Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
Work History
Revenue Cycle Specialist
Prime-St Joseph Hospital
Kansas City, MO
10.2018 - Current
Provided training sessions on billing software applications and procedures to staff members.
Performed account reconciliations between insurance companies and internal systems.
Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
Examined claims, records and procedures to grant approval of coverage.
Corresponded with insured or agent to obtain information or inform of account status or changes.
Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
Identified trends in rejected claims that could indicate system errors or fraudulent activity.
Processed claims for payment or forwarded to appropriate personnel for further investigation
Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.
Revenue Management Analyst
Kansas City Physicians Partner
Kansas City, MO
06.2016 - 10.2018
Presented plans to client with smooth and professional presentations to enhance buy-in chance and promote collaboration.
Assessed requisitions each month to ensure accuracy and reconciled transactions.
Researched new technologies that could be used to improve revenue management processes.
Managed daily operations of the revenue team, including assigning tasks, setting deadlines, and evaluating results.
Evaluated effectiveness of current pricing policies and made recommendations for improvement.
Senior Medical Assistant/Claims Representative
The Headache& Pain Center
Leawood, KS
11.2009 - 06.2016
Provided education and counseling services on preventive care, lifestyle modification, self-care skills.
Performed patient assessments, including taking vital signs and medical histories.
Provided assistance to physicians during examinations, treatments and minor surgeries.
Processed payments for services rendered using appropriate software systems.
Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
Administered injections and immunizations as ordered by physician or other healthcare provider.
Verified appointment times with patients, preparing charts, pre-admission and consent forms.
Collected, labeled and stored laboratory specimens properly prior to testing.
Changed dressings on wounds to prevent infection and check for healing.
Regulatory Specialist- Senior at St. Joseph Hospital- St. Charles, St. Joseph Hospital- Wentzville, St. Joseph Hospital- Lake St. Louis, Kisker Outpatient Surgery CenterRegulatory Specialist- Senior at St. Joseph Hospital- St. Charles, St. Joseph Hospital- Wentzville, St. Joseph Hospital- Lake St. Louis, Kisker Outpatient Surgery Center