Holly Queen
Fletcher,NC
Summary
Detail-oriented Revenue Cycle Specialist skilled in insurance verification, authorizations, analytical problem-solving, and process improvements. Consistently enhances billing accuracy and compliance, contributing to optimized reimbursement rates.
Overview
25
25
years of professional experience
Work History
Revenue Cycle Specialist
Margaret Pardee Memorial Hospital
Hendersonville, NC
10.2021 - Current
- Analyzed patient accounts to ensure accurate billing and compliance with regulations.
- Collaborated with clinical staff to resolve billing discrepancies and improve revenue cycle processes.
- Trained new hires on revenue cycle policies, procedures, and software systems for efficient onboarding.
- Implemented process improvements that streamlined patient registration and reduced errors in data entry.
- Obtained prior authorization for surgeries in a timely manner for multiple physician practices.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Reached out to insurance companies to verify coverage.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
Precertification Specialist
EmergeOrtho
Hendersonville, NC
10.2006 - 09.2021
- Coordinated precertification processes for medical procedures and services, ensuring compliance with insurance requirements.
- Reviewed and verified patient documentation to facilitate timely approvals for orthopedic services.
- Collaborated with healthcare providers to gather necessary information for precertification requests.
- Streamlined communication between patients, providers, and insurance companies to enhance workflow efficiency.
- Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
Switchboard Operator
Clemson Sports Medicine
Clemson, SC
01.2006 - 10.2006
- Operated multi-line switchboard to manage incoming calls and direct inquiries efficiently.
- Provided exceptional customer service by addressing caller needs and resolving issues effectively.
- Maintained accurate call logs and documentation to support operational efficiency and compliance.
- Collaborated with medical staff to facilitate communication between departments and enhance patient care.
Switchboard Operator
SpineCarolina
Asheville, NC
08.2001 - 12.2005
- Trained new employees on switchboard procedures, improving team performance and service quality.
- Implemented process improvements that streamlined call handling and reduced wait times for callers.
- Monitored phone systems for technical issues, ensuring minimal downtime and prompt resolution of problems.
- Developed training materials to enhance onboarding processes for future switchboard operators, fostering consistency in operations.
Education
Associate of Science - Medical Assisting
South College
Knoxville, TNHigh School Diploma -
A.C. Reynolds High School
Asheville, NCSkills
- Revenue cycle management
- Insurance verification
- Prior Authorization
- Professionalism and ethics
- HIPAA compliance
- Patient registration
- Analytical problem solving
- Managing records
- Teamwork
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Effective communication
- Decision-making
- Self motivation
Timeline
Revenue Cycle Specialist
Margaret Pardee Memorial Hospital
10.2021 - Current
Precertification Specialist
EmergeOrtho
10.2006 - 09.2021
Switchboard Operator
Clemson Sports Medicine
01.2006 - 10.2006
Switchboard Operator
SpineCarolina
08.2001 - 12.2005
Associate of Science - Medical Assisting
South College
High School Diploma -
A.C. Reynolds High School