Sheri Eckstein
Westerville
Summary
Results-driven professional specializing in claims management and billing accuracy. Proven track record in identifying payment discrepancies and executing successful appeals, leading to enhanced financial performance and increased client satisfaction.
Overview
20
20
years of professional experience
Work History
Claims/Revenue Cycle Specialist
Nationwide Children's Hospital
Columbus
12.2012 - 01.2026
- Processed appeals for denied or rejected claims promptly in Epic and Availity.
- Collaborated with clinical staff to resolve billing discrepancies and ensure financial compliance.
- Identified and corrected payment issues involving patients and third-party payers.
- Communicated with insurance providers to verify accurate patient coverage.
- Coordinated with departments to address customer inquiries and resolve billing issues.
- Engaged with responsible parties to recover outstanding debts effectively.
- Monitored accounts receivable daily, determining necessary follow-up actions.
- Performed account reconciliations between insurance companies and internal systems.
Customer Service Representative
HealthScope Benefits (TPA)
New Albany
03.2007 - 07.2012
- Resolved customer issues with their insurance coverage through effective communication and problem-solving skills.
- Responded to member and provider inquiries on insurance coverage, eligibility and benefits, enhancing customer understanding.
- Tracked customer requests and follow-ups using CRM software to ensure timely resolution.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Documented member and provider interactions, transactions and comments to support future reference and follow-up.
Customer Care Representative
Vision Service Plan Inc.
Columbus
01.2006 - 02.2007
- Utilized comprehensive product knowledge to resolve customer inquiries effectively.
- Facilitated communication between vision care provider and patients to resolve service-related issues.
- Resolved claim denials by correcting billing errors and submitting modified claims.
- Accurately documented customer interactions in CRM system for efficient tracking.
Education
GED -
Westerville North High School
Westerville, OH06-1988
Some College (No Degree) - Health Care Administration
University of Phoenix
Tempe, AZSkills
- Claims management
- Denial management
- Appeals coordination
- Billing accuracy
- Coverage verification
- Regulatory compliance
- Proficient in Epic and Availity
- Client relationship management
Timeline
Claims/Revenue Cycle Specialist
Nationwide Children's Hospital
12.2012 - 01.2026
Customer Service Representative
HealthScope Benefits (TPA)
03.2007 - 07.2012
Customer Care Representative
Vision Service Plan Inc.
01.2006 - 02.2007
GED -
Westerville North High School
Some College (No Degree) - Health Care Administration
University of Phoenix