Maria Green
Upper Marlboro
Summary
Dynamic Credit & Collection Specialist II with proven expertise at Children’s Nation Medical Center in optimizing revenue cycles and enhancing reimbursement processes. Skilled in data management and reporting, I excel in root cause analysis and strategic negotiations with payers, driving significant improvements in net revenue while fostering collaborative relationships.
Overview
16
16
years of professional experience
Work History
Credit & Collection Specialist II
Children’s Nation Medical Center
Washington
06.2011 - Current
- Verify authorization approval in order to receive payment for services render.
- Track reasons for rejection/denial issues.
- Submit appeal for reconsideration of underpayment.
- Correct and rebill claim(s) to receive reimbursement costs for services rendered.
- Update patient accounts with accurate information to include billing address, and insurance information in order to submit a clean claim.
Revenue Cycle Denial Coordinator
Howard University Hospital
Washington
12.2009 - 03.2011
- Analyze individual contract terms and reimbursement.
- Root cause identification of rejections/denials – clarify how you get to the root of the issue and maybe identify the issue.
- Tracking and trending of rejection – needs to be revised as does the same statement for the job above.
- Research and provide recommendations for alternative contracting rates/terms with the goals to improve net revenue and ease the administrative burden associated with the contract terms.
- Meeting with payers to review methodology and assist in the determination of counter-proposal.
- Provided administrative support to the Manager and Director when needed.
- CPAT proxy that administer the CPAT certification.
Education
Bachelor of Business Administration -
Strayer University College
06.2017
Associate of Arts - Management
Strayer University College
06.2015
Skills
- Payer path and IMACS
- Document imaging and databank
- Microsoft Office applications
- Cerner and Med Assets
- Data management and reporting
- Streamline and TRAC
References
Professional References Provided Upon Request
Certifications Affiliations
- CPAT certified, 04/02
- Smith Business Center, 07/97
- Burdick Career Center, 1987
References
References available upon request.
Timeline
Credit & Collection Specialist II
Children’s Nation Medical Center
06.2011 - Current
Revenue Cycle Denial Coordinator
Howard University Hospital
12.2009 - 03.2011
Bachelor of Business Administration -
Strayer University College
Associate of Arts - Management
Strayer University College
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