Results-driven Credit Specialist with expertise in credit policy development, effective communication, and customer records analysis. Proven ability to streamline processes, mentor team members, and achieve performance targets.
Work History
Credit Specialist
10 Years 7 Months
Unity Point Healthcare | 12.2015 - Current
Facilitated the establishment of comprehensive processes and procedures for the insurance/patient credit specialist role.
Mentored and trained incoming credit specialists to enhance team performance.
Evaluated WQ data on a daily basis, consistently achieving predetermined performance targets.
Achieved accurate credit assessments to confirm refund eligibility.
Streamlined payment processes or deferred account reviews for further information.
Oversaw deferral of accounts by assessing issues and recording justifications for credit delays.
Administered account deferrals, ensuring proper documentation of reasons for credit postponements.
Identified and corrected posting errors to ensure accuracy and compliance with standards.
Managed email correspondence during weekly rotations to ensure timely responses.
Facilitated timely completion of all required processes to support project deadlines.
Implemented A3 and GE workout methodologies to identify and resolve process inefficiencies, fostering a culture of continuous improvement.
Analyzed issues and prepared reports for management, offering targeted recommendations to facilitate prompt resolutions.
Demonstrated proficiency in Microsoft Office applications to enhance productivity.
CBO Cash Application Associate
6 Months
Unity Point Healthcare | 06.2015 - 12.2015
Managed comprehensive posting of patient and insurance payments in both electronic and manual formats.
Oversaw transactions to ensure accurate and timely payment processing.
Facilitated efficient financial operations through meticulous posting practices.
Managed patient accounts to ensure compliance with insurance protocols and effective account disposition.
Oversaw manual movement of accounts to the next status, streamlining the processing pipeline.
Analyzed unidentified cash sources to implement effective resolution strategies.
Executed procedures for handling NSF checks to ensure accurate financial records.
Regularly reviewed and refreshed download files to support seamless check posting operations.
Executed comprehensive reviews and research of unapplied credit postings to identify payment discrepancies.
Client Coordinator
1 Year 4 Months
Integrated Medical Partners | 02.2014 - 06.2015
Analyzed client needs and established customized processes and resources to enhance service delivery beyond existing SOPs.
Coordinated efforts across all departments to support operational efficiency and successful client project execution.
Analyzed client interactions to pinpoint and resolve potential risks to maintain strong relationships.
Applied in-depth knowledge of carrier guidelines and regulations to ensure compliance and operational efficiency.
Managed project timelines and deliverables to support operational efficiency.
Oversaw tracking of accounts receivable to ensure timely collections and maintain cash flow.
Developed and maintained client relationships, ensuring timely follow-up and resolution of inquiries.
Payment Discrepancy Associate
2 Years 7 Months
OSF Healthcare | 07.2011 - 02.2014
Investigated and resolved payment discrepancies and denials, collaborating with governmental commercial contracted and workers' compensation insurance providers.
Reviewed and analyzed denied claims to prepare comprehensive appeal documentation.
Conducted onboarding training for new employees, focusing on Epic software usage and adherence to established procedures.
Managed credit refund processes, ensuring timely and accurate resolutions for customer inquiries.
Lead Customer Service Representative/Medical Biller
7 Years 6 Months
OSF Healthcare | 01.2004 - 07.2011
Facilitated timely follow-up on outstanding payments to ensure compliance with insurance obligations.
Trained of other CSR for follow-up on all payer categories.
Reviewed and evaluated patient financial assistance applications, ensuring compliance with established guidelines and policies.
Managed incoming calls and addressed patient inquiries related to account balances.
Facilitated payment arrangements for patients to enhance account management.
Executed billing operations and facilitated follow-up communications regarding all payer categories.
Conducted hands-on training for billers, focusing on day-to-day operational procedures and effective use of Epic software.
Oversaw multiple projects and mentored employees to foster a collaborative work environment.
Customer Service Representative
1 Year
OSF Healthcare | 01.2003 - 01.2004
Facilitated timely follow-up on outstanding payments to ensure compliance with all payer categories.
Resolved patient inquiries effectively, contributing to improved account management and communication.
Established payment arrangements, leading to enhanced patient engagement and financial compliance.
Resolved customer inquiries and issues through effective communication and problem-solving strategies.
Educated patients on healthcare services, appointment scheduling, and insurance processes.
Collaborated with interdisciplinary teams to enhance patient satisfaction and service delivery.
Lab Processor
11 Months
OSF St. Francis Medical Center | 02.2002 - 01.2003
Lead Editorial Coordinator
4 Years 3 Months
Royal Publishing | 07.1997 - 10.2001
Lead Sales Lead Coordinator
1 Year
Royal Publishing | 07.1996 - 07.1997
Education
High School Diploma
East Peoria Community High School | East Peoria, IL | 05-1981
Skills
Policy development
Records analysis
Documentation review
Proficient with EPIC
Proficient with Microsoft Office
Operating procedures
Credit policy
Regulatory compliance
Communication etiquette
Effective communication
Written communication
Timeline
Credit Specialist
Unity Point Healthcare
12.2015 - CurrentRead More
CBO Cash Application Associate
Unity Point Healthcare
06.2015 - 12.2015Read More
Client Coordinator
Integrated Medical Partners
02.2014 - 06.2015Read More
Payment Discrepancy Associate
OSF Healthcare
07.2011 - 02.2014Read More
Lead Customer Service Representative/Medical Biller