Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Ellishyia Hildreth

Oklahoma City,OK

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Experienced and dedicated to enhancing employee satisfaction and business success. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand.

Overview

16
16
years of professional experience

Work History

Patient Account Representative

Xpress Wellness Urgent Care
09.2024 - 07.2025
  • Managed approximately 35 incoming calls per day from customers and insurance payers.
  • Verify insurance eligibility and coverage details to minimize claim denials.
  • Responds to customer inquiries and provide detailed account information.
  • Enter client details and notes into system for interdepartmental access and review.
  • Perform tasks in adding and updating insurance to patient accounts, billing, charge entry, collections, RCM emails, merge accounts, rebills, and resending claims for processing.
  • Project task include Waystar rejections, rebills, mail return, and self pays for aged accounts.
  • Posted credit card payments and processed refunds.

US - Team Lead Cash Posting

R1 RCM Inc.
08.2009 - 01.2024
  • Posted and processed ACH/EFTs, ERAs, Lockbox, Correspondence Denial batches, and exceeded all metric requirements.
  • Processed payments to patient accounts in a timely manner.
  • Responded promptly to inquiries from internal departments regarding payment status.
  • Researched, analyzed and resolved discrepancies between payment amounts and account balances.
  • Analyzed and resolved various suspense accounts for payment discrepancies with limited or no given information.
  • Provided updates to manager and TA with findings from A/R research and status of A/R projects; review status of accounts, action taken, and further course of action if warranted.
  • Assisted internal departments with collection efforts by processing adjustments, refunds and rejections accurately.
  • Reconciled and processed unapplied payments in a timely manner using various sources including Remittance Advices, EOBs and bank verification deposit.
  • Interact directly with the client and/or provider, R1RCM management, Waystar Clearinghouse, third parties, and utilize online sites to review status and update accounts as needed to expedite the claim process.
  • Managed 8 domestic side employees - Managing workload distribution, provided website access to major insurance payers, assisted help with posting discrepancies, and provided training within the research and suspense team.
  • Worked directly with payers and the payment posting team to establish website access for ERA/EFT enrollment for 150 Tax IDs. Exceeded metric targets and expectations by maintaining a 98% enrollment completion.
  • Participate in and lead multiple client related meetings weekly, while maintaining client expectations and turn-around times for enrollment.
  • Met monthly closing deadlines as set by the company.
  • Perform other duties as assigned.
  • Volunteered and participated in the Helping Hands Oklahoma program.

Education

Medical Billing & Coding - Medical Insurance Billing

Iverson Business School
Arlington, TX
05-2005

Some College (No Degree) - Business Administration

Langston University
Langston, OK
05.1997

High School Diploma -

Midwest City High School
Midwest City, OK
05-1996

Skills

  • Ability to multitask and prioritize tasks effectively
  • Strong analytical and problem-solving skills
  • Excellent attention to detail and accuracy
  • Communication - communicates clearly, concisely, and professionally
  • Computer Literacy in Microsoft Outlook, Excel, Word, Laserfiche, HP Billing, BatchTrack, Experity PVM
  • Reads and interprets insurance explanation of benefits Maintains knowledge in insurance processes and guidelines, including authorization and limitations
  • Technical Skills - Ability to operate 10-key, knowledge of invoicing, and general accounting principles
  • Reconciles cash/contractual balances, assuring the reliability and accuracy of the daily bank balancing procedures and variances daily
  • Completes tasks accurately, maintaining quality standards
  • Meets or exceeds departmental productivity standards on a consistent basis
  • Takes ownership of special projects, researches data and follows through with detailed action plans to ensure the team's projects / goals are completed
  • Ensures compliance with all regulatory, company and departmental and HR policies and procedures

References

Kelly Pruitt - R1 RCM, Inc.

Senior Manager - Posting / Batching

405-923-6947


Stefanie Amaral - R1 RCM, Inc.

Posting Team Advisor

405-659-1725

Timeline

Patient Account Representative

Xpress Wellness Urgent Care
09.2024 - 07.2025

US - Team Lead Cash Posting

R1 RCM Inc.
08.2009 - 01.2024

Medical Billing & Coding - Medical Insurance Billing

Iverson Business School

Some College (No Degree) - Business Administration

Langston University

High School Diploma -

Midwest City High School

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