Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Nygera` Hunter

Conroe

Summary

Certified Revenue Cycle Representative with over four years of experience in medical billing, claims processing, and insurance verification. Proficient in Epic, CRM, and SharePoint, ensuring compliance with HIPAA regulations while streamlining revenue cycle operations. Strong leadership and customer service skills, with a focus on improving efficiency and achieving organizational goals through strategic process improvements.

Overview

7
7
years of professional experience
1
1
Certification

Work History

CRM Manager & Patient Account Representative - SP

Medix Staffing
09.2024 - 02.2025
  • Managed patient self-pay accounts through CRM systems, implementing streamlined collection processes.
  • Resolved complex billing inquiries and collaborated with healthcare teams to develop patient-centric payment solutions.
  • Led account reconciliation initiatives, reducing payment processing time and enhancing revenue cycle efficiency.
  • Analyzed patient payment trends and implemented targeted collection strategies to optimize revenue.

Certified Revenue Cycle Representative Overnight

Ensemble HP Health
09.2023 - 08.2024
  • Verified patient insurance eligibility and resolved coding issues to ensure claim accuracy.
  • Processed claims, followed up on denials, and filed appeals to optimize reimbursement.
  • Admitted patients, assigned MRNs, performed compliance checks, and collected insurance information.
  • Provided customer service, operated switchboard, and ensured adherence to healthcare policies.

Medical Claims Retrieval Specialist

MS Health LLC
05.2022 - 03.2024
  • Verified insurance coverage and conducted detailed analysis of medical records for claim eligibility.
  • Scanned and uploaded medical records using Datavant equipment.
  • Assisted patients with inquiries, updated accounts, and clarified EOBs to enhance patient satisfaction.
  • Integrated CRM with other systems to improve team efficiency and service quality.

ROI Medical Records Specialist Over Night

Health Medical Clinic
12.2019 - 07.2022
  • Processed and prioritized medical records requests for patients and external entities.
  • Ensured accuracy and compliance in handling HIPAA-protected information.
  • Maintained tracking systems for records requests, releases, and authorizations.
  • Assisted patients and staff with records retrieval and inquiries.

Customer Service Representative Team Lead

Veterans Administration
01.2018 - 12.2019
  • Screened incoming calls, assisted providers and veterans, and managed medical records.
  • Ensured case completeness before scheduled exams by coordinating with VBMS and CAPRI checks.
  • Trained new customer service representatives on policies, procedures, and call handling techniques.
  • Monitored team performance and resolved escalated customer concerns.

Education

Associate of Applied Science -

Wayne County Community College
Detroit, MI

High School Diploma -

Penn Foster College
Scottsdale, AZ

Skills

  • Revenue Cycle Management – Medical billing, claims processing, appeals, and denials
  • Insurance Verification & Compliance – HIPAA regulations, eligibility checks, and coding accuracy
  • Technical Proficiency – Epic, CRM, SharePoint, Microsoft Office
  • Customer Service & Leadership – Team leadership, patient relations, and process improvement
  • Data Entry & Documentation – Medical records retrieval, confidentiality, and workflow optimization

Certification

  • Certified Revenue Cycle Representative (CRCR) | HFMA | 2024

References

References available upon request.

Timeline

CRM Manager & Patient Account Representative - SP

Medix Staffing
09.2024 - 02.2025

Certified Revenue Cycle Representative Overnight

Ensemble HP Health
09.2023 - 08.2024

Medical Claims Retrieval Specialist

MS Health LLC
05.2022 - 03.2024

ROI Medical Records Specialist Over Night

Health Medical Clinic
12.2019 - 07.2022

Customer Service Representative Team Lead

Veterans Administration
01.2018 - 12.2019

Associate of Applied Science -

Wayne County Community College

High School Diploma -

Penn Foster College

Similar Profiles

CREATE PROFILE
Nygera` Hunter