Robyn Briskey
Salyersville,KY
Summary
Results-driven Denial Specialist known for productivity and efficiency in task completion. Specialize in claims analysis, appeal process management, and regulatory compliance, ensuring thorough understanding of insurance protocols. Excel in communication, problem-solving, and time management, leveraging these skills to navigate complex denial cases successfully.
Overview
14
14
years of professional experience
Work History
Business Owner
Farmhut Boutique
Salyersville, KY
08.2020 - Current
- Determined pricing for products or services based on costs and competition.
- Established marketing strategies, such as social media campaigns, to promote the business.
- Reviewed financial statements and sales or activity reports to measure productivity or goal achievement.
- Monitored progress by establishing plans, budgets and measuring results.
- Created and implemented marketing and advertising strategies to support revenue goals and promote strategic growth.
- Monitored cash flow to ensure proper budgeting of resources.
- Promoted business on social media platforms to maximize brand identity and generate revenue.
Denial Recovery Analyst
Revacore, formerly BLS
Crescent Springs, KY
05.2017 - 07.2024
- Follow up on claims in a timely fashion as outlined in Revecore and/or departmental policies and procedures
- Contact insurance company to obtain missing information, explain and resolve denials and arrange for payment or adjustment processing on behalf of client
- Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation related to claims payment to evaluate and appeal denied claims
- Document information in appropriate Revecore and client systems
- Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting
- Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other Revecore personnel
- Communicate with client contact concerning all issues related to billing, posting, contracts and all other client related issues
Billing Specialist
Highlands Regional Medical Center
Prestonsburg, KY
04.2013 - 04.2017
- Handled billing, waivers and claims for private, government and commercial payors.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reconciled codes against services rendered.
- Completed and submitted appeals for denied claims.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Submitted claims to insurance companies.
Hospital Patient Access
Paul B. Hall Regional Medical Center
Paintsville, KY
06.2011 - 04.2013
- Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
- Communicated with patients with compassion while keeping medical information private.
- Accurately completed all necessary paperwork related to patient registration process such as forms, consent documents.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Entered patient demographic and financial data into computer system accurately.
- Greeted patients, determined purpose of visit and directed to appropriate staff.
- Ensured that all relevant information was entered into the system before discharging a patient from ER.
- Greeted patients and verified patient information for registration process.
- Maintained confidentiality of protected health information according HIPAA guidelines.
- Verified insurance coverage and obtained authorizations as needed.
- Coordinated with third party payers for authorization requirements prior to admission.
Education
Associate of Applied Science - Medical Insurance Billing And Coding
Big Sandy Community & Technical College
Prestonsburg, KY06-2009
Skills
- Work Planning and Prioritization
- Strategic Decision-making
- Quality assurance
- Attention to detail
- Verbal and written communication
- Data entry proficiency
- Billing process management
- Deadline oriented
- Accuracy and precision
- Customer service
- Professionalism and ethics
- Account management
References
References available upon request.
Timeline
Business Owner
Farmhut Boutique
08.2020 - Current
Denial Recovery Analyst
Revacore, formerly BLS
05.2017 - 07.2024
Billing Specialist
Highlands Regional Medical Center
04.2013 - 04.2017
Hospital Patient Access
Paul B. Hall Regional Medical Center
06.2011 - 04.2013
Associate of Applied Science - Medical Insurance Billing And Coding
Big Sandy Community & Technical College
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