Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Queeny Ornick

Austin,TX

Summary

Detail-oriented Healthcare Billing and Data Specialist with 10+ years of progressive experience in healthcare administration, including expertise in charge processing, claims reconciliation, financial accuracy, CPT/HCPCS code review, and regulatory compliance. Skilled in analyzing complex data, supporting charge structure maintenance, and collaborating with clinical and financial teams to ensure proper billing practices. Demonstrates strong organizational skills, analytical thinking, and commitment to healthcare integrity and excellence.

Overview

20
20
years of professional experience

Work History

Member Engagement Specialist

CVS
Austin, Tx
03.2019 - Current
  • Analyzed claim data and EOBs to identify underpayment and denial trends, generating summaries for resolution.
  • Supported predictive analysis through root cause identification of payment variances, offering insights to management.
  • Maintained accurate system profiles and billing records to ensure timely reimbursement per Medicare guidelines.
  • Collaborated with internal stakeholders to create charge data extract files and enhance self-service reporting tools.
  • Monitored revenue cycle workflows from patient access to payment posting, ensuring documentation accuracy.
  • Developed reports for business activities and revenue integrity audits to support operational efficiency.
  • Engaged in continuous improvement initiatives for billing operations, ensuring regulatory compliance and internal standards.

Data Entry Clerk (Contract)

Conduent
Austin, Tx
10.2018 - 04.2019
  • Validated large volumes of healthcare charge and enrollment data to ensure billing compliance.
  • Identified and resolved inconsistencies in charge records, enhancing data accuracy.
  • Assisted in standardizing pricing files to improve overall data integrity.
  • Generated daily reconciliation reports to support accurate billing and remit posting.

Collection Representative (Contract)

R1-RCM
Austin, Tx
05.2017 - 04.2018
  • Managed high volumes of client communications to resolve overdue accounts and clarify billing discrepancies.
  • Educated patients on financial responsibilities and available resources, advocating for prompt resolutions.
  • Collaborated with internal departments and payers to identify and address root issues affecting payments.

Billing Representative

Seton Family of Hospitals
Austin, Tx
08.2005 - 02.2017
  • Performed high-volume, detailed charge and enrollment data entry in alignment with state and federal healthcare billing standards.
  • Identified and reported discrepancies in pricing or charge records, helping to streamline system accuracy.
  • Supported database integrity and provided supervisors with detailed reporting and data audits.

Education

Bachelor of Science - Healthcare of Administration

University of Phoenix
Austin, TX
06.2017

Associate of Arts - Healthcare of Administration

University of Phoenix
Austin, TX
08.2013

Skills

  • Appeals and denial management
  • Revenue cycle management
  • Explanation of benefits analysis
  • Hospital billing expertise (UB-04)
  • ICD-10 and HCPCS coding
  • Claims dispute resolution
  • Payer compliance strategies
  • Proficiency in Microsoft Office
  • Insurance coverage verification
  • HIPAA compliance practices
  • Accurate data entry skills
  • Experience with CVS and Aetna systems
  • Call center operations

Timeline

Member Engagement Specialist

CVS
03.2019 - Current

Data Entry Clerk (Contract)

Conduent
10.2018 - 04.2019

Collection Representative (Contract)

R1-RCM
05.2017 - 04.2018

Billing Representative

Seton Family of Hospitals
08.2005 - 02.2017

Bachelor of Science - Healthcare of Administration

University of Phoenix

Associate of Arts - Healthcare of Administration

University of Phoenix

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