Julie Robinson
Colorado Springs,CO
Summary
Qualified and experienced in all aspects of medical insurance billing, with progressive experience in health information data analysis, reporting, research and claims. Recognized for exceptional communication skills and the ability to function and thrive in a fast paced, changing environment.
Overview
26
26
years of professional experience
Work History
Eligibility Specialist
OPTUM
02.2022 - 08.2023
- Responsible for effective and efficient verification of all patients' benefits before their appointment.
- Research eligibility information online with various insurance carriers.
- Maintain knowledge of payor contracting to ensure appropriate coverage for patient.
- Assisted peers with complex insurance situations.
- Communicate clearly and professionally with peers and patients.
- Responsible for acting as liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
Senior Billing Specialist
CSHP/DAVITA /OPTUM
07.2014 - 02.2022
- Responsible for successful transmission of electronic claim files to insurance companies.
- Eligibility verification and authorization with all insurance companies.
- Identify, track and appeal insurance company claim rejections.
- Responsible for obtaining all referrals and authorizations for procedures and services, as required.
- Provided excellent customer service, developing and maintaining client relationships.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared and submitted monthly billing reports to management for financial overview.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
- Worked with multiple departments to check proper billing information.
Production Control Analyst
OPTUM
01.1998 - 01.2014
- Data analysis and identification of format and code issues
- Maintained daily, weekly and monthly statistical reporting using MS Office applications
- Validated successful transmission of claim files and retrieval of corresponding reports.
Education
Associate of Applied Science - Health Information Technology And Management
DeVry University
Colorado Springs06.2006
Skills
- Effective Communication Skills
- Customer Satisfaction
- Active Listening and Communication
- Documentation and paperwork
Professional Development
- Proficient with MS Office, including Word, Excel, Access and Visio
- Strong experience and knowledge of HCFA, UB92, explanation of benefits (paper and electronic), medical terminology, ICD9, ICD10, CPT and HCPCS codes
- Experience with RIS, Allscripts Electronic Health Records, GE Centricity, Experian, Touchworks and Epic
Timeline
Eligibility Specialist
OPTUM
02.2022 - 08.2023
Senior Billing Specialist
CSHP/DAVITA /OPTUM
07.2014 - 02.2022
Production Control Analyst
OPTUM
01.1998 - 01.2014
Associate of Applied Science - Health Information Technology And Management
DeVry University
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