Summary
Overview
Work History
Education
Skills
Timeline
Generic

Penny Gamble

revenue cycle specialist
Pinckney, MI,MI

Summary

Dynamic Revenue Cycle Specialist with a proven track record at the University of Michigan, excelling in claims review and denial management. Expert in identifying trends to reduce denials and enhance collections performance. Strong decision-making skills complemented by professionalism and ethics, ensuring effective patient registration and insurance verification. I have worked in the Psychiatry and Social Work division for over 15 years, as well as in the Emergency, Physical Medicine, and Rehabilitation departments. I have worked with HMO, BCN, and commercial insurance.

Overview

25
25
years of professional experience

Work History

Revenue Cycle Specialist

University of Michigan
Ann Arbor
04.1998 - 12.2022
  • Analyzed claims data to identify trends in denials and rejections.
  • Researched discrepancies on unpaid invoices and reconciled them.
  • Processed appeals related to denied or rejected claims in a timely manner.
  • Reached out to responsible companies and individuals to collect on outstanding debts.
  • Contacted insurance providers to check patient coverage.
  • Conducted follow-up on unpaid or partially paid claims.
  • Identified coding errors, corrected them, and resubmitted claims to payers as needed.
  • Provided customer service support by responding to inquiries from patients, physicians, and insurance carriers via telephone or email.
  • Developed strategies to reduce denials and improve overall collections performance.
  • Assisted in training new staff members on departmental policies and procedures related to revenue cycle activities.

Education

Hartland High
Hartland, MI
06-1978

Skills

  • Decision-making and problem-solving
  • Claims review and denial management
  • Patient registration and insurance verification
  • Professionalism and ethics

Work Type

Part Time

Timeline

Revenue Cycle Specialist

University of Michigan
04.1998 - 12.2022

Hartland High
Penny Gamblerevenue cycle specialist
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