Prichelle Turner
Los Angeles,CA
Summary
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 30 years of related experience to a dynamic position with room for career growth.
Overview
32
32
years of professional experience
Work History
Revenue Cycle Specialist
KabaFusion Inc
08.2020 - Current
- Got unpaid claims paid through resubmission, obtaining missing documentation, correcting claims, and getting letters of medical necessity.
Lead Medical Biller Collector
Cymetrix/Navigant & Retina Medical
10.2019 - 07.2020
- Responsible for Billing, Collections, Appeals, Denials, and follow-up of Hospital Claims.
Medical Biller Collector
St Vincent's Hospital
02.2019 - 09.2019
- Responsible for Billing, Collections, Appeals, Denials, and follow-up of Hospital Claims.
- Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
Medical Biller Collector
Surgical Care Associates
09.2018 - 01.2019
- Responsible for Billing, Collections, Appeals, Denials, and follow-up of Surgical Claims.
Senior Lead Government Medical Biller Collector
Central City Community Health Center
10.2011 - 04.2018
- Oversee all billing office functions with respect to revenue collections, production reports, and staff training.
Accounts Administrator - Billing/Collections
Siena Health Care Solutions
04.2008 - 08.2011
- Performed numerous appeals which resulted in claim payment resolution.
Accounts Administrator - Billing/Collections
Cedar Sinai Medical Towers- Dermatology
05.2006 - 04.2008
- Performed collections on patient's accounts and followed up on Out of Network insurance.
Accounts Administrator - Billing/Collections
Women's Health Care of Beverly Hills
09.2002 - 01.2006
- Research insurance authorizations and respond to patient account inquiries.
Senior Accounts Administrator
Prairie Medical Group
09.1992 - 10.2002
- Maintain patient claims using Allegiance MD Software and provide reports and reimbursement of claims.
Education
High School Diploma -
George Washington High School
10865 Denker AveSkills
- CPT/ICD coding (diagnosis and procedure code)
- More than 10 years' experience as a Revenue Cycle
- Extensive network with clearing houses across the country
- Computer savvy, up to date experience with electronic data entry systems
- Excellent communication skills
- Highly organized with superior attention to detail
- Spreadsheet creation, entry, and formulation
- Misys Tiger Software
- Practice Management System
- Medisoft
- EHEALTH
- EClinical
- Esolutions
- Claimremdi
- Office Ally
- Claims review
- Claims Processing Proficiency
- HIPAA Compliance
- Professionalism and Ethics
- Accounts receivable management
- Revenue Cycle Management
Locations
- Rosemead, Rosemead, CA
- El Segundo, El Segundo, CA
- Los Angeles, Los Angeles, CA
- Beverly Hills, Beverly Hills, CA
- Culver City, Culver City, CA
Coursework
El Camino College, Los Angeles, Los Angeles, CA, Computer Technology, Business Mathematics, Medical Coding, Reporting (writing course)
Timeline
Revenue Cycle Specialist
KabaFusion Inc
08.2020 - Current
Lead Medical Biller Collector
Cymetrix/Navigant & Retina Medical
10.2019 - 07.2020
Medical Biller Collector
St Vincent's Hospital
02.2019 - 09.2019
Medical Biller Collector
Surgical Care Associates
09.2018 - 01.2019
Senior Lead Government Medical Biller Collector
Central City Community Health Center
10.2011 - 04.2018
Accounts Administrator - Billing/Collections
Siena Health Care Solutions
04.2008 - 08.2011
Accounts Administrator - Billing/Collections
Cedar Sinai Medical Towers- Dermatology
05.2006 - 04.2008
Accounts Administrator - Billing/Collections
Women's Health Care of Beverly Hills
09.2002 - 01.2006
Senior Accounts Administrator
Prairie Medical Group
09.1992 - 10.2002
High School Diploma -
George Washington High School