Summary
Overview
Work History
Skills
Timeline
Generic

Erica Elliott

Summary

Proven expertise in conducting in-depth audits and devising successful improvement strategies. Methodically evaluated documents and systems and initiated corrections in compliance with established standards. Superb analytical and communications skills enabled optimum results.

Overview

8
8
years of professional experience

Work History

Lead Revenue Integrity Specialist

Duly Health Care
12.2023 - Current
  • Identified discrepancies between billed charges and provided services through reviewing and analyzing patient accounts.
  • Analyzed billing trends and identified areas of potential revenue improvement.
  • Developed and implemented process improvement initiatives to improve accuracy of charge capture.
  • Performed audits on patient accounts for compliance with federal, state, and local regulations.
  • Provided training to staff on proper documentation requirements for various payers.
  • Assisted in the development of policies and procedures related to revenue integrity practices.
  • Conducted research into complex billing issues in order to resolve discrepancies in a timely manner.
  • Identified coding errors or incorrect payment denials from third-party payers and took appropriate action to ensure timely resolution of claims.
  • Worked closely with various departments, including Patient Access Services and Clinical Documentation Improvement Specialists, to guarantee precise reporting of provided services.
  • Documented all findings from audit reviews and maintained an up-to-date log of activities performed.
  • Prepared detailed reports summarizing analysis results for management review.

Revenue Cycle Specialist

Duly Healthcare
05.2023 - 12.2023
  • Processed appeals related to denied or rejected claims in a timely manner.
  • Collaborated with other departments to resolve customer inquiries regarding billing issues.
  • Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
  • Advised healthcare providers on best practices for submitting accurate claims for reimbursement.

Patient Advocacy Coordinator

Onco360
10.2021 - 12.2022
  • Assessed patient eligibility for financial assistance programs based on their income and other criteria.
  • Provided guidance to patients regarding insurance coverage, payment plans, and available resources.
  • Researched and identified potential sources of funding for medical care.
  • Explained the various billing procedures and processes to patients.
  • Verified accuracy of patient information in databases and documents.
  • Maintained up-to-date records of all financial transactions related to patient care.
  • Monitored account receivables from payers and followed up appropriately.

Patient Financial Counselor

Silver Cross Hospital
05.2021 - 10.2021
  • Counseled patients on financial obligations associated with their medical care.
  • Worked closely with insurance companies to ensure accurate reimbursement for services rendered.
  • Advocated for patient rights when dealing with third-party payers.
  • Assisted patients in understanding the details of their bills, including deductibles and co-pays.
  • Provided clear explanations of billing policies and procedures to both internal and external customers.
  • Performed follow up calls to collect outstanding balances from patients who were unable to make payments at time of service.
  • Monitored changes in federal, state, and local regulations affecting Medicare and Medicaid reimbursements.
  • Screened patients for eligibility for state, local and federal assistance programs.
  • Stayed current on community-based resources and services useful to patients.
  • Initiated application processes to add patients to assistance programs at bedside and followed through until completion.

Lead Patient Access Specialist

Advocate Aurora Health Care
11.2019 - 05.2021
  • Provided leadership and guidance to staff of patient access specialists.
  • Developed training materials and conducted orientation sessions for new hires.
  • Resolved complex billing issues with insurance companies or other third-party payers.
  • Performed daily audits of registration and scheduling records for accuracy and completeness.
  • Collaborated with clinical staff to ensure timely delivery of care services.
  • Ensured compliance with federal, state, and local regulations pertaining to healthcare billing practices.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
  • Obtained necessary signatures for privacy laws and consent for treatment.

Verification of Benefits Specialist

SkinCure Oncology
03.2019 - 11.2019
  • Reviewed eligibility for medical insurance coverage and other benefit plans.
  • Prepared cost estimates for patients.
  • Discussed cost estimates with patient and families.
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Maintained accurate documentation on all pre-authorization requests, denials and appeals.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.

Lead Patient Registration

Edward-Elmhurst Hospital
03.2016 - 04.2019
  • Responded to inquiries from patients regarding their accounts or services offered by the facility.
  • Coached and mentored staff on customer service techniques, problem resolution skills, and data entry accuracy.
  • Oversaw daily operations of the Patient Registration department, ensuring efficient patient registration and scheduling processes.
  • Developed policies and procedures for patient registration and scheduling staff to ensure compliance with organizational standards.
  • Supervised a team of 10+ Patient Registration Representatives, providing guidance and support to enable successful completion of tasks.
  • Conducted regular performance reviews with direct reports to provide feedback regarding job performance and areas for improvement.
  • Monitored patient wait times in order to identify areas for process improvement or additional resources needed to reduce delays in care delivery.
  • Trained new hires on hospital systems, including Epic EMR, as well as established policies and procedures related to patient registration activities.
  • Analyzed workflow patterns throughout the day in order to optimize staffing levels, reducing wait times while increasing efficiency across the organization.
  • Ensured seamless communication between teams by collaborating with Admitting, Billing, Clinical Services, and Information Technology departments.
  • Successfully implemented strategies for continuous quality improvement, leading to improved customer satisfaction scores at diverse touchpoints within the process.

Skills

  • Documentation Review
  • Team Building
  • Claims Management
  • Data Analytics
  • EMR
  • Goal Oriented
  • Effective Communication

Timeline

Lead Revenue Integrity Specialist

Duly Health Care
12.2023 - Current

Revenue Cycle Specialist

Duly Healthcare
05.2023 - 12.2023

Patient Advocacy Coordinator

Onco360
10.2021 - 12.2022

Patient Financial Counselor

Silver Cross Hospital
05.2021 - 10.2021

Lead Patient Access Specialist

Advocate Aurora Health Care
11.2019 - 05.2021

Verification of Benefits Specialist

SkinCure Oncology
03.2019 - 11.2019

Lead Patient Registration

Edward-Elmhurst Hospital
03.2016 - 04.2019

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Erica Elliott