Detail-oriented Revenue Cycle Specialist with proven skills in claims processing, insurance verification, and revenue cycle management. Committed to optimizing workflows and resolving billing discrepancies to enhance overall operational efficiency.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Specialist
Emory Healthcare
Atlanta, Georgia
09.2021 - Current
Processed patient billing inquiries using electronic health record systems.
Verified insurance information to ensure accurate claims submissions.
Assisted in resolving payment discrepancies with insurance providers.
Trained in revenue cycle management software for efficient data entry.
Processed appeals related to denied or rejected claims in a timely manner.
Collaborated with other departments to resolve customer inquiries regarding billing issues.
Contacted insurance providers to check patient coverage.
Reviewed patient accounts to ensure accuracy and completeness of information.
Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
Reviewed medical documentation for precertification compliance and accuracy.
Coordinated communication between healthcare providers and insurance companies.
Analyzed patient cases to determine eligibility for specific procedures.
Front Desk Receptionist
Incremedical Staffing
Atlanta, Georgia
06.2017 - 08.2021
Greeted and assisted visitors with professionalism and warmth.
Managed multi-line phone system to handle incoming calls efficiently.
Scheduled appointments and coordinated meeting rooms for staff.
Maintained organized front desk area to ensure a welcoming environment.
Provided administrative support including filing and data entry tasks.
Responded to inquiries and resolved issues with excellent customer service skills.
Collaborated with team members to improve front desk operations consistently.
Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.