JOYCE BARRETT
Davis,CA
Summary
Thorough Claims Resolution Specialist skilled handling basic and complex claims with accuracy and efficiency. Good communication, organizational and problem-solving abilities.
Overview
15
15
years of professional experience
Work History
SENIOR CLAIMS RESOLUTION SPECIALIST
iRhythm Technologies, Inc
02.2019 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Liaised between patients, insurance companies, and billing office.
- Verified insurance of patients to determine eligibility.
- Processed adjustments and posted refunds.
- Investigated issues to determine appropriate coverage and liability for Medical claims
- Collected information about rejected claims and developed effective solutions.
- Processed adjustments and posted refunds
MEMBER CARE SPECIALIST ADVOCATE
CareCounsel
10.2015 - 02.2019
- Verified eligibility and compliance with authorization requirements for service providers.
- Contacted insurance companies to obtain prior authorization for medical procedures and medications.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Resolved patient billing inquiries and other issues efficiently.
MEDICAL BILLING SPECIALIST
Diablo Nephrology Medical Group
01.2015 - 08.2015
- Performed all tasks related to medical billing, follow-up, and collection functions, including preparing and submitting claims to insurance companies and the billing of claims to secondary insurance carriers after primary insurance paid their portion
- Verified patient's insurance eligibility to receive authorization prior to doctor's appointments
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
MEDICAL BILLING SUPERVISOR
Bay Area Addiction Research Treatment
09.2014 - 11.2014
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Maintained current accounts through aged revenue reporting.
- Confirmed backup and proper storage of sensitive information in event of data breach or outage.
- Reviewed outgoing bills for eligibility and accurateness.
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
MEDICAL BILLING SPECIALIST
Sutter Shared Services
08.2013 - 11.2014
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
PATIENT ACCOUNT REPRESENTATIVE
California Pacific Medical Center, CPMC
02.2009 - 08.2013
- Worked with outside entities to resolve issues with billing, claims and payments.
- Electronically submitted bills according to compliance guidelines.
- Maintained accurate records of customer accounts, payments and payment plans.
- Entered client details and notes into system for interdepartmental access and review.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Contacted patients after insurance was calculated to obtain payments
Education
High School Diploma -
Hogan High Senior
Vallejo, CACertificate - Medical Coding Specialist
US Career Institutes
Fort Collins, CO01.2014
Skills
- Software & Tools: Microsoft Office
- Customer Relations Management (CRM), Salesforce
- Epic
- Medicare (DDE)
- System, Payor websites: Availity, Carelink, Medisoft, Avatar, Prime, Acumen, and Med series 400
- Electronic Forms: UB04, UB09, ICD-10, and 1500 claim forms
- Medical Records Requests
- Medical Claims Submission
- Payments Posting
- Payment and Investigation Escalations
Timeline
SENIOR CLAIMS RESOLUTION SPECIALIST
iRhythm Technologies, Inc
02.2019 - Current
MEMBER CARE SPECIALIST ADVOCATE
CareCounsel
10.2015 - 02.2019
MEDICAL BILLING SPECIALIST
Diablo Nephrology Medical Group
01.2015 - 08.2015
MEDICAL BILLING SUPERVISOR
Bay Area Addiction Research Treatment
09.2014 - 11.2014
MEDICAL BILLING SPECIALIST
Sutter Shared Services
08.2013 - 11.2014
PATIENT ACCOUNT REPRESENTATIVE
California Pacific Medical Center, CPMC
02.2009 - 08.2013
High School Diploma -
Hogan High Senior
Certificate - Medical Coding Specialist
US Career Institutes
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