RACHEL SIMPSON
Eating Recovery Center
Denver,CO
21
years of professional experience
Revenue Management Professional experienced in streamlining billing operations and resolving payment discrepancies. Delivered optimal financial results through collaboration and adaptability in dynamic environments. Enhanced team performance and operational efficiency by leveraging strong analytical skills and expertise in revenue cycle management software.
Work History
Revenue Cycle Specialists Supervisor
3 Years 1 Month- Implemented workflow improvements to enhance revenue cycle efficiency.
- Identified process improvement opportunities within revenue cycle, facilitating enhanced operational efficiency.
- Monitored employee productivity, providing constructive feedback and coaching to enhance team performance.
- Provided guidance and direction to subordinates regarding job duties and responsibilities.
- Trained new staff on policies, procedures, and system usage.
- Trained new employees on best practices and company policies.
- Assisted patients in understanding their insurance benefits and payment options.
- Compiled data into weekly and monthly reports to track performance metrics and support revenue cycle decision-making.
- Prepared financial statements for management review.
Revenue Cycle Specialists Levels 1-2-3
2 Years 10 Months- Managed patient billing processes to ensure timely reimbursements.
- Coordinated with insurance companies for claim submissions and follow-ups.
- Reviewed patient accounts for accuracy and compliance with regulations.
- Processed appeals related to denied or rejected claims in a timely manner.
- Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
- Identified and resolved payment discrepancies for patients and third-party payers, enhancing revenue recovery efforts.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Collaborated with clinical staff to ensure accurate and complete documentation for claims processing.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Researched discrepancies on unpaid invoices and reconciled them.
Billing Specialist/New Patient Coordinator
5 Years 3 Months- Efficient in fast-paced Environment and High Volume Claims. Met Goals of exceeding 5000 claims monthly.
- Established and maintained patient profiles and charts, enhancing organizational efficiency.
- Processed over 5000 high-volume claims monthly in fast-paced environment, meeting established goals.
- Researched and Resolved Billing Discrepancies.
- Initiated Prior Authorizations with the Insurance Plans.
- Coordinated with healthcare providers for billing inquiries.
- Established and maintained patient profiles and charts, affecting in organizational matters.
- Provided exceptional customer service and ensured all clients knew status of accounts.
- Processed prescriptions for Medicare, Medicaid, Hospice, and private plans.
- Gathered all necessary information for Intake Admission for all new and readmits to our facilities.
- Provided exceptional customer service and ensured all clients knew status of accounts.
- Reviewed patient accounts for accuracy and completeness, ensuring compliance with billing standards.
- Maintained electronic records in pharmacy management systems.
- Assisted in resolving discrepancies related to claims submissions.
- Supported audits by providing necessary documentation and reports.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Certified Tech
2 Years 2 Months- Supervised compound preparation process in pharmacy.
- Managed inventory of supplies and equipment to ensure availability of essential prescriptions.
- Processed insurance claims for reimbursement.
- Interacted with customers to process payments and address inquiries, enhancing customer service experience.
- Lead Trainer for new hires.
- Transmitted new orders from doctors to system to streamline prescription fulfillment process.
- Created patient profiles and processed prescriptions.
Certified Tech
6 Years 4 Months- Conducted training sessions for new employees to enhance their skills and knowledge.
- Assembled patients' profiles and prescriptions.
- Supported pharmacists in preparing and dispensing prescriptions to ensure timely patient service.
- Lead Trainer for new hires.
Education
B.A. - Business Administration and Marketing
Skills
Medical billing
Claims processing
Coding
Regulatory compliance
Health operations management
Data Analysis
Time management skills
Organizational
Team leadership
Customer relationship management
Problem-solving
Attention to detail
Communication
Regulatory compliance
Timeline
Revenue Cycle Specialists Supervisor
Eating Recovery Center
01.2022 - 02.2025Read More
Revenue Cycle Specialists Levels 1-2-3
Eating Recovery Center
03.2019 - 01.2022Read More
Billing Specialist/New Patient Coordinator
Omnicare Long Term Care Pharmacy
08.2012 - 11.2017Read More
Certified Tech
Pharmaca Integrative Pharmacy
02.2010 - 04.2012Read More
Certified Tech
Kroger Pharmacy
10.2003 - 02.2010Read More
Middle Tennessee State University
B.A. from Business Administration and Marketing
Read More