Tracy Ducheneau
New London
Summary
Certified medical billing specialist with extensive experience in all aspects of the revenue cycle, demonstrating a strong ability to optimize billing processes and enhance revenue recovery. Proven track record in managing complex billing operations and ensuring compliance with industry regulations. Eager to leverage expertise in a challenging advanced position as a billing specialist within a professional billing environment, contributing to organizational success through meticulous attention to detail and strategic problem-solving. Committed to maintaining high standards of accuracy and efficiency in all billing practices.
Overview
1
1
Certification
13
13
years of professional experience
Work History
Accounts Receivable Analyst II
Yale New Haven Health System
01.2017 - Current
- Performing in-depth follow up for professional claim denials for commercial, Medicare and Medicaid payors for all specialties. Correcting insurance coverage and registration errors that lead to unclean claims. Reviewing denials due to coding, medical necessity, and provider credentialing, as well as fulfilling medical record requests. Tracking denial trends and staying current on each payor's policies. Performing code corrections. Experience with claim edits and claim rejections. Fulfilling CMS RAC audit requests. Epic ‘super user’ with 12 years of experience using Epic interface
Financial Clearance Specialist
Lawrence Memorial Hospital
01.2016 - 01.2017
- Obtaining patients' health insurance benefits and utilizing benefit information to create estimated costs for patients' upcoming medical procedures and outpatient diagnostic testing. Providing patients with their estimated patient responsibility for their medical care and answering any benefit questions they may have.
Patient Care Coordinator
L+M Medical Group Sleep Center
01.2014 - 01.2016
- Scheduling appointments for Sleep Center patients. Obtaining insurance authorization and scheduling both in-lab and home sleep studies. Making arrangements with local durable medical equipment companies for patients to receive PAP supplies. Verifying insurance eligibility and current demographic information. Creating and faxing referrals. Protecting patients' rights by maintaining confidentiality of personal and financial information. Proficient use of Epic EMR software
Education
Certified Professional Coder Program - Medical Coding
Ridley-Lowell Business & Technical Institute
New London, CT01-2013
Skills
- Medical billing
- Medical coding
- Trending denials
- Insurance verification
- Epic Interface
- Medicare/Medicaid
- Reimbursement
- Microsoft Office
Certification
Certified Professional Coder (CPC)
Timeline
Accounts Receivable Analyst II
Yale New Haven Health System
01.2017 - Current
Financial Clearance Specialist
Lawrence Memorial Hospital
01.2016 - 01.2017
Patient Care Coordinator
L+M Medical Group Sleep Center
01.2014 - 01.2016
Certified Professional Coder Program - Medical Coding
Ridley-Lowell Business & Technical Institute