Detail-oriented Revenue Cycle Specialist with a systematic nature and good grasp of billing processes. Successful planner and problem-solver. Ready to apply 14 plus years' experience and take on a challenging role.
Overview
15
15
years of professional experience
Work History
Revenue Cycle Specialist
Golden State Orthopedics and Spine
Walnut Creek , CA
06.2015 - Current
Preparing patients billing statements and ensuring they are sent in a timely manner
Reviewing patients billing statements to ensure accuracy of information
Follow up on delinquent accounts and ensuring payments when possible.
Submitting claim and resubmitting denied claims.
Verifying patients insurance coverage
Managing accounts reports for all commercial payors (Cigna,HMO,PPO,UHC,Aetna,CCHP).
Revenue Representative
Pacific Pulmonary Services
10.2008 - 03.2015
Process and perform quality control of all revenue documentation related to oxygen and sleep services
Ensure the validity and integrity of all patient records
Work billing and aging reports daily to ensure the timely selection and collection of all accounts
Work the Peak Sleep credit reports for Brentwood, Tempe, and Omaha daily
Work Denials daily and aging for assigned Insurances
Focused on the billing and collections for patient’s accounts
Interact with patient via phone in order to collect payments owed by patients as well as address any issues the patient may have from a financial service standpoint
Research patient’s insurance coverage to determine if PPS can provide service to the patient
Ensure that our billing practices meet or exceeds the insurance guidelines, while maintaining a timely submission of claims to the insurance companies.
Education
High School Diploma -
Antioch High School
01.2001
Skills
Highly motivated and enthusiastic worker
Reliable hardworking individual
Able to work independently/ team player
Self-motivated
Strong verbal and written communication
Familiar with Waystar, Dashboard and Excel
Able to identify and solve problems
Work in an efficient and timely manner
Timeline
Revenue Cycle Specialist
Golden State Orthopedics and Spine
06.2015 - Current
Revenue Representative
Pacific Pulmonary Services
10.2008 - 03.2015
High School Diploma -
Antioch High School
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