Open To Work
Tracinda Upton
Jacksonville
Summary
Experience in management and full revenue cycle processes, focusing on commercial, Medicare, Medicaid, and self-pay patients. Adept at claim submission, denial management, and payment posting to ensure accurate reimbursement. Committed to collaborative teamwork that prioritizes patient care, operational accuracy, and financial performance.
Overview
14
14
years of professional experience
Work History
Personal Care Provider
Care for a family member
03.2025 - 02.2026
- Assisted with daily living activities and personal hygiene to promote well-being.
- Provided companionship and emotional support to enhance quality of life.
- Maintained a clean, safe living environment to ensure comfort and security.
- Communicated effectively with healthcare providers regarding needs.
- Provided personal care services to a family member in their home.
Medical Billing Specialist
Children’s Mercy Preferred Pediatrics
Lee’s Summit
03.2023 - 12.2023
- Process insurance claims for pediatric services and procedures.
- Verify patient insurance eligibility and benefits before service delivery.
- Maintain accurate patient billing records within electronic health systems.
- Coordinated commercial billing and state account billing processes to ensure accurate and timely submissions.
Full Revenue Cycle Billing Specialist
Rediscover Mental Health Center
Lee’s Summit
08.2021 - 03.2023
- Managed accounts receivable for client accounts and commercial insurance claims, ensuring accurate tracking and timely resolution.
- Batch claims weekly and upload them to the processing center, resolving any claim issues to ensure complete submission, process and payment with full resolution.
- Posted incoming payments for Commercial and Medicare C, maintaining accurate financial records.
- Receive and Issue receipts for client payments.
- Resolved client inquiries and issues, enhancing customer satisfaction and trust.
- Ensured secure handling of client data and payment information to maintain privacy.
Medical Billing Representative
Psychiatry Associates of Kansas City
Overland Park
04.2019 - 08.2021
- Collected and processed daily payments on patient accounts, reconciling transactions to maintain accurate financial records.
- Conducted encounter reviews to identify and resolve claim issues with commercial payors, facilitating timely approvals.
- Validated demographic, insurance, and provider information on new patient forms to ensure accurate patient records.
- Verified TMS (Transcranial Magnetic Stimulation) benefits for patient care.
- Answering phones and bringing resolution to patient and insurance needs, questions and or concerns.
Credit Balance Team
Children's Mercy Hospital
Kansas City
01.2019 - 04.2019
- Identified and resolved credit balances from listings, emails, and reminders to ensure accurate account management.
- Conducted account audits and prepared refund or recoup requests to facilitate timely financial resolution.
- Reviewed contract wording to identify reimbursement and refund opportunities, enhancing compliance and recovery processes.
- Executed posting of adjustments and payment transfers to maintain accurate financial records.
- Research, audit accounts, prepare written responses and refund requests with clear communication.
EDI Analyst - Contract
Children’s Mercy Hospital
Kansas City
03.2018 - 01.2019
- Submitted health care claims and analyzed rejected claims report for trends and errors to enhance claims processing accuracy.
- Reviewed Medicaid eligibility, updated service dates, eliminated bad debt, and billed Medicaid to maintain compliance and optimize reimbursement processes.
- Processed financial assistance approvals, bankruptcies, bad debt, and Medicaid eligibility (Kansas and Missouri); confirmed approved applications and applied to accounts to ensure accurate record-keeping.
Enrollment and Credentialing Specialist - Contract
Wyandot Center for Behavioral Healthcare
Kansas City
12.2017 - 03.2018
- Communicated with providers, managed care organizations, and insurance carriers, ensuring accuracy and timeliness of credentialing processes.
- Maintained credential records, ensuring provider compliance with industry regulations and standards to support organizational integrity.
- Prepared credentialing applications, managed care provider data and supported NPI and CAQH enrollment.
- Coordinated with Human Resources to obtain employee information necessary for credentialing and compliance.
- Monitored and implemented insurance process changes.
Reimbursement Coordinator - Contract
Saint Luke's Heath System
Kansas City
11.2017 - 12.2017
- Verified insurance eligibility and benefits to ensure accurate coverage for procedures.
- Verified authorization requirements for imaging procedures.
- Contacted patients to collect insurance information and deliver precise procedure estimates.
- Handled incoming calls to address patient concerns and provide clear procedure estimates.
Billing and Collections Representative - Contract
Swope Healthcare
Kansas City
10.2017 - 11.2017
- Appealed claims by submitting required medical documentation to ensure payment approval.
- Verified accuracy of claims by producing duplicate Multiple Encounter reports prior to submission.
- Collaborated daily with Commercial and Missouri Medicaid teams to streamline secondary claims submission and resolution.
- Duplicate CPT and J-Code reports with corrections, correct submission of Behavioral Health claims.
Reimbursement Specialist - Contract
Alere E-Screen
Kansas City
07.2017 - 10.2017
- Entered clinic accounts payable invoices from imaging system into internal reimbursement software and accounting software, ensuring accurate financial records.
- Prepared account analysis and reconciliations, assisting manager with various projects to enhance operational efficiency.
- Responded to inbound calls, resolving client concerns and improving customer satisfaction.
Billing Specialist
Cerner Corporation
Kansas City
04.2015 - 06.2017
- Addressed and expedited patient billing concerns, enhancing customer satisfaction and trust.
- Processed and appealed claims with commercial insurance, providing detailed medical documentation to facilitate claim payments.
- Worked Aged Reports and collected aged balances from patients and insurance carriers.
- Processed daily service requests, ensuring accurate documentation and timely resolution.
Billing and Collections Representative
Apria Healthcare
Overland Park
04.2013 - 04.2015
- Researched and resolved claims by appealing denials with supporting medical documentation to secure payment.
- Pre-registered patients by verifying benefits and eligibility to ensure accurate billing.
- Completed ICD-9 coding and charge entry, and managed precertification for Durable Medical Equipment.
Insurance and Billing Representative
Midwest Orthopedics PA
Overland Park
01.2012 - 03.2013
- Prepared and submitted claims and supporting documents, ensuring accuracy to facilitate timely processing.
- Followed up on outstanding claims to expedite filing and payment, enhancing customer satisfaction.
- Processed precertifications for surgeries, durable medical equipment, and physical therapy services.
- Managed patient inquiries regarding account balances and collections, providing clear information and support.
- Entered billing charges for physicians and physician assistants into the system.
Education
ICD-10 and CPT Coding -
Kansas University - All About Coding
01-2018
Coding Certification - ICD- 9 and CPT Coding
Johnson County Community College
01-2011
Skills
- Medical management
- Account analysis
- Auditing and documentation review
- EMR/EHR systems
- Medical terminology
- Insurance verification
- Customer service and communication
- Phone etiquette
- Collections and billing
- Personal care assistance
Work Preference
Job Search Status
Open to workWork Type
Contract WorkPart TimeFull TimeLocation Preference
RemoteSalary Range
$20/hr - $30/hrTimeline
Personal Care Provider
Care for a family member
03.2025 - 02.2026
Medical Billing Specialist
Children’s Mercy Preferred Pediatrics
03.2023 - 12.2023
Full Revenue Cycle Billing Specialist
Rediscover Mental Health Center
08.2021 - 03.2023
Medical Billing Representative
Psychiatry Associates of Kansas City
04.2019 - 08.2021
Credit Balance Team
Children's Mercy Hospital
01.2019 - 04.2019
EDI Analyst - Contract
Children’s Mercy Hospital
03.2018 - 01.2019
Enrollment and Credentialing Specialist - Contract
Wyandot Center for Behavioral Healthcare
12.2017 - 03.2018
Reimbursement Coordinator - Contract
Saint Luke's Heath System
11.2017 - 12.2017
Billing and Collections Representative - Contract
Swope Healthcare
10.2017 - 11.2017
Reimbursement Specialist - Contract
Alere E-Screen
07.2017 - 10.2017
Billing Specialist
Cerner Corporation
04.2015 - 06.2017
Billing and Collections Representative
Apria Healthcare
04.2013 - 04.2015
Insurance and Billing Representative
Midwest Orthopedics PA
01.2012 - 03.2013
ICD-10 and CPT Coding -
Kansas University - All About Coding
Coding Certification - ICD- 9 and CPT Coding
Johnson County Community College