Rebecca L. Stevens
Williamstown,USA
Summary
Senior billing professional with strong track record in managing complex billing processes, resolving discrepancies and enhancing revenue cycle efficiency. Adept at collaborating with teams to streamline operations and ensure accuracy. Known for adaptability and reliability in meeting changing business needs. Proficient in billing software, financial reporting, and implementing process improvements. Demonstrated ability to use analytical skills and attention to detail to ensure accurate invoicing and timely collections.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Sr Billing Specialist
Northern Oswego County Health Services Inc. Dba Connextcare
05.2022 - Current
- Enhanced customer satisfaction by addressing billing inquiries professionally and providing effective solutions.
- Improved cash flow for the company by promptly resolving outstanding invoices and accounts receivable issues.
- Supported business growth through meticulous monitoring of client accounts, enabling expansion without compromising financial stability or client satisfaction levels.
- Mentored junior billing specialists, sharing best practices and fostering a collaborative work environment.
- Contributed to process improvements within the department by actively participating in brainstorming sessions, offering suggestions, and implementing approved changes.
- Developed customized reports for management, providing valuable insights into billing trends and areas for improvement.
- Assisted in the development and implementation of billing policies, ensuring compliance with industry standards and regulations.
- Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Collaborated with medical staff to obtain necessary documentation, enabling timely submission of accurate claims.
- Streamlined billing processes for improved efficiency through the implementation of electronic payment systems.
- Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.
- Assisted patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
- Reduced processing time with thorough pre-authorization requests, ensuring prompt approvals for patient procedures.
- Stayed up-to-date with industry developments and changes in insurance policies to ensure ongoing compliance and adaptability in billing practices.
- Maintained strong working relationships with insurance providers, fostering open communication channels for claim resolution.
- Improved cash flow by promptly posting payments and reconciling accounts on a daily basis.
- Conducted periodic audits to ensure compliance with industry regulations and maintain the integrity of billing operations.
- Provided exceptional customer service to patients when discussing billing matters, demonstrating empathy and professionalism at all times.
- Optimized revenue recovery efforts by efficiently identifying underpayments and resolving discrepancies with payers.
- Enhanced claim accuracy by meticulously reviewing and verifying patient insurance information.
- Contributed to cost-saving initiatives by analyzing billing data trends and recommending process improvements where needed.
- Facilitated training sessions for new employees, sharing best practices and promoting consistency across the team''s work output.
- Increased recovery of aged receivables, devising targeted strategies for follow-up on long-standing unsettled claims.
- Fostered stronger relationships with insurance providers, establishing regular communication to clarify billing procedures and requirements.
- Boosted revenue retention, adeptly negotiating with insurance companies on disputed claims.
- Facilitated smoother workflow in billing department by training new staff on billing software and procedures.
- Reduced manual data entry errors, implementing automated verification tools for insurance eligibility checks.
- Achieved significant reductions in claim denials, analyzing common denial reasons and adjusting billing practices accordingly.
- Secured timely payments, rigorously following up on outstanding claims with insurance companies.
- Improved client satisfaction by providing comprehensive explanations of billing queries and insurance benefits.
- Reduced errors in billing statements with thorough audits, ensuring compliance with insurance regulations.
- Streamlined claim processing procedures, significantly reducing processing time by implementing efficient data entry practices.
- Enhanced operational efficiency by developing system for tracking claim statuses, keeping team informed of progress.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
- Handled account payments and provided information regarding outstanding balances.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Utilized various software programs to process customer payments.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Boosted productivity within the team by implementing time-saving software solutions for tracking claims and managing client interactions.
- Enhanced claim processing efficiency by streamlining workflows and organizing documentation.
- Improved client satisfaction by promptly addressing inquiries and resolving disputes regarding insurance billing matters.
- Maintained up-to-date knowledge of industry regulations, staying informed of changes that could impact the company''s billing practices.
- Increased revenue collection by diligently following up on outstanding insurance payments and negotiating settlements.
- Assisted in training new employees on insurance billing procedures, ensuring a seamless transition into their roles.
- Eliminated discrepancies in billing records by conducting regular audits and rectifying any identified issues swiftly.
- Coordinated with insurance carriers to verify patient benefits and coverage, minimizing delays in payment processing.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with cross-functional teams to ensure accurate and timely submission of insurance claims.
- Promoted a culture of continuous improvement, fostering innovation and collaboration among team members to identify opportunities for enhanced efficiency and effectiveness in insurance billing operations.
- Analyzed trends in denied claims data to identify patterns and develop targeted strategies for improvement efforts.
- Developed and monitored key performance indicators, driving continuous improvement in the insurance billing department.
- Streamlined insurance billing processes by implementing efficient workflow management strategies.
- . Reviewed complex cases involving multiple payers or unique circumstances, applying problem-solving skills to secure optimal reimbursement outcomes for the organization.
- Implemented new technologies to streamline insurance billing operations, resulting in increased efficiency and accuracy.
- Improved client satisfaction by addressing and resolving insurance billing inquiries in a timely manner.
- Managed a high-performing insurance billing team, providing guidance, mentoring, and professional development opportunities.
- . Coordinated closely with finance departments by reconciling accounts receivable balances regularly, ensuring accurate financial reporting across both functions.
- Enhanced team productivity by providing targeted training and support for staff members in insurance billing procedures.
- Increased revenue recovery with the implementation of effective follow-up practices on unpaid claims.
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Supported financial director with special projects and additional job duties.
Medical Billing Representative
Northern Oswego County Health Services Inc Dba Connextcare
10.2015 - Current
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Conducted periodic audits of billing records to identify errors or inconsistencies, ensuring proper documentation for future reference.
- Established a positive work environment through open communication channels and active participation in team meetings, fostering a culture of collaboration and growth.
- Posted and adjusted payments from insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Evaluated patients' financial status and established appropriate payment plans.
- Promptly sent out and posted all medical claims.
- Reduced claim denials by diligently following up with insurance companies and promptly addressing any discrepancies.
- Supported team members in resolving complex cases, applying problem-solving skills to reach favorable outcomes for all parties involved.
- Enhanced customer satisfaction by providing clear explanations of charges on bills, addressing concerns with patience and empathy.
- Diligently filed and followed up on third party claims.
- Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
- Contributed to the development of internal policies related to medical billing procedures, promoting consistency across departments.
- Assisted new hires in understanding departmental processes through comprehensive training sessions and ongoing mentorship opportunities.
- Reviewed and resolved claim issues captured in TES/CLAIMS edits and clearing house.
- Collaborated with healthcare providers to resolve billing issues, fostering strong professional relationships for better communication.
- Confidently and adeptly handled claim denials and/or appeals.
- Served as a liaison between patients, insurance companies, and healthcare providers to facilitate accurate claims processing and payment resolution.
- Ensured timely payments from patients and insurance providers by monitoring outstanding balances and initiating collection efforts when necessary.
- Improved efficiency of the billing process through streamlining workflows and implementing automation tools.
- Expedited the claims submission process by using electronic health record systems efficiently, reducing time spent on manual tasks.
- Maintained HIPAA compliance while managing confidential patient data, enhancing security measures for sensitive information.
- Optimized revenue cycle management by analyzing trends in denials and identifying areas for improvement in the billing process.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
- Handled account payments and provided information regarding outstanding balances.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Utilized various software programs to process customer payments.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Veterinary Receptionist
North Country Veterinary Services
03.2014 - 04.2022
- Managed multi-line phone system and pleasantly greeted patients.
- Facilitated smooth daily operations by answering incoming calls, directing inquiries, and taking messages for veterinarians as needed.
- Provided compassionate support during difficult situations such as end-of-life decisions or emergency visits, establishing trust with clients.
- Maintained office and waiting room, keeping common areas clean and tidy.
- Reduced wait times for clients by promptly checking in patients upon arrival at the clinic.
- Assisted veterinarians in providing timely care to patients through effective communication and coordination of services.
- Triaged incoming patients to determine treatment needs and urgency of care.
- Maximized appointment availability by effectively coordinating schedules between multiple veterinarians and clients.
- Entered data from pet records and office visits into computer system.
- Fielded phone calls from pet owners, answered questions and took messages for veterinarians.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Helped patients complete necessary medical forms and documentation.
- Assisted with medical coding and billing tasks.
Cashier
Little Lukeys Store and More
01.2005 - 01.2014
- Run cash register, maintain stock in coolers and on shelves, ordering of product, maintain charge accounts and any returned checks, file/ pay invoices and other paper work, and keep a polite and friendly attitude to all the customers.
Assistant Director
YMCA Rebel Club
01.2010 - 01.2012
- Supervise counselor and plan, coordinate and oversee daily activities of the children and staff. Maintain important documents and files required by the state. Oversee children with a wide range of behavioral differences. Discipline plans for children and contact parent regarding inappropriate behaviors.
Counselor
YMCA Rebel Club
01.2009 - 01.2010
- Supervise and interact with children in grades first through forth. Worked with first graders during tutoring sessions on math and reading. Try to make sure that all the planned activities run smoothly and help planning of activities when help was required. Help make bulletin boards and make sure that the safety of the children was the ultimate important.
Clerical Assistant
Oswego County Youth Works (APW bus garage)
01.2000 - 01.2004
- Answer phone for all concerned or aggravated parents and solved the problems that occurred, filed papers and enter the school census into the system, organized transportation for school bus trips, help put together the next year’s bus runs. And all other typical office work.
- Summers Only
Education
Associates - business Administration
American Intercontinental University Online
01.2006
High School Regents Diploma -
Altmar- Parish- Williamstown H.S.
Parish, NY01.2004
undefined
B. Rammer Tech
Mexico, NY01.2004
Skills
- Professionalism and ethics
- Adaptability to change
- Continuous process improvement
- Efficient time management
- Detailed reporting capabilities
- Accounts receivable expertise
- Attention to detail
- Multitasking and organization
- Billing systems and software
- Claim submission
- Claims processing
- Patient account management
- Revenue cycle management
- Research and due diligence
- Collections management
- Payment posting
- Insurance confirmation
- Billing dispute resolution
- Billing cycle management
- Medical billing and collections
- Statement processing
- Problem-solving abilities
Certification
Early Childhood Education, Sign Language I, II, and III, Nutrition, Child Abuse Training Seminar, psychology, CPR, First Aid, AED certifications, Early Childhood practicum, Mandated Reporting, Behavioral Management, Summer and Playground Safety, Responding to Emergencies certification, Responsive Classroom Training.
Security clearance
Finger printing and back ground check
Timeline
Sr Billing Specialist
Northern Oswego County Health Services Inc. Dba Connextcare
05.2022 - Current
Medical Billing Representative
Northern Oswego County Health Services Inc Dba Connextcare
10.2015 - Current
Veterinary Receptionist
North Country Veterinary Services
03.2014 - 04.2022
Assistant Director
YMCA Rebel Club
01.2010 - 01.2012
Counselor
YMCA Rebel Club
01.2009 - 01.2010
Cashier
Little Lukeys Store and More
01.2005 - 01.2014
Clerical Assistant
Oswego County Youth Works (APW bus garage)
01.2000 - 01.2004
undefined
B. Rammer Tech
Associates - business Administration
American Intercontinental University Online
High School Regents Diploma -
Altmar- Parish- Williamstown H.S.
Similar Profiles
Bradley CupernallBradley Cupernall
Sr. Computer Services Assistant at Oswego County Department of Social ServicesSr. Computer Services Assistant at Oswego County Department of Social Services
Shannon CrookShannon Crook
Caseworker Aide at Oswego County Department Of Social ServicesCaseworker Aide at Oswego County Department Of Social Services
Amanda BrownAmanda Brown
Referral Center Coordinator at Oswego Health - Oswego Health Referral CenterReferral Center Coordinator at Oswego Health - Oswego Health Referral Center
Mekhi H DavisMekhi H Davis
Osprey Mascot at Val Julien(Be A Talon)Osprey Mascot at Val Julien(Be A Talon)
KRISTINA MORAKRISTINA MORA
Sales Associate Team Leader / Fine Jewelry Consultant at Kay JewelersSales Associate Team Leader / Fine Jewelry Consultant at Kay Jewelers