Katelyn Matousek
Mokena,IL
Summary
Detail-oriented Healthcare Revenue Cycle Specialist with 20 years managing revenue cycle operations in hospitals and long-term care settings. Skilled in Medicare, Medicaid, and commercial insurance processes, including claims resolution and denials management. Improved reimbursement rates and reduced billing errors while ensuring HIPAA compliance. Expertise in Epic, MatrixCare, and other revenue cycle software.
Overview
1
1
Certification
19
19
years of professional experience
Work History
Regional Reimbursement Specialist
Ascension Living
Frankfort, Illinois
10.2017 - Current
- Manage full-cycle accounts receivable for Medicare, Medicaid, Hospice Medicaid, Waiver, and commercial insurance claims across regional healthcare facilities.
- Process and resolve more that 2,400 healthcare claims annually, ensuring timely reimbursement and regulatory compliance.
- Audit Medicare bad debt accounts and reconcile reimbursement discrepancies.
- Investigate denied claims, coordinate appeals, and improve claim resolution.
- Serve as Subject Matter Expert (SME) for enterprise software implementations and staff onboarding.
- Train Business Office Managers and billing personal on revenue cycle workflows and compliance.
- Collaborate with finance, nursing, and medical records teams to improve reimbursement and operational efficiency.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Advised supervisors and clinicians of billing deficiencies to support charge capture.
- Provided feedback on any changes made to the system used to track reimbursements.
- Performed monthly audits for accuracy of claims submitted for payment.
- Developed relationships with insurance companies to facilitate timely payments.
Patient Financial Services Representative
Ascension Living
Mokena, Illinois
10.2013 - 10.2017
- Managed billing operations for Medicare, Medicaid managed care, and commercial insurance.
- Performed insurance verification and corrected billing discrepancies to minimize claim denials.
- Managed delinquent accounts through payment arrangements and collection strategies.
- Established EFT enrollment for insurance carriers to streamline payment processes.
- Maintained web portal access and administered billing systems for operational efficiency.
- Provided assistance to patients and families regarding billing inquiries and financial counseling.
Medical Records Specialist
Saints Mary and Elizabeth Medical Center
Chicago, Illinois
07.2007 - 10.2013
- Maintained accurate patient records using electronic health record systems.
- Processed medical documents for compliance with privacy regulations.
- Trained new staff on record management protocols and software use.
- Performed data entry into electronic health record systems.
- Adhered to HIPAA guidelines when handling protected health information.
Education
Associate of Applied Science - Medical Administrative Assistant
Joliet Junior College
Joliet, IL05-2016
Associate of Applied Science - General Studies
Joliet Junior College
Joliet, IL05-2016
Skills
- Medicare processing
- Claims resolution
- Denials management
- Denial management
- Revenue cycle management
- Patient billing
- Eligibility verification
- Insurance verification
- Claims processing
- Claims documentation
- Insurance documentation
- Payment posting
- Revenue cycle software
- Medicaid
- Healthcare compliance
- Regulatory compliance
- Problem resolution
- Problem solving
- Attention to detail
- Data entry
- Team collaboration
- Client service
- Staff training
- Escalation management
- Critical thinking
Accomplishments
- Employee of the month
Certification
- Microsoft Office
- Microsoft Excel
- Microsoft PowerPoint
Timeline
Regional Reimbursement Specialist
Ascension Living
10.2017 - Current
Patient Financial Services Representative
Ascension Living
10.2013 - 10.2017
Medical Records Specialist
Saints Mary and Elizabeth Medical Center
07.2007 - 10.2013
Associate of Applied Science - Medical Administrative Assistant
Joliet Junior College
Associate of Applied Science - General Studies
Joliet Junior College