Erin Harcourt
Alameda,CA
Summary
Detail oriented Billing & Revenue Manager with 17 years of experience seeking growth-promoting opportunity within the healthcare system. Proven ability to review and evaluate claims for accuracy, completeness, and compliance with payer requirements, including Medicare, Medi-Cal, and commercial carriers. Strong track record in resolving denials, processing reimbursements, and supporting patients and providers in billing matters. Known for exceptional attention to detail and effective communication, driving operational efficiency in complex billing environments.
Overview
13
13
years of professional experience
Work History
Billing & Revenue Manager
Pacific Plastic Surgery Group
05.2024 - Current
- Review and evaluate complex medical claims across commercial, Medicare, and Medi-Cal plans.
- Utilized TriZetto clearing house and NexTech billing software to bill an average monthly amount of $2,100,000.00.
- Monitor accuracy of charges, grouping services appropriately on claims for surgical and outpatient care.
- Post a monthly average of $530,000.00 in payments from EFTs, checks, and credit cards, and reconcile with bank records.
- Manage claim edits, denials, and appeals with supporting documentation.
- Collaborate with legal counsel on No Surprises Act cases requiring medical necessity review.
- Maintain daily claim and appeal logs for tracking resolution and timely submission.
- Weekly presentation of updated claim status, billing collections, outstanding A/R.
Billing Analyst
Washington Hospital Health Service
03.2023 - 04.2024
- Analyzed billing discrepancies to ensure accuracy and compliance with company policies.
- Audited and evaluated denied claims using pivot tables and dashboards.
- Cross-referenced claims with EMRs, discharge summaries, and admissions data to ensure accuracy.
- Posted insurance payments and adjusted accounts.
- Produced detailed reports on claim performance and denials by payer and service type.
Medical Billing Lead
Carbon Health Technologies
09.2018 - 01.2023
- Supervised daily operations of medical billing team, ensuring accurate claim submissions and timely follow-ups.
- Trained and mentored junior billing staff on best practices and system functionalities.
- Implemented process improvements that enhanced billing accuracy and reduced claim denial rates.
- Collaborated with healthcare providers to resolve billing discrepancies and improve patient satisfaction.
- Oversaw incoming issues from payers and clinics, focusing on claim data integrity.
- Supported engineers in developing billing software to improve claim accuracy and payment posting.
Operations Manager
Active Care Physical Therapy
03.2015 - 08.2018
- Managed billing for 3,000+ therapy visits monthly. Reviewed and submitted claims to Medi-Cal and commercial carriers.
- Built claim tracking systems to monitor reimbursement accuracy and payment trends.
- Streamlined operational processes to enhance efficiency and reduce turnaround times.
- Developed training programs for staff to improve productivity and compliance.
- Analyzed workflow data to identify areas for improvement and cost savings.
- Filed appeals and obtained authorizations proactively to prevent delays in reimbursement.
Insurance Specialist
Tucci Learning Solutions
01.2013 - 02.2015
- Analyzed insurance claims for accuracy, ensuring compliance with company policies and regulations.
- Managed billing for 3,000+ therapy visits monthly.
- Reviewed and submitted claims to Medi-Cal and commercial carriers.
- Built claim tracking systems to monitor reimbursement accuracy and payment trends.
- Filed appeals and obtained authorizations proactively to prevent delays in reimbursement.
Education
Sunset High School
Las Vegas, NVSkills
- Data-driven decision making
- Attention to detail
- Excellent communication
- Problem-solving abilities
- Account reconciliation
- Process improvement
Timeline
Billing & Revenue Manager
Pacific Plastic Surgery Group
05.2024 - Current
Billing Analyst
Washington Hospital Health Service
03.2023 - 04.2024
Medical Billing Lead
Carbon Health Technologies
09.2018 - 01.2023
Operations Manager
Active Care Physical Therapy
03.2015 - 08.2018
Insurance Specialist
Tucci Learning Solutions
01.2013 - 02.2015
Sunset High School
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