Stacey Seyler
Hanover,PA
Summary
Efficient billing professional over 15 years of experience. Productive and diligent with passion for completing tasks through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Account Representative Senior
UPMC
01.2023 - Current
- Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
- Identify root cause issues and demonstrate ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.
- Understand third party billing and collection guidelines.
- Managed assigned book of business by ensuring timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards.
- Meet quality assurance benchmark standards and maintain productivity levels as defined by management.
Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt. - Identified possible at-risk accounts enabling preemptive intervention measures before any loss or dissatisfaction occurred.
Patient Financial Specialist
WellSpan Health
03.2022 - 01.2023
- Corrects financial and biographical information that has been properly entered into system.
- Performs various functions to complete and expedite billing process including, but not limited to, completing deposit process including batching and scanning of EOBs and correspondence, recording patient identification data and physician diagnosis, investigating charges, correcting and updating data, preparing claim to bill, posting payments, performing AR follow up on denials, and all other billing functions as assigned
- Bills to third party payers via electronic or manual processes
- Reviews accounts and maintains contact with third parties to ensure timely payments
- Makes written and/or verbal inquiries to third party payers to reconcile patient accounts
- Follow up on accounts until zero balance or turned over for collection
- Reviews third party payer payments and investigates accounts not paid as expected
- Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances
- Resolves billing problems and/or receives insurance updates.
Business Office Specialist
Medstar Radiology
11.2019 - 07.2020
- Warmly greet patients as they enter MedStar Radiology Network with both eye contact and smile; this includes family members/others accompanying patient to Imaging Center
- Serve as liaison between all customers, including patients, physicians, and imaging center staff.
- Handle phone correspondence, scheduling of appointments, coordinate/assemble orders with daily schedules, and distribute to clinical peers
- Accurately perform registration, complete registration ensuring patient work flow is optimized
- Ensure optimal customer service to all patients, peers, etc., by maintaining a pleasant tone of voice in all situations, answering phone as quickly as possible, answering all questions, portraying empathy at all times and by returning phone calls as quickly as possible.
Patient Account Specialist II
Medstar Health
02.2018 - 10.2019
- Maintain Certified Revenue Cycle Specialist I status with American Association of Healthcare Management (AAHAM)
- Audit billing claims to ensure clean billing processes with little to no error
- Review active list of denial for payment accounts to resolve billing errors in record time
- Contacts insurance carriers directly to confirm receipt of claim(s)
- Exemplifies Guest and Staff Relations standards in all activities in areas of service, resource utilization, high quality outcomes and effective communication
- Follows appeal procedures for denied claims and reimbursement below contractual fee schedule
- Identifies patient/third party carrier complaints, resolves and communicates these complaints to management.
Patient Service Coordinator
Medstar PromptCare
03.2016 - 02.2018
- Collaborates with back-office staff/triage in support of optimum patient flow
- Exceeds patient expectations by greeting them, coming around reception desk to assist and communicating frequently regarding wait times.
- Manage financial aspects of the front office, including credit card transactions, receipts, cash and checks; logs and reconciles all patient monies in accordance with policy.
- Manages intake of patients into practice, screens for emergent conditions, registers, verifies insurance and explains patient responsibility to patients; collects copayment prior to care.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
Biopsy Coordinator
Advanced Radiology
05.2010 - 03.2016
- Responsible for coordinating and scheduling various women's health biopsy procedures in outpatient setting
- Coordinate both physician schedules to procedure room availability while keeping patients' needs in priority
- Communicate with pathology transport for lab processing post procedure
- Maintain all records of both out sourced pathology and clinic procedures to highest security standard
- Coordinated additional testing as needed
- Act as point of contact between performing physician and both pathology lab and patients as needed
- Ensure follow up and records completed in most timely fashion.
Education
Bachelor of Science - Healthcare Administration/Health Info Management
Southern New Hampshire University
Manchester, NH12.2024
Associate of Arts - Business Administration
Community College of Baltimore County
Baltimore12.2013
Skills
- Excellent organizational and analytical skills
- Strong team player as well as independent as an employee
- Goal driven and motivated to exceed both personal and team goals
- Proficient in various computer applications including various Microsoft applications
- Able to maintain professionalism and positivity in times of stress
- Dependable
- Goal-Oriented
- Account Reconciliation
- Proficient knowledge of ICD9, CPT4, HCPCS, and medical terminology
- HIPAA Compliance
- Denial Management
- Claim submission
- Medicare and Medicaid process
Certification
American Association of Healthcare Management, CRCS-I, 11/01/18
Awards
AAHAM Certified Revenue Cycle Specialist - CRCS
Timeline
Account Representative Senior
UPMC
01.2023 - Current
Patient Financial Specialist
WellSpan Health
03.2022 - 01.2023
Business Office Specialist
Medstar Radiology
11.2019 - 07.2020
Patient Account Specialist II
Medstar Health
02.2018 - 10.2019
Patient Service Coordinator
Medstar PromptCare
03.2016 - 02.2018
Biopsy Coordinator
Advanced Radiology
05.2010 - 03.2016
Bachelor of Science - Healthcare Administration/Health Info Management
Southern New Hampshire University
Associate of Arts - Business Administration
Community College of Baltimore County
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