Nakeisha Wells
Richmond,TX
Summary
Experienced Healthcare Revenue Cycle Specialist with 15+ years supporting hospital and facility billing operations, including AR follow-up, insurance collections, claim resolution, and account management. Detail-oriented professional known for strong problem-solving skills and consistent results in fast-paced healthcare environments.
Overview
15
15
years of professional experience
Work History
Payor Collection Specialist III
Titan Health Management
Tucson, AZ
05.2021 - Current
- Managed hospital/facility accounts receivable for Medicare, Medicaid, and commercial payers through insurance follow-up and collection activities.
- Utilized Epic, SSI, Connance, Meditech, and OneContent systems to review accounts, research claims, post payments, and maintain accurate account documentation.
- Worked Complex AR accounts involving denials, appeals, medical necessity reviews, timely filing, underpayments, and coordination of benefits (COB) discrepancies.
- Performed payer and patient follow-up to resolve insurance coverage issues and support reimbursement efforts.
- Reviewed claim history, payment activity, and account details to identify barriers affecting payment.
Patient Account Representative
GetixHealth
Sugar Land, TX
03.2020 - 05.2021
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Managed and resolved overdue medical accounts.
- Re-bill insurance companies as needed.
- Collaborate with billing teams and insurance companies.
- Appealed claims due to timely filing, underpayment, medical necessity, coding denials.
- Scanning and uploading documents into system.
- Worked on behalf of clients in New York and California
Patient Account Representative
OakBend Medical Center
Richmond, TX
11.2015 - 09.2019
- Direct payer representative
- Prioritization of claims to optimize money collected
- Meeting team productivity goals
- Appealed claims for underpayments, medical necessity, timely filing, and coding issues.
- Timely follow up on discrepancies and denials.
- Contacted patients regarding no coverage denials, COB update, or insurance pending information from the patient/guarantor needed to process the claim.
- Uploading and scanning documents into OneContent.
- Knowledge of all payers and their systems for Aetna, Cigna, Blue Cross Blue Shield, and Student Accident claims.
Claims Analyst
ParrishShaw
Houston, TX
11.2011 - 11.2015
- Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
- Reduced claims processing time by implementing efficient analytical techniques and strategies.
- Worked between 10-15 clients, and their systems to obtain a production goal of 50-100 accounts a day.
- Monthly goal of obtaining revenue ranging from $500-1500 depending on tiers.
- Followed up on aged accounts for both Commerical and Workers Compensation Claims.
- Contacted patients if needed regarding pended claims.
Education
Certified Billing And Coding Specialist
Sanford Brown College
Houston,TX03-2011
Willow Ridge High School
Houston, TX06-2008
Skills
- Healthcare Accounts Receivable (AR)
- Payer Collections
- Insurance Follow-Up
- Payment Posting
- Claims Resolution
- Denial Research & Resolution
- Aging AR Management
- Healthcare Reimbursement
- Account Research & Resolution
- Medical Billing Processes
- EPIC, SSI Billing system, Connance, & Meditech
- Microsoft Office Suite (Word, Outlook, Excel,OneNote)
Timeline
Payor Collection Specialist III
Titan Health Management
05.2021 - Current
Patient Account Representative
GetixHealth
03.2020 - 05.2021
Patient Account Representative
OakBend Medical Center
11.2015 - 09.2019
Claims Analyst
ParrishShaw
11.2011 - 11.2015
Certified Billing And Coding Specialist
Sanford Brown College
Willow Ridge High School