Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Specialist
Families First Pediatrics
South Jordan, UT
09.2022 - Current
Instruct and educate new team members on the proper implementation of company billing policies and utilization of the system
Demonstrate excellent phone communication skills for both incoming and outgoing calls between insurances, patients, and/or internal staff
Ensure accurate and up-to-date patient demographic records
Manage Patient Billing in accordance with the collection process to collect on past due account balances
Transfer outstanding debts to a third-party collector for resolution
Process Patient Refund Requests and forward them to Accounts Payable for payment.
Maintain accuracy in billing by reviewing pending charges and making necessary adjustments to codes and modifiers
Efficiently handle incoming messages from providers
Ensure charges are signed by providers through generated reports for billers' review
Post EFT's
Review and resolve insurance denials
Ensured that claims were promptly filed by reviewing and addressing issues with stuck claims
Insurance Verification
Effectively manage records requests from Attorney's Offices and Insurances
Review and distribute incoming faxes
Balance and Report Daily Deposit Totals
Mail Distribution and Processing
Payment Processing
Account Notation
Generate and Mail HCFA forms
AR Specialist
Ventra Health (Formerly Known as Abeo Management)
South Jordan, UT
11.2018 - 09.2022
Individually Trained new staff on system usage and company billing policies and practices
Evaluated and resolved a variety of insurance denials
Specialized in specific insurance processing.
Maintained promptness in claim submissions by consistently reviewing claims denied by the clearing house
Managed and processed records requests from Attorneys’ offices and Insurance.
Efficiently managed incoming and outgoing phone calls from patients and insurances
Managed accounts in compliance with company collection policies
Generated Refund Request Report to be sent to Client for Payment