Erika Hansen
West Allis,WI
Summary
Dynamic Senior Medicaid Specialist with extensive experience at Brookdale Senior Living Inc. Proven expertise in claims processing and eligibility determination, enhancing operational efficiency. Strong problem-solving abilities and effective communication skills foster collaboration with team members and community partners, ensuring compliance and optimal resident outcomes. Committed to continuous learning and improvement in Medicaid practices.
Overview
24
24
years of professional experience
Work History
Senior Medicaid Specialist
Brookdale Senior Living Inc.
04.2018 - Current
- Assisted in processing Medicaid applications, ensuring compliance with regulations and guidelines.
- Supported coordination of billing services by maintaining accurate records and documentation.
- Learned to navigate Medicaid management systems for efficient claims processing.
- Collaborated with team members to address resident inquiries and resolve eligibility issues.
- Engaged in continuous learning opportunities to stay informed on Medicaid updates and best practices.
- Provided essential support in data entry tasks, improving overall operational efficiency.
- Developed strong relationships with community partners, facilitating referrals and collaboration for optimal resident outcomes.
- Reviewed resident information for accuracy, contributing to streamlined application workflows.
Billing Specialist
Clement Manor
04.2012 - 03.2017
- Processed and verified billing statements for accuracy and compliance with regulations.
- Resolved discrepancies in patient accounts through effective communication and detailed analysis.
- Collaborated with insurance providers to ensure timely reimbursement of claims.
- Implemented improvements in billing procedures, enhancing overall workflow efficiency.
- Monitored aging accounts receivable to optimize collection efforts and reduce outstanding balances.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Placed calls to recover overdue payments from residents, maintaining cash flow and minimizing writeoffs.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Strengthened relationships through effective communication regarding billing issues and concerns.
- Optimized payment collection times by implementing effective follow-up strategies with clients.
Medical Billing Specialist
Jewish Home and Care Center
04.2010 - 07.2012
- Processed medical claims efficiently, ensuring accuracy and compliance with industry regulations.
- Reconciled patient accounts, resolving discrepancies to maintain financial integrity.
- Utilized billing software to streamline claim submissions and enhance workflow efficiency.
- Collaborated with healthcare providers to clarify billing issues and improve communication.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Business Office Assistant
Brookfield Rehabilitation and Specialty Care
02.2002 - 04.2010
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Placed calls to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Used data entry skills to accurately document and input statements.
- Maintained accurate records of resident payments.
- Reconciled accounts receivable to general ledger.
Education
No Degree - Music Education
UW Oshkosh
Oshkosh, WIHigh School Diploma -
Waukesha South High School
Waukesha, WISkills
- Appeals handling
- Claims processing
- Eligibility determination
- Policy analysis
- Medicaid expertise
- Teamwork and collaboration
- Problem-solving
- Time management
- Effective communication skills
- Problem-solving abilities
- Reliability
- Documentation and paperwork
Received the Every Day Hero award from Brookdale in 2021
I was nominated for the Every Day Hero award in 2021 from Brookdale. This meant a lot to me as my peers nominated me for this award.
Timeline
Senior Medicaid Specialist
Brookdale Senior Living Inc.
04.2018 - Current
Billing Specialist
Clement Manor
04.2012 - 03.2017
Medical Billing Specialist
Jewish Home and Care Center
04.2010 - 07.2012
Business Office Assistant
Brookfield Rehabilitation and Specialty Care
02.2002 - 04.2010
No Degree - Music Education
UW Oshkosh
High School Diploma -
Waukesha South High School