Savannah Warner
Overview
9
9
years of professional experience
Work History
Billing/Provider Claim Resolution Specialist
Sutter Health
07.2023 - Current
- Posted and adjusted over 500 payments from insurance companies and patients daily.
- Researched and resolved over 500 claim denials, pre-bill edits and pre-bill errors.
- Regularly reviewed payer-specific guidelines to ensure optimal reimbursement for services provided by the organization.
- Streamlined billing processes for increased efficiency and reduced errors in claims submissions.
- Streamlined the appeals process for 1000+ denied claims, resulting in faster resolution times for clients, weekly.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Patient Account Specialist I
River Crest Hospital
05.2022 - 07.2023
- Worked with outside entities to resolve issues with billing, claims, and payments over 300+.
- Contacted patients after insurance was calculated to obtain payments.
- Increased revenue recovery rates by 15% through identifying trends in denied claims, researching root causes, implementing corrective measures to prevent future occurrences accordingly.
- Streamlined account management processes for improved efficiency and accuracy in recordkeeping.
- Used data entry skills to accurately document and input statements.
Claims Specialist (Medicaid/Medicare Contract)
Performant Recovery
08.2019 - 05.2022
- Posted payments upwards of $50,000.00 towards Medicare accounts collected from physicians accounts
- Created 300+ Excel documents yearly to assist with pulling metrics data and presenting information to our team of doctors for concise explanations of best placement for needed resources
- Produced 22 monthly reports using advanced Excel spreadsheet functions
- Answered 500+ calls monthly on multi-line phone systems, routing calls, delivering messages to staff and greeting visitors
- Executed record filing system to improve document organization and management
- Sent 25-30 emails daily demonstrating mastery of written communication and attention to detail
- Scheduled and coordinated virtual and in-person meetings, ALJ court hearings, travel and appointments for 30-person department
- Organized and managed sensitive data input in over 12 excel spreadsheets, retrieving and delivering information quarterly or as needed
- Conducted full claim investigations and reported updates and legal actions.
Health Care Billing Specialist
Sitel
08.2015 - 08.2019
- Submitted verbal and written notification to members and providers
- Remained knowledgeable regarding company policies and procedures and current developments within operational departments
- Processed and finalized appeals and grievances within agreed-upon turnaround time
- Entered appeal requests in appeals module
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses
- Conducted full claim investigations and reported updates and legal actions
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Education
High School Diploma -
Robert Lee High School
Robert Lee, TX05-2014
Skills
- Billing systems and software- First net, my chart, waystar, cpr
- Coding proficiency, HCPC, CPT, ICD 10, IDC 9
- Inpatient records coding
- Payment posting
- High volume claims processing and billing
Timeline
Billing/Provider Claim Resolution Specialist
Sutter Health
07.2023 - Current
Patient Account Specialist I
River Crest Hospital
05.2022 - 07.2023
Claims Specialist (Medicaid/Medicare Contract)
Performant Recovery
08.2019 - 05.2022
Health Care Billing Specialist
Sitel
08.2015 - 08.2019
High School Diploma -
Robert Lee High School