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 23 years of related experience to a dynamic position with room for career growth.
Overview
27
27
years of professional experience
Work History
Revenue Cycle Specialist
Novant Health, Inc
3701 Arco Corporate Drive Charlotte, NC 28277
09.2002 - Current
Reached out to insurance companies to verify coverage.
Resolved credit balances on patient accounts.
Processed refund over forty refund checks to guarantors and insurance companies daily.
Processed over one million dollars a day in insurance payments, adjustments, denials, electronic/lockbox receipts and other mail.
Assist with answering patient, insurance company, and clinic telephone inquiries.
Reports to manager problem and trends with payers and other departments on a regular basis. Also assist manager with suggestions for resolution of issues.
Identified and resolved payment issues between patients and providers.
Research credit balances by reviewing all payments and adjustments posted to patient’s account by looking at information posted in the practice management systems, explanation of • benefits, and payer websites to determine proper action needed.
Call guarantors to add demographic information to ensure proper delivery of documents to comply with HIPPA.
Customer Service Representative
First Union National Bank
1525 W WT Harris Blvd
07.1998 - 03.2002
Responded to customer requests for products, services, and company information.
Delivered prompt service to prioritize customer needs.
Reduced process inconsistencies and effectively trained team members on best practices and protocols.
Met customer call guidelines for service levels, handle time and productivity
Processed wire transfers for millions of dollars a day
Quoted customers rates on savings and certificates of deposit.
Investigated and resolved customer inquiries and complaints by telephone for at least 75 plus customers a day.
Exhibited high energy and professionalism when dealing with clients and staff.