Summary
Overview
Work History
Education
Skills
Timeline
Generic

Reshena Thomas Lovings

Lancaster,TX

Summary

Results-driven professional with extensive experience in the healthcare revenue cycle. Skilled in payment posting, insurance verification, and discrepancy resolution. Committed to improving accuracy and efficiency, with a strong focus on customer service and team collaboration.

Overview

11
11
years of professional experience

Work History

Payment Posting Specialist

Pathway Healthcare
03.2024 - Current
  • Processed payment transactions accurately within electronic health record systems.
  • Verified insurance information to ensure proper payment posting and billing compliance.
  • Resolved discrepancies in payment records through detailed research and communication with payers.
  • Collaborated with billing department to streamline payment reconciliation processes.
  • Maintained up-to-date knowledge of payer policies and procedures to enhance accuracy in postings.
  • Documented and reported trends in payment discrepancies for management review and action planning.

Revenue Cycle Specialist

Behavioral Health Group
07.2023 - 01.2024
  • Reduced outstanding account balances by implementing effective collection strategies.
  • Optimized revenue cycle, implementing effective strategies for claims management and reimbursement.
  • Ensure accurate and timely submission of claims to Medicare, Medicaid, and commercial insurers
  • Proactively follow up with insurance companies and other payers to ensure timely resolution of unpaid claims

Medical Collections Specialist

Fresenius Medical Center
11.2019 - 05.2023
  • Managed patient account inquiries and resolved billing discrepancies efficiently.
  • Reviewed and processed insurance claims to ensure compliance with regulations.
  • Collaborated with healthcare providers to verify patient information for accurate billing.
  • Led initiatives to streamline collections processes, improving overall efficiency.
  • Managed high-volume caseloads effectively while maintaining strong attention to detail and accuracy in data entry tasks related to billing adjustments or chargeoffs.
  • Negotiated payment plans with patients, ensuring timely payments and reducing financial strain on the practice.
  • Reviewed aging reports regularly to prioritize collection efforts strategically based on account status and risk level.

Reconciliation Analyst

Parallon
01.2015 - 11.2019
  • Analyzed financial discrepancies to ensure accurate reconciliation of accounts.
  • Developed and implemented process improvements to enhance efficiency in reconciliation tasks.
  • Collaborated with cross-functional teams to resolve complex financial issues effectively.
  • Reduced financial discrepancies through diligent research and prompt resolution of outstanding items.
  • Prepare reports for management for transaction trends and help improve posting errors
  • Assist payment department with posting of checks, and credit card payments
  • Posting of charges, payments, adjustments and related activities in EHR

Education

High School Diploma -

South Oak Cliff HS
Dallas, TX
05-1998

Skills

  • HIPAA compliance
  • Accuracy and speed
  • Payment reconciliation
  • Insurance verification
  • Follow-up skills
  • Customer service
  • Attention to detail
  • Multitasking and organization
  • Team collaboration
  • Decision-making

Timeline

Payment Posting Specialist

Pathway Healthcare
03.2024 - Current

Revenue Cycle Specialist

Behavioral Health Group
07.2023 - 01.2024

Medical Collections Specialist

Fresenius Medical Center
11.2019 - 05.2023

Reconciliation Analyst

Parallon
01.2015 - 11.2019

High School Diploma -

South Oak Cliff HS