Ericka Poinson
Harker Heights,TX
Summary
Seasoned professional with a robust background in healthcare administration, notably at Baylor Scott & White. Excelled in roles requiring expert medical billing/follow-up and exceptional problem-solving skills. Proven track record in enhancing claim resolution efficiency and delivering superior customer service. Demonstrated ability to navigate complex EMR systems and improve patient account management.
Overview
10
10
years of professional experience
Work History
Collector
Baylor Scott & White
10.2022 - Current
- Performs follow-up with commercial insurance companies on denied or unpaid claims
- Communicate with insurance companies by telephone or web portal to check claim status, determine eligibility, and interim billings
- Identify, coordinate, and clarify with providers, patients, and third-party payers when necessary regarding incomplete or missing information needed for claim adjudication
- Investigates disputed claims to make appropriate adjustments
- Submit written appeals to commerical and third party payers
Contact Center Specialist
Baylor Scott & White
03.2021 - 10.2022
- Provided front line support by responding to inbound phone calls, emails, and electronic requests
- Scheduled healthcare related appointments
- Identified emergent health situations based on caller information to coordinate immediate triage
- Collaborated with providers, clinical staff, and other departments to meet patient's needs
- Documented customer correspondence in CRM to track and monitor requests, problems, and solutions
Cash Reimbursement Specialist
Baylor Scott & White
12.2015 - 03.2021
- Ensured timely and accurate posting of all bank lock-box payments to patient's accounts
- Processed daily remittance reports involving patient personal and liability payments
- Responded promptly and professionally to department emails regarding missing or misapplied payments
Insurance Billing Specialist
Baylor Scott & White
07.2015 - 12.2015
- Reviewed insurance claims for accuracy and completenes, ensuring all required information was present
- Ensured timely resolution of government payer claims including Medicaid
- Updated patient demographic information related to coverage
- Submitted appeals to resolve claim denials for prompt payment
Healthcare Customer Service Representative
Teleperformance
10.2014 - 01.2015
- Answered inbound calls to troubleshoot and resolve member issues regarding pharmaceuticals
- Addressed and resolved member's complaints in a professional manner
- Accessed confidential and time sensitive information
- Educated members on Medicare benefits
Education
Associate of Applied Science - Healthcare Administration
Tyler Junior College
Tyler, TX08.2023
Skills
- Claims
- Medical Billing/Follow-up
- Medical Terminology
- EMR Systems
- Problem-Solving
- Customer Service
Timeline
Collector
Baylor Scott & White
10.2022 - Current
Contact Center Specialist
Baylor Scott & White
03.2021 - 10.2022
Cash Reimbursement Specialist
Baylor Scott & White
12.2015 - 03.2021
Insurance Billing Specialist
Baylor Scott & White
07.2015 - 12.2015
Healthcare Customer Service Representative
Teleperformance
10.2014 - 01.2015
Associate of Applied Science - Healthcare Administration
Tyler Junior College
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