Summary
Overview
Work History
Education
Skills
Timeline
Generic

Raynette Faulkner

Florissant,MO

Summary

Well-qualified Cash Poster offering 20+ years of demonstrated skill and success in the healthcare industry with optimal performance. Proficient in all aspects of cash posting, including accounts payable and receivable. Gifted in handling high dollar payments with accuracy and efficiency. Known for having a great rapport with coworkers and customers. Successful at managing multiple priorities with a positive attitude. Willingness to take on special projects and added responsibilities to meet team goals. Maintains a pleasant and calm demeanor under stress.

Overview

26
26
years of professional experience

Work History

Corporate Cash Poster

SSM HEALTH
02.2012 - Current
  • Post, process and balance activities related to third party remittances/eob's and all other forms of payments received for both HB and PB patients.
  • Pull remits/eob's from applicable payor websites.
  • Post zero payment insurance denials to patient accounts.
  • Research and reconcile recoupments and unidentified payments.
  • Collaborates with the RCS and finance team to resolve discrepancies, ensuring accurate external postings.
  • Optimizes workflow efficiency through proactive identification of issues within the cash posting process, ensuring necessary improvements.
  • Reduce unapplied cash balances through thorough research and accurate allocation of payments.
  • Supports financial audits by providing detailed documentation of cash posting activities.
  • Increase transparency of outstanding balances by regularly updating cash control status and communicating with leadership.
  • Manages multiple competing priorities within tight deadlines without compromising precision in task execution, displaying exceptional time-management skills.
  • Assists in training new employees on properly posting cash using the EPIC system, promoting a consistent approach across the team.
  • Manages and responds to correspondence inquiries from other departments.
  • Assists with special projects to meet departmental goals.

Associate Collections Representative

Optum, UnitedHealth Group
02.2022 - 12.2023
  • Posted, processed and balanced activities related to third party remittances/eob and all other forms of payments received for both HB and PB patients.
  • Pulled remits/eob from applicable payor websites.
  • Posted zero payment insurance denials to patient accounts.
  • Researched and reconciled recoups and unidentified payments.
  • Collaborated with RCS and finance team to resolve discrepancies, ensuring accurate external postings.
  • Optimized workflow efficiency through proactive identification of issues within cash posting process, ensuring necessary improvements.
  • Reduced unapplied cash balances through thorough research and accurate allocation of payments.
  • Supported financial audits by providing detailed documentation of cash posting activities.
  • Increased transparency of outstanding balances by regularly updating cash control status and communicating with leadership.
  • Managed multiple competing priorities within tight deadlines without compromising precision in task execution, displaying exceptional time-management skills.
  • Assisted in training new employees on properly posting cash using the EPIC system, promoting a consistent approach across the team.
  • Managed and responded to correspondence inquiries from other departments.
  • Assisted with special projects to meet departmental goals.












Patient Account Representative Accounts Receivable

KSL Billing + Management
04.2011 - 02.2012
  • Prepared a systematic approach to work the collection module for patient responsibility accounts according to KSL protocols.
  • Prepared accounts that were ready to be sent to ARC collection Agency.
  • Entered appropriate documentation in each account to ensure that each account was analyzed and worked.
  • Posted TFFA payments
  • Ran credit card payments for GCOP and posted payments to patient accounts.
  • Responded to attorney requests for itemized statements.
  • Answered patient phone calls for GCOP group line, TFFA group line and operator line.
  • Maintained unapplied credit reports, refunded proper party when overpayment existed.
  • Handled all insurance refund requests that came through mail.
  • Maintained proper balancing and closing reports that reflect daily work performed.
  • Kept current in accordance to KSL billing performance standards of the collection policies and procedures.
  • Worked as backup for manager when out doing billing and daily Gateway reports.

Patient Access Registrar

SSM Health DePaul Hospital - St. Louis
04.2005 - 04.2011
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Performed patient registration functions to serve as initial contact point for medical ER visits.
  • Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
  • Received patient ER co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Resolved patient financial problems with guidance from documented guidelines and procedures.
  • Expedited emergency room admissions through rapid yet thorough collection of critical information.
  • Contributed to a positive work environment by consistently providing exceptional customer service to both patients and colleagues.
  • Ensured compliance with hospital protocols by staying current on industry regulations and attending regular training sessions.
  • Assisted in training new Patient Access Registrars, sharing best practices for optimal performance.
  • Demonstrated empathy and understanding toward patients facing difficult medical situations, offering support when needed.
  • Upheld the highest standards of professionalism while interacting with diverse populations seeking medical assistance.

Patient Accounts Representative II

Bellevue Radiology, Inc
06.2004 - 04.2011
  • Prepared and submitted billing data and medical claims to insurance companies
  • Ensured patient's medical information was accurate and up to date.
  • Prepared bills and invoices and documented amounts due for medical procedures and services.
  • Collected and reviewed referrals and pre-authorizations.
  • Monitored and recorded late payments.
  • Followed up on missed payments and resolved financial discrepancies.
  • Examined patient bills for accuracy and requested any missing information.
  • Investigated and appealed denied claims.
  • Helped patients develop payment plans and assisted with financial assistance applications.
  • Worked with customers to resolve billing issues or complaints.
  • Assisted in training new employees.
  • Maintained knowledge of CPT and ICD-9/10 coding.

Claims Associate II

Healthlink, Inc
02.1998 - 04.2011
  • Separated Printed HCFA and UB claims received from providers.
  • Batched claims giving each claim in batch a document control number.
  • Processed employee claims for repricing and production of an adjudication while meeting departmental goal of 35 claims per hour .
  • Matched HCFA and/or UB with adjudication ensuring document control number and demographic information matched.
  • Sorted matched claims by payer, quantified sorted claims paying close attention to detail ensuring claims are sorted accurately to prevent HIPAA violations.
  • Mailed claims to payer.
  • Developed and implemented ideas to improve mail sorting process
  • Updated and maintained accurate and up-to-date payer addresses in data base, reducing mailing errors.
  • Resolved all returned mail issues.
  • Assisted with training new employees.
  • Was back up for the switchboard operator.
  • Remained HIPAA compliant and adhered to confidentiality policies.

Education

High School Diploma -

North County Technical High School
Florissant, MO
06.1992

Skills

  • Payment Processing
  • Accurate data entry and 10-key
  • Accounts Receivable
  • Multitasking Abilities
  • Handling Confidential Materials
  • EPIC software experience
  • Medical terminology, CPT and ICD-10 coding knowledge
  • Excellent customer service
  • Microsoft office experience (word, excel, outlook)
  • Dedicated team player
  • New Hire Training
  • Collections

Timeline

Associate Collections Representative

Optum, UnitedHealth Group
02.2022 - 12.2023

Corporate Cash Poster

SSM HEALTH
02.2012 - Current

Patient Account Representative Accounts Receivable

KSL Billing + Management
04.2011 - 02.2012

Patient Access Registrar

SSM Health DePaul Hospital - St. Louis
04.2005 - 04.2011

Patient Accounts Representative II

Bellevue Radiology, Inc
06.2004 - 04.2011

Claims Associate II

Healthlink, Inc
02.1998 - 04.2011

High School Diploma -

North County Technical High School
Raynette Faulkner