Experienced Revenue Cycle Specialist with a strong background in claims processing, denial resolution, and insurance verification. Known for resolving billing discrepancies, supporting clean claim submission, and improving reimbursement outcomes.
Overview
19
19
years of professional experience
Work History
Revenue Cycle Specialist II
UH Hospitals
02.2019 - Current
Verified insurance eligibility and benefits to support clean claim submission.
Analyzed patient accounts to resolve billing discrepancies and maintain claim accuracy.
Investigated denials, corrected errors, and resubmitted claims for timely reimbursement.
Followed up on aging accounts receivable to improve collection outcomes.
Increased revenue by identifying and resolving billing errors in a timely manner.
Reached out to insurance companies to verify coverage.
Insurance/ Patient Account Follow-up Specialist
MHG Martin Healthcare Group
07.2007 - 02.2019
Perform effective account follow up with third party payers by making phone calls and using the internet to obtain claim information.
Effectively follow up with self-pay patients by processing payments and setting up payment plan arrangements per office policy.
Correct claim denial errors that are received via correspondence and posted in the billing systems for EOBs.
Answer patient phone calls to address billing and other question they may have.
Process appeals by ordering charts, correcting claims data errors, and working with department coders to ensure accurate billing.
Perform registration of patient data in various systems.