Joy Clark
Universal Health Services
Conshohocken,PA
27
years of professional experience
Specialized in medical billing, claims processing, denial management, and reimbursement optimization to enhance financial performance.
Healthcare professional prepared for Revenue Cycle Representative role, bringing valuable experience in managing billing cycles and resolving payment discrepancies. Known for reliability, adaptability, and collaborative approach to achieve team goals. Proficient in claims processing, patient account management, and customer service.
Work History
Accounts Receivable Specialist
1 Year 1 Month- Meets established quality metrics for the AR Department. Meets monthly with Supervisor to review quality results and collaborate on ways to improve scores. Upon receipt of monthly QR report, corrects any errors identified
- Managed accounts receivable processes to ensure timely collection of outstanding balances.
- Analyzed aging reports to identify delinquent accounts and initiate follow-up actions.
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
- Analyzed claims data to identify trends and reduce denials.
- Collaborated with cross-functional teams to resolve billing discrepancies.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Maintained clear documentation of all activities related to unpaid claims or denied services.
- Submit appeals for underpaid claims
RCM Follow-Up Representative II
25 Years 2 Months- Managed outstanding claims to ensure timely reimbursements from insurance providers.
- Investigated denied and underpaid claims, submitting appeals to maximize payments.
- Resolved claim discrepancies through direct collaboration with insurance payers.
- Processed patient accounts with a focus on billing accuracy and collections.
- Registered and maintained user access on multiple insurance portals to streamline claims processing.
- Reduced outstanding receivables by proactively following up on overdue payments.
- Assisted new employees by providing guidance on account workflows and claim resolution.
- Ensured compliance with HIPAA, Medicare, Medicaid, and commercial insurance regulations.
Education
High School Diploma
Skills
Assisted in processing medical billing and coding using ICD-10
CPT
and HCPCS standards.
Supported insurance claims processing and management of denials.
Applied HIPAA compliance knowledge and regulatory understanding in daily tasks.
Managed accounts receivable and collections efforts efficiently.
Facilitated patient billing inquiries and provided excellent customer service.
Handled user access management and completed insurance portal registrations.
Utilized Microsoft Office Suite including Excel
Word
and Outlook effectively.
Navigated clearinghouse portals such as Availity
Navinet
and Change Healthcare.
Insurance Portal Management & User Access Administration
Timeline
Accounts Receivable Specialist
Universal Health Services
06.2025 - CurrentRead More
RCM Follow-Up Representative II
Envision Physician Services, LLC
04.1999 - 06.2024Read More
Plymouth Whitemarsh Highschool
High School Diploma
Read More