Robyn Tweed-Dancy
SANFORD,USA
Summary
Enthusiastic medical billing and coding/insurance follow up specialist, seeking full-time position as an Insurance Follow Up Rep. Passionate about healthcare systems. Trained in ICD-10 coding, medical terminology, insurance follow up, data management, data entry, conducting billing practices, reconciliation and many other administrative tasks. Familiar with various computerized coding programs and electronic health records.
Overview
23
23
years of professional experience
Work History
Team Lead/Insurance Operations
Annuity Health
Chicago, IL
03.2023 - Current
- Assist in Managing a team of 15 insurance follow up reps
- Follow up on acct review requests from client and upper management
- Keep track of and send out team productivity stats weekly
- Complete Team Quality Audits Monthly to ensure follow up accuracy
- Respond timely to all requests for assistance from teammates regarding system or claims questions
- Support upper management in providing compliance training to the team
- Ensures that reps on my team are following up on claims in a timely manner and resolution processes utilized are accurate and within client guidelines
- Complete claim edits and resubmissions within timely filing guidelines
- Review coding and denial reasons to determine best resolution
- Files appeals and submits requested information to payers to resolve denials
- Develop relationships with patients, clinical staff, insurance payers, and other revenue cycle specialists
- Interacts weekly with client reps to ensure seamless results for the client
SR. INSURANCE FOLLOW UP REPRESENTATIVE
Annuity Health Inc
Chicago, IL
03.2022 - 03.2023
- Contact insurance companies to determine claim denial reasons
- Correct and resubmit claims in a timely manner to ensure payment
- Identify payer trends in denied payments by insurance companies to correct issues
- Coordinate with coding, HIMS and other departments to ensure claims are corrected and resubmitted timely
- Effectively communicate with other departments to resolve denial issues and submit appeals in a timely manner
- Stay current on changes with insurance company policies to ensure compliant billing
INSURANCE FOLLOW UP REP-REMOTE
Receivable Solutions Inc
Columbia, SC
03.2021 - 03.2022
- Manages claims that are billed out for various hospital procedures
- Complete claim edits and resubmissions within timely filing guidelines
- Review coding and denial reasons to determine best resolution
- Files appeals and submits requested information to payers to resolve denials
- Develop relationships with patients, clinical staff, insurance payers, and other revenue cycle specialists
Patient Accounts Representative-Medical Billing and Coding
VC & Associates
Sanford, NC
05.2017 - 03.2021
- Manages health records
- Applied ICD-10 coding procedures
- Updated and processed insurance claims for time and accuracy
- Submitted claims to Medicare, Medicaid, and private health insurance providers
- Responsible for accurate input and upkeep of patient demographic information to prevent insurance claim denials
- Responsible for rebilling denied claims to the respective insurance companies to ensure speedy and accurate payment of amount due
- Also responsible for sending invoices to clients for unpaid portions of their service bills that insurance did not cover
- Communicates daily with insurance reps (Medicaid...BCBS...Cigna...Tricare) physicians and their offices, pharmacies, etc to facilitate a smooth patient referral and billing process
Mortgage I Credit Card Servicing Specialist
Bank of America
Norfolk, VA
11.2001 - 12.2016
- Promptly responded to general inquiries from members, staff, and clients via mail, e-mail and fax
- Guaranteed positive customer experiences and resolved all customer complaints
- Executed outbound calls to existing customer base resulting in exceeding threshold for collection effectiveness
- Kept abreast of rapidly evolving technology
- Handled inbound collection calls in an extremely fast paced environment
- Responsible for completing detailed notations of each customer interaction
- Earned 'Top Seller' for two consecutive quarters in years 2001-2011
- Developed highly empathetic client relationships and earned reputation for exceeding sales goals
- Cross trained and provided back-up for other customer service representatives when needed
- Resolved product issues and shared benefits of new technology
- Developed new customer prospects or referrals
- Regularly sought opportunities to up sell and add on additional merchandise
- Generated leads for new sales through telephone and email contact with customers
Education
CPC - Medical Billing and Coding Certification
UNC-Greensboro
Greensboro01.2017
High School Diploma - General Studies
Oak Meadow High School
Blacksburg, VA, USA01.1998
Skills
- CPC CERTIFICATION
- ICD-IO
- CPT
- Epic
- Allscripts
- Meditek
- HCPCS
- CERNER
- Medical terminology
- Insurance terminology
- HIPAA Patient confidentiality
- Data entry
- Data management/Electronic health records
- Microsoft Office systems (Word, Excel, Office)
- Medicare
- Medicaid
- Commercial
Essential Skills
- CPC Certification
- ICD-10
- CPT
- Epic
- Allscripts
- Meditek
- HCPCS
- CERNER
- Medical terminology
- Insurance terminology
- HIPAA Patient confidentiality
- Data entry
- Data management/Electronic health records
- Microsoft Office systems (Word, Excel, Office)
- Medicare, Medicaid, and private insurance claims
Career Overview
Enthusiastic medical billing and coding/insurance follow up specialist, seeking full-time position as an Insurance Follow Up Rep. Passionate about healthcare systems. Trained in ICD-10 coding, medical terminology, insurance follow up, data management, data entry, conducting billing practices, reconciliation and many other administrative tasks. Familiar with various computerized coding programs and electronic health records.
Timeline
Team Lead/Insurance Operations
Annuity Health
03.2023 - Current
SR. INSURANCE FOLLOW UP REPRESENTATIVE
Annuity Health Inc
03.2022 - 03.2023
INSURANCE FOLLOW UP REP-REMOTE
Receivable Solutions Inc
03.2021 - 03.2022
Patient Accounts Representative-Medical Billing and Coding
VC & Associates
05.2017 - 03.2021
Mortgage I Credit Card Servicing Specialist
Bank of America
11.2001 - 12.2016
CPC - Medical Billing and Coding Certification
UNC-Greensboro
High School Diploma - General Studies
Oak Meadow High School