Eric Cabrera
Hamden,CT
Summary
Adept at enhancing revenue cycle efficiencies and reducing denial rates, the time at Nuvance Health showcases a proven track record in healthcare reimbursement and team collaboration. Leveraging expertise in various systems, Microsoft Excel, and data software such as Power Bi, I've implemented process improvements, significantly increasing reimbursement levels with a keen eye for detail and a results-driven approach.
Overview
5
5
years of professional experience
Work History
Revenue Cycle Analyst
Nuvance Health
02.2022 - Current
- Collaborated with other revenue cycle analysts to streamline tasks and duties in effort to improve overall efficiency.
- Provided valuable insights to leadership by analyzing key performance indicators related to the revenue cycle process.
- Utilized Cerner Millenium, Soarian, Spark 360 and Visiquate software to identify opportunities for reducing outstanding receivable balances.
- Implemented process improvements that reduced denial rates and increased overall reimbursement levels.
- Conducted root cause analysis on denied claims, identifying trends and implementing corrective measures to prevent future denials.
- Assisted in staff training and development, sharing best practices for revenue cycle management within the team.
- Participated in auditing across the patient accounting teams to proactively address any issues and minimize financial risks.
- Responsible for generating daily, weekly and monthly reports utilized throughout the organization.
- Tasked with vendor management and maintaining close communication with vendor personnel to identify accounts requiring payer escalation.
- Communicated revenue cycle information to non-technical audiences in easily-understood terms.
Patient Financial Services Reimbursement Analyst 2
Nuvance Health
08.2021 - 02.2022
- Participated in cross-functional teams focused on continuous improvement initiatives within the organization''s revenue cycle operations department.
- Maintained a detailed understanding of the organization''s payer mix and denial trends.
- Served as denials subject matter expert on specific payers such as Blue Cross and United Healthcare, contributing specialized knowledge during internal meetings or presentations aimed at improving overall team effectiveness in handling reimbursement matters.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Managed high volume caseloads effectively while maintaining strict deadlines for submission of claims or appeals documentation.
- Built strong relationships with payer representatives, facilitating efficient communication channels for improved collaboration on claim resolution matters.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Provided exceptional customer service, assisting patients with inquiries related to their insurance coverage and reimbursement status.
- Assisted training new hires, expediting the onboarding process for Reimbursement Analysts in a fast-paced environment.
Patient Financial Services Reimbursement Analyst 1
Nuvance Health
02.2021 - 08.2021
- Increased patient satisfaction with clear explanations of benefits, coverage limits, and out-of-pocket expenses related to their treatments.
- Enhanced revenue recovery with diligent monitoring of outstanding payments and submission of appeals.
- Optimized denial reconciliation by submitting appeals with payer policy information, supporting medical documentation and cover page resulting in a high overturn rate.
- Supported team members by sharing expertise in reimbursement methodologies and payer contracts analysis.
- Implemented effective follow-up strategies.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Generated, posted and attached information to claim files.
Account Representative
Quality Billing Service
06.2019 - 02.2021
- Responsible for denials management of Phelps Memorial Hospital across a wide payer mix.
- Developed an effective follow up strategy with payers to decrease denial processing time frame.
- Submitted detailed appeals in a timely matter for a variety of payers.
- Contacted customers for insurance coverage verification as well as providing updates on current claim status with payer.
Education
Bachelor of Science - Healthcare Administration
The College At Brockport
Brockport, NY06.2019
Associate of Science - Biology
Dutchess Community College
Poughkeepsie, NY01.2017
Skills
- Healthcare Reimbursement
- Microsoft Excel expertise
- Denial Management
- Account Reconciliation
- Data Analytics
- Account Receivables Management
- EHR Systems Proficiency
- Commercial Insurance Knowledge
- Revenue cycle analysis
- Time Management
- Attention to Detail
- Team Collaboration
Languages
Spanish
Professional Working
Timeline
Revenue Cycle Analyst
Nuvance Health
02.2022 - Current
Patient Financial Services Reimbursement Analyst 2
Nuvance Health
08.2021 - 02.2022
Patient Financial Services Reimbursement Analyst 1
Nuvance Health
02.2021 - 08.2021
Account Representative
Quality Billing Service
06.2019 - 02.2021
Bachelor of Science - Healthcare Administration
The College At Brockport
Associate of Science - Biology
Dutchess Community College
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