DEVONA TRIMBLE
Summary
Detail-oriented Healthcare Claims Specialist with a proven track record in Revenue Cycle Management. Skilled in streamlining claims processes and providing exceptional customer service tailored to diverse client needs. Strong analytical abilities combined with superior interpersonal skills ensure efficient fair resolutions.
Overview
15
15
years of professional experience
Work History
Billing and Follow-up Coordinator
ProMedica
02.2022 - Current
- Processes approximately 10-15 appeals and denials daily
- Verifies insurance eligibility and benefits
- Works with insurance companies to verify claim payments
- Secures authorizations and consents with facilities
- Investigate delays in insurance submissions and payments
- Initiate outbound contacts with CMS to address denied claims
Insurance Verification Specialist
Wakefield
10.2020 - 01.2022
- Followed up with insurers to expedite payments and resolve appeals
- Gathered patient data and completed referral and pre-authorizations
- Secured timely payments via follow-ups and appeals
- Addressed and resolved claim-related concerns with payers
- Contacted insurers about patient balances
- Tracked pending insurance verifications and authorizations
Claims Processor
CCI
04.2016 - 09.2020
- Reviewed and processed insurance claims for accuracy
- Followed up on pending claims and resolved delays
- Resolved issues with denied or overpaid claims
- Coordinated with providers to obtain missing claim information
- Stayed updated on insurance regulations impacting claim
Reimbursement Representative
Avalon Healthcare Solutions
05.2010 - 02.2016
- Followed up with payors on outstanding underpayments
- Processed aged accounts, appeals, and corrected claims
- Filed underpayment appeals with payors
- Resolved causes of underpayments, denials, and delays
- Coordinated with patients, clinicians, insurers, and management for timely collections
- Researched reconciled credit balance accounts, adjusted as needed
Education
Bachelor of Science - Healthcare Services Administration
Strayer University
01-2027
Skills
- Microsoft Office
- Verbal and Written Communication
- Teamwork and Collaboration
- Customer Service
- Organizing and Prioritizing Work
- Time Management
- Multi-Tasking
- Documentation Review
- Data Entry
- Data Analysis
- Insurance Terminology
- Dispute Resolution
- Eligibility Determination
- Coverage Determination
Timeline
Billing and Follow-up Coordinator
ProMedica
02.2022 - Current
Insurance Verification Specialist
Wakefield
10.2020 - 01.2022
Claims Processor
CCI
04.2016 - 09.2020
Reimbursement Representative
Avalon Healthcare Solutions
05.2010 - 02.2016
Bachelor of Science - Healthcare Services Administration
Strayer University
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