SHERRY POHL
Cold Spring,MN
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
14
14
years of professional experience
Work History
Revenue Integrity Specialist
CentraCare Health
03.2022 - Current
- Support revenue cycle and Epic build team to achieve optimal Epic workflows
- Review, monitor and validate the overall performance of our overall organization’s revenue.
- Education to Clinical Operations and Providers around monitoring metrics (timely charge capture, revenue reconciliation, avoidable write offs)
- Collaboration with Revenue Integrity leadership on potential policies and procedures to standardize best practices
- Sense of urgency and operational interconnectedness to achieve organizational goals and financial opportunities
Senior Claims Lead for Hospital Billing
CentraCare Health
09.2019 - 03.2022
- Responsible for Hospital processes, denials and follow-ups.
- Monitor Work Que’s to make sure processes are followed thru, researching, and coordinating with staff.
- Responsible for the timely submission and resolution of medical insurance claims
- Verifying accuracy of billing information prior to claim submission and editing.
- Interacting with departments in correction of charges, answering questions and related benefits of third-party payers.
- Conducts Audits for Work Ques and Billers
- Responsible for a high level of customer service skills to enhance positive relationships with our insurance contacts, third party payers, co-workers, patients, and others.
- Identify system changes that may improve the workflow.
- Responsible for new employee training.
- Ensure goals and productivity are obtained.
- Responsible for reviewing write-offs for approval.
- Responsible for running department reports for hospital billing and reviewing dashboards for metrics
- Finding efficiency within the team and helping create the workflow for the team, including criteria.
- Trainor for new employees
- Monitor Work Que’s to make sure processes are followed through.
- Part of the Press Ganey Employee Survey to boost team with ideas.
- Identify processes to lower denial rates
- Assisting Prior Authorization, Payments Posting and Coding Team
- Reviewing Payer Policies
- Review Payer Policies for medical procedures for Medical Necessity prior to scheduling
Senior Claims Analyst / Trainer for Professional Billing
CentraCare Health
02.2012 - 09.2019
- Responsible for the timely submission and resolution of medical insurance claims
- Responsible for third party claim denials and resolution
Education
Business Administration
St. Cloud Technical College
05.1993
Skills
- Maintain efficiency in challenging
- Strong Goal Setting Skills
- Maintain efficiency in challenging environment
- Detail Oriented
- Able to work with confidential information
- Reliable
- Approachable
- Teamwork oriented
- Results-oriented
- Professional
- Proved Multi-task Ability
Timeline
Revenue Integrity Specialist
CentraCare Health
03.2022 - Current
Senior Claims Lead for Hospital Billing
CentraCare Health
09.2019 - 03.2022
Senior Claims Analyst / Trainer for Professional Billing
CentraCare Health
02.2012 - 09.2019
Business Administration
St. Cloud Technical College
Office Skills
Word* Excel* Outlook* PowerPoint* Internet Blower's* Medical Terminology* Windows * PowerPoint *Microsoft Teams *Power BI *Slicer Dicer
Similar Profiles
Tony VogtTony Vogt
Senior Analyst – Center for Analytics at CentraCare HealthSenior Analyst – Center for Analytics at CentraCare Health
Matt EggertMatt Eggert
SUPERVISOR - ENVIRONMENTAL SERVICES at CentraCare HealthSUPERVISOR - ENVIRONMENTAL SERVICES at CentraCare Health
Jessica P. Swartout, M.D.Jessica P. Swartout, M.D.
Medical Director Maternal Fetal Medicine at CENTRACARE HEALTHMedical Director Maternal Fetal Medicine at CENTRACARE HEALTH
Ryan RoseRyan Rose
Armor Crewman at ArmyArmor Crewman at Army
Nancy KiessNancy Kiess
Order Processing Specialist/Production Worker at Wooden HeartsOrder Processing Specialist/Production Worker at Wooden Hearts