing accuracy and efficiency in claims submissions.
- Collaborated with healthcare providers to resolve discrepancies in billing statements and patient accounts.
- Processed and verified billing transactions in compliance with healthcare regulations.
Contract Management Coordinator
4 Years 10 Months- Ensured accuracy of supporting documentation for contracts and completed documents accurately.
- Analyze information and documentation for completeness in support of Medicare revalidation.
- Submit complete provider applications with supporting documentation to Medicare, Medicaid and all other payers.
- Submit recredentialing applications with supporting documentation to all payors.
- Coordinated roster management to maintain network participation and optimize provider accessibility.
- Managed network participation rosters to ensure accuracy and compliance. to ensure maintenance of network participation.
- Conduct ongoing assessments of assigned networks and make recommendations for strategic initiatives, goals, and objectives.
- Comply with requirements of reporting/submitting the status of expirables to applicable entities.
Patient Benefits Assistant
1 Year 10 Months- Maximized identification of individuals eligible for alternate resources through effective screening and interviewing methods.
- Assists families and individuals in application for use of alternate resources.
- Collaborated with local county Department of Human Services, Oklahoma Health Care Authority, and tribal offices to identify potential Medicaid and additional services for patients.
- Verifies eligibility by contacting the appropriate entity responsible for establishing health benefits.
- Interviewed patients eligible for Medicare and Medicaid benefits to clarify their entitlements within tribal facilities.
Accounts Receivable Specialist/Claims Generation Technician
4 Years 1 Month- Reviewed claim denials to identify reasons for rejection.
- Submitted corrected claims and reconsiderations to ensure timely reimbursement.
- Billed medical claims to all payors, facilitating prompt payment processing.
Education
High School Diploma
Medical Billing
Certified Professional Enrollment Specialist
Skills
Billing software
Insurance verification
Claim submission
Denial management
Payment posting
Revenue cycle management
Billing systems and software
Invoice processing
Account reconciliation
HIPAA compliance
Customer service
Timeline
Corporate Billing Specialist
Cohesive HealthCare
04.2026 - CurrentRead More
Contract Management Coordinator
Chickasaw Nation Medical Center
05.2021 - 03.2026Read More
Patient Benefits Assistant
Chickasaw Nation Medical Center
07.2019 - 05.2021Read More
Accounts Receivable Specialist/Claims Generation Technician
Chickasaw Nation Medical Center
06.2015 - 07.2019Read More
Varnum
High School Diploma
Read More
Gordon Cooper Technology Center
Medical Billing
Read More
NAMSS
Certified Professional Enrollment Specialist
Read More