Meticulous Insurance Follow-Up Representative. Excellent at juggling multiple tasks and working under pressure. Broad industry experience includes Healthcare, Finance and Legal.
Overview
34
34
years of professional experience
Work History
Revenue Cycle Specialist
Chicago Center For Sports Medicine And Orthopedic Surgery
03.2024 - 09.2025
Increased revenue by identifying and resolving billing errors in a timely manner.
Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
Ensured accurate billing with thorough audits of patient accounts and insurance claims.
Reached out to insurance companies to verify coverage.
Identified and resolved payment issues between patients and providers.
Maintained clear documentation of all activities related to unpaid claims or denied services.
Improved cash flow with diligent follow-up on pending claims and appeals processes.
Reduced outstanding account balances by implementing effective collection strategies.
Reduced turnaround time for claim submissions, ensuring compliance with healthcare regulations through diligent documentation.
Balanced and reconciled accounts.
Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
Contacted responsible parties for past due debts.
Patient Financial Services Representative
Shirley Ryan Ability Lab
09.2023 - 12.2023
Optimized use of billing software, implementing features that expedited claim processing and reduced manual errors.
Supported financial stability of healthcare facility by consistently meeting collection targets.
Developed strong relationships with insurance providers, fostering effective communication to facilitate prompt payment processing.
Maintained up-to-date knowledge of insurance regulations, ensuring compliance and minimizing risk of claim denials.
Managed high volume of daily tasks while maintaining attention to detail and accuracy in all areas of responsibility.
Revenue Cycle Specialist
Healthcare Information Services L.L.C.
11.2021 - 08.2023
Monitored and guided revenue cycle operations.
Contacted insurance carriers to resolve unpaid claims.
Resolved aging claims reports.
Resolved medicare and medicaid claims.
Resolved worker's compensation and personal injury claims.
Resolved commercial carrier claims.
AR Specialist Physician Revenue Cycle Management
Strivant Health
02.2021 - 05.2021
Supported clinical team members with all revenue cycle procedures and addressed any issues as needed.
Monitored and guided revenue cycle operations.
Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
Responsible for resolution of aging AR by calling various payers for reimbursement.
Filing appeals with payers
Updating and rebilling claims in Ecw, (Ecerner works).
Verifying authorizations and seeking retroactive authorizations as needed.
Obtaining and sending medical records to payors as needed.
Accounts Receivable Representative II
Cognizant Healthcare Solutions
12.2019 - 08.2020
Analyzed moderately open claims and denials.
Received and initiated calls to insurance carriers to resolve outstanding accounts.
Reviewed and addressed insurance correspondence.
Monitored daily EDI statuses and rejections.
Monitored status on P/I claims for settlement and/or resolution.
Monitored status on Letters of Protection (LOP) for settlement and/or resolution.
Reviewed insurance carrier websites to verify receipt of claim and update claim status.
Insurance Follow-Up Representative
REVMD Partners LLC
02.2017 - 09.2019
Scored in top 10% of employees for successful resolution of denied claims
Consulted with outside parties to resolve discrepancies and create effective solutions
VA claims specialist
Assisted in development of strategies to reduce client aging A/R
Default Resolution Specialist
FMS Investment Corporation
10.2015 - 06.2016
Worked directly with Default Resolution Department to achieve successful rehabilitation of delinquent student loans by contacting and guiding borrowers to completion of their documentation requirements for loan rehabilitation
Attended daily team meetings each month to voice concerns and offer constructive feedback to others
Responded promptly to general inquiries from members, staff and clients via mail, e-mail and fax
Processed average of 25 transactions each day to keep processes moving smoothly
Mortgage Collection Representative II
HSBC Holdings, Inc
05.2012 - 04.2015
Worked directly with Borrowers to achieve resolution of delinquent Mortgages working as Single Point of Contact Agent to set payment arrangements or entering income and expense information for Customers entry into Hardship Program
Created and maintained facility documents and records, maintaining accuracy while managing sensitive data
Met productivity goals by prioritizing tasks, using internal resources and implementing technology
Contacted customers to assess needs and deliver solutions
Processed cash, credit card and gift card payments and returned payment cards, change and receipts to customers
Insurance Follow Up/Self Pay Representative
The University of Chicago Physicians Group
02.2003 - 05.2006
Worked directly with Patient Financial Services Department to follow up on aging Accounts Receivable Reports by calling insurance companies to secure payment or updated insurance information, authorizations or duplicate explanations of benefits to re bill second party payers
Contacted customers by telephone to secure self pay balances or set payment arrangements
Created and maintained facility documents and records, maintaining accuracy while managing sensitive data
Met productivity goals by prioritizing tasks, using internal resources and implementing policies
Successfully led key projects which resulted in increased revenue
Insurance Follow Up Representative
UIC Medical Center
02.2000 - 07.2000
Worked directly with Patient Financial Services Department to review aging Accounts and call Medical Insurance Companies to obtain payment for services rendered to patients or update Medical Insurance or obtain proper authorizations for payment
Patient Accounts/Self Pay Collector
Mercy Hospital & Medical Center
11.1997 - 01.2000
Worked directly with Patient Financial Services to achieve monthly goals and obtain payment for services rendered to customers
Re billed Medical claims to Insurance Companies
Verified Medicare and Medicaid Insurance using Medicare Terminal
Contacted Patients with Self Pay balances to make arrangements for payments or update new insurance information for re billing to Patient's Insurance Company Followed up on aging Accounts Receivable Reports
Collector/Medical Collector
Revenue Management
02.1995 - 11.1997
Achieved monthly goals by making calls to customers who have outstanding balances on Medical or Retail Debt by setting payment arrangements or updating medical insurance information for re billing to insurance companies Prepared pre litigation documentation for Attorney review
Retail Collector
Arrow Service Bureau
03.1992 - 02.1995
Achieved monthly collection goals by contacting customers by phone to make payment arrangements on delinquent Sears Credit Card accounts
Education
GED Diploma - General Education
Kennedy-King College
Chicago, IL
1985
Skills
Familiarity with various systems Systems used within past 2 years includes ;
EMR
Mod Med
Meditech
Availity
Centricity
Epic
Trizetto
References
REFERENCES
Available upon request
Timeline
Revenue Cycle Specialist
Chicago Center For Sports Medicine And Orthopedic Surgery
Patient Care Technician at Institute For Orthopedic Surgery & Sports MedicinePatient Care Technician at Institute For Orthopedic Surgery & Sports Medicine