Marianne Price
Perrysville
Summary
Experienced with revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Track record of effective communication and collaboration to enhance financial performance.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Prentke Romich Company
07.2022 - 05.2025
- Handle questions, complaints, and problems from insurance companies. Medicaid offices and their associated managed care plans, Medicare regions and their associated health maintenance organizations and families regarding insurance payments.
- Verify all information for claims billing is correct.
- Contact an appropriate person to obtain missing or unclear billing information documenting all tasks and notes.
- Review all funding invoices to determine the correct billing method. Complete claim form through database or web portal attaching required documentation for payment.
- Follow up by phone call on all unpaid claims determining the next course of action.
- Handle third party customer questions, complaints, and problems once an order is invoiced completing all necessary follow-up in a timely manner, so payment is not delayed.
- Respond to and interact with customers concerning all aspects of billing thorough phone, email or regular mail promptly and courteously.
- Relay changes in Medicaid, MCO, Medicare. HMO regulations discovered by claim denials to all pertinent personnel.
Assembly Worker
Ashland Conveyor Products
03.2022 - 07.2022
- Followed detailed assembly instructions, processes, and procedures.
- Exhibited strong multitasking abilities, successfully managing multiple assembly tasks simultaneously while maintaining focus on quality and productivity.
Delivery Courier
Blackrock Logistics
10.2021 - 02.2022
- Followed company policies and procedures during shift.
- Drove safely at all times to avoid accidents and harm.
Machine Operator/Production Packer
Swagelok
01.2018 - 10.2021
- Followed detailed instructions to operate machines with accuracy and produce quality products.
- Set up and adjusted equipment and properly configured machines for daily operation.
- Complied with company and OSHA safety rules and regulations.
Education
Associate of Science - Bioscience
North Central State College
Mansfield, OH05-2013
High School Diploma -
Loudonville High School
Loudonville, OH06-1988
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
Certification
- Medical Billing and Coding DeVry University - Oct. 2020
Timeline
Revenue Cycle Specialist
Prentke Romich Company
07.2022 - 05.2025
Assembly Worker
Ashland Conveyor Products
03.2022 - 07.2022
Delivery Courier
Blackrock Logistics
10.2021 - 02.2022
Machine Operator/Production Packer
Swagelok
01.2018 - 10.2021
Associate of Science - Bioscience
North Central State College
High School Diploma -
Loudonville High School
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