Rachael Densmore
Winchester
Summary
Dynamic Revenue Cycle Specialist with a proven track record at EnableComp, enhancing revenue through meticulous claims processing and effective insurance verification. Adept at fostering teamwork and communication, I excel in analytical problem-solving and maintaining HIPAA compliance, driving optimal reimbursement rates and improving cash flow while ensuring patient trust and satisfaction.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Specialist
EnableComp
04.2023 - Current
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Reached out to insurance companies to verify coverage.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
- Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
- Improved cash flow with diligent follow-up on pending claims and appeals processes.
Medical Receptionist
AMG Physicians
04.2022 - 04.2023
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Maintained current and accurate medical records for patients.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Transcribed phone messages and relayed to appropriate personnel.
- Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
- Reduced administrative errors by consistently verifying insurance information.
- Maintained confidentiality and privacy of patient information, adhering to HIPAA regulations.
Pet Stylisy
Happy Tails Pet Care
05.2017 - 04.2022
- Enhanced customer satisfaction by providing personalized grooming services tailored to each pet''s needs and preferences.
- Promoted parasite protection as well as skin and coat health through regular grooming, dietary suggestions, and supplement recommendations for pet owners.
- Improved time efficiency by streamlining grooming processes, allowing for more appointments per day.
- Increased appointment bookings by implementing an effective marketing strategy that showcased unique services offered.
Education
Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FLAssociate Of Applied Science - Health Administration
Colorado Technical University
Colorado Springs, CO08.2021
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
- Insurance verification
- Patient registration
- Medical billing expertise
- Analytical problem solving
- Managing records
- Collecting payments
- Revenue cycle management
- Coordinating documents
- Medical billing
- Payment posting
- Teamwork
- Problem-solving
Timeline
Revenue Cycle Specialist
EnableComp
04.2023 - Current
Medical Receptionist
AMG Physicians
04.2022 - 04.2023
Pet Stylisy
Happy Tails Pet Care
05.2017 - 04.2022
Medical Billing And Coding
Ultimate Medical Academy
Associate Of Applied Science - Health Administration
Colorado Technical University
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