Erin Collins CPC
Grand Rapids
Summary
High-performing, problem solving professional with 20+ years of experience assisting with and fulfilling organization coding, billing, and payment needs and requirements. A proven track record of using my excellent personal, communication and organizational skills to lead and improve department efficiencies. Team player with excellent communication skills, high quality of work, driven and highly self-motivated. Strong negotiating skills and able to work independently.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Coding Payment Resolution Specialist
Trinity Health Hospital
Livonia
08.2022 - Current
- Provided individual training to Coding Payment Resolution Specialists upon hire, utilizing Epic and Microsoft Teams.
- Identify, research, and provide recommendations on coding denial trends for the New England financial division.
- Reviewing, correcting, and resolving rejected and denied claims from various third-party payers.
- Possessing a detailed understanding of principles, methods, and techniques related to compliance for healthcare billing, coding, and collections.
- Reviewing medical records to identify diagnoses, procedures, and modifiers to assign appropriate codes for inpatient, outpatient, and observation stays for professional billing.
- Resolving denials inclusive of ICD-10-CM, CCI edits, HCPCS, LCD/NCD, and CPT procedure codes for CMS-1500 forms for inpatient and outpatient claims.
- Completing back-end denial follow-up to determine the root cause.
- Progressing and resolving denials by submitting inquiries through carrier portals, reconsiderations, and appeals.
- Facilitated coding support to other colleagues.
Coding and Billing Specialist
Grand Rapids OBGYN
Grand Rapids
02.2020 - 08.2022
- Performed regular audits of coding practices to ensure compliance with regulations.
- Prepared reports summarizing monthly collections activity, aging reports, denial trends.
- Processed incoming payments from insurance companies, patients, and other third parties.
- Investigated customer complaints pertaining to coding or billing errors and took corrective action as needed.
- Created, maintained, and updated accurate patient accounts for billing purposes.
- Researched and assigned appropriate ICD-10 codes based on documentation in the patient's medical record.
- Maintained up-to-date knowledge of current coding rules, regulations, and best practices.
- Verified accuracy of billing information prior to submitting claims to insurance companies.
Billing and Reimbursement Coordinator
Metro Health University Of Michigan Health Hospital
Byron Center
11.1998 - 02.2018
- Provided guidance on proper coding techniques according to ICD-10 guidelines.
- Investigated denials from insurance companies and provided detailed reports outlining root causes of denial issues.
- Submitted electronic and paper claims to insurance companies within established timelines.
- Reviewed patient accounts and determined appropriate reimbursement amounts based on insurance coverage.
- Participated in training sessions designed to keep staff up-to-date on industry trends and regulatory updates.
- Collaborated with departments across the organization to facilitate a smooth reimbursement process.
- Analyzed medical records to ensure accuracy of coding and billing information.
- Reconciled account balances between payers and providers to ensure timely payments.
- Educated physicians, and staff on service documentation for procedures and coding requirements.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Provided guidance and direction to subordinates regarding job duties and responsibilities.
- Conducted weekly meetings with team members to discuss upcoming tasks and project deadlines.
- Developed and implemented operational policies and procedures to ensure efficiency and accuracy of workflows.
- Trained new employees on company policies and procedures.
- Directed and supervised team of employees in daily operations.
- Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
- Monitored employee productivity levels on a regular basis to identify areas of improvement.
- Recruited, hired, trained, mentored, coached, evaluated, and terminated staff as necessary.
Education
Certificate - Medical Billing And Coding
Grands Rapids Educational Center
Grand Rapids, MI11-1998
Skills
- Claim resolution
- Coding compliance
- Denial management
- Epic software
- Medical billing
- Insurance verification
- Data analysis
- Team collaboration
- Employee training
- Attention to detail
- Effective communication
- Problem solving
- Root cause analysis
- Time management
- Problem-solving abilities
Certification
- Certified Professional Coder (CPC)
Timeline
Coding Payment Resolution Specialist
Trinity Health Hospital
08.2022 - Current
Coding and Billing Specialist
Grand Rapids OBGYN
02.2020 - 08.2022
Billing and Reimbursement Coordinator
Metro Health University Of Michigan Health Hospital
11.1998 - 02.2018
Certificate - Medical Billing And Coding
Grands Rapids Educational Center
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