Proven Revenue Cycle Specialist with extensive experience at Option Care, adept in claims processing and enhancing billing procedures. Excelled in managing end-to-end billing for non-electronic accounts, significantly improving claim tracking efficiency. Demonstrates strong account management skills and a commitment to resolving billing discrepancies, showcasing leadership in cross-departmental collaboration.
Overview
11
11
years of professional experience
Work History
Revenue Cycle Specialist
Option Care Home Infusion
Chicago, IL
04.2014 - Current
Managed the end-to-end process of creating, mapping, scrubbing, and submitting claims for non-electronic accounts in the home infusion billing department.
Reached out to responsible companies and individuals to collect on outstanding debts.
Researched discrepancies on unpaid invoices and reconciled them.
Collaborated with other departments to resolve customer inquiries regarding billing issues.
Evaluated existing workflows for efficiency and effectiveness in order to recommend changes as needed.
Identified and corrected payment problems involving patients or third-party payers.
Processed claims for chemotherapy, skilled nursing homes, rehabilitation centers, hospice care, workman's compensation accounts, and patient copay assistance programs.
Developed the first departmental spreadsheet to track non-electronic accounts, leading to its adoption across multiple departments for claim and revenue tracking by account and date.
Education
Associate of Applied Science - Medical Billing
Baker College
Flint, MI
06-2010
Skills
Claims Assessment
Billing Procedures Management
Insurance Eligibility Verification
Account management
CPT knowledge
ICD-10 coding
Claims processing
Medical Claims Processing
Timeline
Revenue Cycle Specialist
Option Care Home Infusion
04.2014 - Current
Associate of Applied Science - Medical Billing
Baker College
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