NANCY PORRECA
Pitman,New Jersey
Summary
A solutions-oriented, forward-thinking, and adaptable general manager with in-depth experience in claims management, insurance verification, quality assurance, data entry and management, client/vendor relations, compliance and regulations, document management, and implementations. Develops and fosters collaborative teams while ensuring optimal performance and organizational excellence. Drives continuous growth and improvement by resolving complex problems and delivering impactful outcomes. A dedicated leader who empowers an organization to build strong partnerships and achieve and exceed goals.
Overview
17
17
years of professional experience
Work History
Manager
R1RCM
Fort Washington, Pennsylvania
01.2015 - 03.2025
- Resolved medical claims for client.
- Oversaw denial management (trending denied claims) and wrote appeals to overturn denied claims.
- Obtained authorizations, managed accounts, submitted claims, reviewed medical records, and oversaw necessary information to resolve any outstanding claims.
- Promoted to supervisor. Supervised team of 18 to 22 insurance specialist reps. Coached teams in time management, followed up, and increased productivity and quality.
- Managed revenue cycle team. Resolved revenue cycle problems in medical facilities.
- Directed staff in duties related to patient billing, insurance communications, collections, cash posting, account management, and contract analysis.
- Created and implemented policies to ensure proper follow up accuracy.
- Aided with accounts and communicated with insurance providers.
- Interpreted provider/insurance contracts.
- Interviewed potential candidates. Trained new hires.
- Led team through transition of system conversion from Star to Epic. Gained experience with new system.
- Helped with emergency room claims coding.
- Assisted with pilot program for mentoring and coaching team members.
Supervisor
R1RCM
Fort Washington, Pennsylvania
01.2010 - 01.2015
Insurance Specialist
R1RCM
Fort Washington, Pennsylvania
01.2008 - 01.2010
Education
Business - Minor in Criminal Justice
THE PENNSYLVANIA STATE UNIVERSITY
Abington, PennsylvaniaSkills
- Star
- Epic
- MS Office Suite
- Contract Manager
- Payer Web Portals
- Code Correct
Timeline
Manager
R1RCM
01.2015 - 03.2025
Supervisor
R1RCM
01.2010 - 01.2015
Insurance Specialist
R1RCM
01.2008 - 01.2010
Business - Minor in Criminal Justice
THE PENNSYLVANIA STATE UNIVERSITY