Skilled professional with experience in collections, customer service and data entry along with denial and appeals. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Follow-Up Specialist
Baptist Medical Center
11.2023 - Current
Conducted regular audits of client interactions, identifying areas for improvement in service delivery and team performance.
Improved customer satisfaction by promptly addressing and resolving follow-up inquiries.
Managed a large caseload of outstanding issues, prioritizing tasks effectively while maintaining strict deadlines.
Implemented tracking systems to monitor the status of open cases, allowing for faster resolution and improved accountability.
Credit balance, Auth Approval, Variance and Correspondence Reviews
Revenue Cycle Operations
Hospital billing
Medical Insurance Experience, Government and Commercial
Knowledge of CPT, ICD10, HCPCS and Modifiers Required
CRCR Certification
Clinical Specialist II
UF Health Shands Hospital
04.2020 - 06.2022
Streamlined workflow processes within clinical teams by implementing innovative technologies and best practices that resulted in improved efficiency and reduced error rates.
Gave presentations to conference attendees, clinicians, and administrators.
Visited assigned accounts, identified, and trained clinical champions and established relationships with key decision makers.
Enhanced clinical team performance by providing continuous training on new medical devices and procedures.
Verifying AUTH
Billing Claims
Denials and Appeal
Knowledge of third party Reimbursement /Commercial Payers
Charge Follow up
UF Health Shands Hospital
10.2016 - 05.2020
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Denial And Appeals
Collection/ Self pay
Third party Contract
Knowledge of CPT, ICD10, HCPCS and Modifiers Required