Ingrid Days
Glendale,AZ
Summary
Experienced with revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Track record of effective communication and collaboration to enhance financial performance.
Overview
18
18
years of professional experience
Work History
Revenue Cycle Specialist
Ortho Arizona
Peoria, AZ
04.2022 - Current
- Identifying and resolving denied insurance claims
- Monitoring and pursuing outstanding payments from payers
- Identifying and correcting claims for resubmission
- Verify insurance and obtain necessary authorization for clean claim submission
- Researches insurance and patient credit balances for the purpose of refunds
- Analyzed patient accounts to identify discrepancies and implement corrective measures.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Identified and resolved payment issues between patients and providers.
- Conducted detailed analyses of revenue cycle metrics, identifying trends and developing action plans to address areas of concern.
- Developed trading strategies to maximize returns on investments.
- Improved patient satisfaction by providing clear, concise explanations of billing procedures and insurance coverage.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
Revenue Cycle Specialist
Apricus Health
Scottsdale, AZ
07.2021 - 04.2022
- Identifies delinquent accounts, aging period and payment sources
- Files secondary claims within a timely manner
- Responsible for appealing incorrectly processed claims, and if necessary making the appropriate adjustment
- Accurately updates financial and demographic information into the appropriate system
- Possesses ability to identify areas of account problems and explain effectively to patients
- Collaborated with clinical teams to improve charge capture accuracy and documentation.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Maintained clear documentation of all activities related to unpaid claims or denied services.
- Collaborated with cross-functional teams to improve overall financial performance of the organization.
Revenue Cycle Specialist
Barrow Neurosurgical Associates
Phoenix, AZ
12.2018 - 06.2021
- Proactively maintained accounts by effectively reducing DSO and timely filing of appeals, denial management adjustments, primary and secondary billing
- Maintained confidential information as it pertains to HIPPA and PCI requirements
- Formed and sustained strategic relationships with clients
- Processes delinquent unpaid accounts by contacting third party payers
- Researches insurance credit balances and regularly writes up requests for refunds
- Analyzed patient accounts to identify discrepancies and implement corrective measures.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Reached out to insurance companies to verify coverage.
- Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
- Collaborated with cross-functional teams to resolve billing issues, ensuring patient satisfaction and loyalty.
Program Director
M&M Residential Homes
Peoria, AZ
06.2018 - 12.2018
- Oversaw daily operations of Behavioral Health program functions
- Communicated with contractors and vendors to place and receive clients
- Developed standards of care, policies and procedures, and guidelines to ensure the safe and efficient operation of the agency
AR Supervisor
CVS Health
Phoenix, AZ
06.2016 - 06.2018
- Developed high-performing teams which consistently exceeded quality and productivity goals, driving revenue and market expansion
- Recruited, identified, and developed AR Specialists; implemented training and development programs to successfully exceed retention targets
- Implemented processes for pricing, billing, third party payer relationships, compliance and collections to ensure that clinical revenue cycle is effective and properly utilize
- Performed research and due diligence to resolve issues in a timely manner
AR Specialist
Dignity Health
Phoenix, AZ
04.2008 - 06.2016
- Partnered with the cash application team and credit manager on the timely and accurate posting of remittances.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Routinely contacted payers with balances over 30 days past due to resolve delinquencies.
Education
Bachelor of Arts - Healthcare Administration
Ashford University
San Diego, CA02.2012
Skills
- Denial management
- Financial counseling
- Revenue cycle management
- Teamwork and collaboration
- Attention to detail
- Multitasking Abilities
- Reliability
- Organizational skills
- Professionalism
Claims processing proficiency
Timeline
Revenue Cycle Specialist
Ortho Arizona
04.2022 - Current
Revenue Cycle Specialist
Apricus Health
07.2021 - 04.2022
Revenue Cycle Specialist
Barrow Neurosurgical Associates
12.2018 - 06.2021
Program Director
M&M Residential Homes
06.2018 - 12.2018
AR Supervisor
CVS Health
06.2016 - 06.2018
AR Specialist
Dignity Health
04.2008 - 06.2016
Bachelor of Arts - Healthcare Administration
Ashford University