Taisha Spann
Revenue Cycle Specialist
Edison,NJ
Summary
Highly experienced Revenue Cycle and AR Specialist with over 10 years in healthcare finance and insurance reimbursement. Known for strong analytical skills, attention to detail, and the ability to work independently in fast-paced environments. Skilled in problem-solving, insurance follow-up, denial management, and customer service. Excellent communication and negotiation abilities with a consistent track record of improving collections and streamlining billing processes.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Specialist
Prism Vision Group
02.2023 - Current
- Analyzed revenue cycle processes to enhance efficiency and reduce discrepancies.
- Coordinated billing operations, ensuring adherence to compliance standards and regulations.
- Managed patient accounts, optimizing collections and minimizing outstanding balances.
- Collaborated with healthcare providers to resolve billing inquiries and disputes effectively.
- Respond to insurance inquiries via phone, email, and fax, delivering high-level customer service.
- Follow up on outstanding accounts in Athenahealth; resolve complex claim issues and pursue reimbursement.
- Analyze and appeal denials using coding, contracts, and clinical documentation.
- Identify billing errors and initiate charge corrections and account adjustments.
- Verify patient eligibility and research ICD-10/CPT codes as needed.
- Maintain compliance with healthcare regulations and payer requirements.
- Handle secondary/tertiary billing and setup of patient payment plans.
Sr. AR Specialist
Change Healthcare
03.2012 - 02.2023
- Processed high volumes of accounts receivable transactions efficiently and accurately.
- Analyzed aging reports to identify and resolve outstanding claims promptly.
- Collaborated with cross-functional teams to improve billing processes and reduce discrepancies.
- Oversaw reconciliation of accounts, ensuring compliance with company policies and regulatory standards.
- Managed large volumes of patient and insurance AR using Epic.
- Resolved claim denials, rebilled claims, and performed daily reconciliations.
- Performed cash reviews, account corrections, and eligibility verifications.
- Processed payment postings, credit balances, and medical billing adjustments.
- Supported month-end closing and reported on overpayments and underpayments.
- Maintained accurate documentation and ensured HIPAA compliance.
Education
Plainfield High School
Plainfield, NJSkills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
- Revenue Cycle Management
- Insurance Verification & Claims Follow-Up
- Denial Management & Appeals
- Epic & Athenahealth Systems
- ICD-10 & CPT Code Research
- Payment Posting & Account Reconciliation
- HIPAA Compliance
- Medical Billing & Collections
- Strong Written & Verbal Communication
- High Accuracy & Attention to Detail
Timeline
Revenue Cycle Specialist
Prism Vision Group
02.2023 - Current
Sr. AR Specialist
Change Healthcare
03.2012 - 02.2023
Plainfield High School
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