Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic

Robyn Frederickson

Manchester

Summary

Professional with experience in billing and account management. Skilled in handling complex billing issues, ensuring accuracy, and meeting deadlines. Strong focus on team collaboration and adaptability to changing needs. Reliable communicator and problem-solver with proficiency in billing software, customer service, and financial reconciliation. Prepared to deliver results and contribute effectively in fast-paced environment.

Overview

9
9
years of professional experience

Work History

Patient Service Specialist

Aware Recovery Care
12.2023 - Current


  • Streamlined insurance verification processes for faster resolution of billing issues, resulting in increased revenue collection.
  • Educated patients on available resources such as financial assistance programs
  • Provided exceptional customer service, resolving patient complaints promptly and professionally.
  • Verified patient insurance eligibility and entered patient information into the system.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Adapted quickly to changing policies or procedural updates within the clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
  • Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
  • Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
  • Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
  • Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
  • 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.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Prepared billing statements for patients and verified correct diagnostic coding.

Senior Credit Analyst

Massachusetts General Hospital
03.2022 - 03.2023
  • Download work-ques to create pivot tables to identify trends for EPIC automation and maximum productivity
  • Analyze root causes of outstanding credit balances professional, hospital and self- pay
  • Work time sensitive projects within requested deadlines
  • Identify and communicate trends to leadership to assist in determining area for process & workflow improvements
  • Collaborate with management to create workflows & training and lead the training of new employees
  • Answer questions of team in a timely manner
  • Complete any interdepartmental requests
  • Complied with internal controls and government regulations.
  • Prioritized tasks to meet or exceed timelines and supervised multiple responsibilities at same time.
  • Offered insight to upper management regarding credit decisions.
  • Generated monthly billing and posting reports for management review.


Billing Representative Credit Resolution

Massachusetts General Hospital
04.2018 - 03.2022
  • Assist in the review of electronic and manual postings to identify true credit balances
  • Apply payments and adjustments to patient accounts / Adhere to insurance payers for refund processes
  • Achieved consistent performance metrics targets by prioritizing tasks effectively amid fluctuating workloads.
  • Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
  • Coordinated with intermediate parties to obtain payments and resolve issues.
  • Leveraged strong analytical skills to identify patterns in data, enabling accurate forecasting and improved decision making.
  • Facilitated smooth departmental operations through cross-training in various roles, providing backup support as needed.
  • Assisted management with month-end close activities, ensuring accurate financial reporting within set deadlines.

Billing Representative Third Party Follow Up

Massachusetts General Hospital
03.2017 - 04.2018
  • Reviewed and solved account and billing discrepancies.
  • Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
  • Coordinated with intermediate parties to obtain payments and resolve issues.
  • Contributed to company revenue growth by identifying potential billing errors
  • Assisted management with month-end close activities, ensuring accurate financial reporting within set deadlines.
  • Trained new hires on company-specific billing software, policies, and procedures, promoting team cohesion and productivity.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.

Depositing Representative

AdvantEdge Healthcare Solutions
01.2016 - 03.2017
  • A/R
  • Posting payments to patient accounts
  • Keeping & Balancing ledgers with client bank statements
  • Depositing all paper checks into client bank accounts
  • Batching all EFT and ERA files

Education

Health Claims Specialist Certificate -

Seacoast Career Schools
05.2016

Skills

  • Project coordination
  • Strong organizational skills
  • Proficient in EPIC
  • Data interpretation
  • Analytical problem-solving
  • Skilled in healthcare billing processes
  • Proficient in Excel
  • Experienced in professional medical billing
  • Clear verbal communication
  • Prioritization and scheduling
  • Experience in maintaining HIPAA standards
  • Skilled at prioritizing concurrent responsibilities
  • Strategic decision-making
  • Payment management
  • Insurance billing processes
  • Dispute resolution
  • Spreadsheet management
  • Reimbursement processing
  • Deadline driven
  • Patient information management
  • Insurance company billing
  • Payment posting
  • Customer service
  • Strong attention to detail
  • Billing systems and software
  • Claim submission
  • Claims processing
  • Insurance eligibility verification
  • Collections
  • Month-end closing procedures
  • Revenue cycle management
  • Report generation
  • Billing cycle management
  • Statement processing
  • Medical billing and collections
  • Insurance confirmation

Accomplishments

  • Supervised team of [3] staff members.
  • Collaborated with quality assurance in the development of bots to post payments/ denials/ patient payments and write-offs
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Successfully completed the management course offered at Mass General Hospital

Languages

English
Native or Bilingual

Timeline

Patient Service Specialist

Aware Recovery Care
12.2023 - Current

Senior Credit Analyst

Massachusetts General Hospital
03.2022 - 03.2023

Billing Representative Credit Resolution

Massachusetts General Hospital
04.2018 - 03.2022

Billing Representative Third Party Follow Up

Massachusetts General Hospital
03.2017 - 04.2018

Depositing Representative

AdvantEdge Healthcare Solutions
01.2016 - 03.2017

Health Claims Specialist Certificate -

Seacoast Career Schools

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