Tricia Bergen
Sapulpa,OK
Summary
An experienced Billing Specialist with knowledge of end-to-end revenue cycle processes. Excellent attention to detail and impressive communication skills. Eager to join a billing team to provide leadership to our revenue cycle team. Also to provide mentorship and guidance for our team, and to help in building their confidence to succeed in their roles. In depth knowledge in various insurance payers; Managed Care, Government, Third Party Payers, and Worker's Compensation.
Overview
11
11
years of professional experience
Work History
Physician Billing Processes Specialist
Saint Francis Health System
07.2024 - Current
- Serves as a process specialist for the cash management department. Trains and assists payment posters in daily operations. Also calling payers for clarification on EOBs, refund reviews and processing. Successful at obtaining missing remits escalated by leadership team.
- Complete applications for EDI/EFT/ERA enrollments for various payers for our entire healthcare system, which includes nine different entities.
- Troubleshoots for missing ERA files.
- Implementing process improvements within my team while finding trends that require additional training for our collection teams.
Sr. Revenue Cycle Specialist
Sysazzle, Inc.
10.2023 - 05.2024
- Contributed to reducing overpayments in the over 180 aging bracket to ensure the company met their year-end goals.
- Reviewed claims to determine the cause for overpayments.
- Processed refunds with 98% accuracy as a new associate.
- Assisted in clarifying payer refund details, addresses, refund, or retraction requirements.
Claims Analyst and Provider Success Associate
Zero Card
05.2019 - 08.2022
- Played a key role in reviewing and analyzing claim payments.
- Conducts regular audits for provider claims for accuracy or billing concerns.
- Instrumental in identifying projects to improve our processes.
- Provided excellent customer service to ensure patient and employer satisfaction.
Member Services Supervisor
Alliance Coal, LLC
01.2019 - 03.2019
- Supervised the member services department team of a self-funded health plan. Coordinated with various Department Managers. Instrumental in obtaining a network agreement with a DME provider who was no longer accepting new carriers.
- Maintained a strong knowledge base of providers, networks, and Centers of Expertise.
- Provided claim support by reviewing, researching, processing, and adjusting claims.
- Assisted the Out of Network Liaison to ensure claims were processed correctly.
Client Services Support Representative
Zotec Partners
03.2014 - 06.2017
- Played a key role in assisting Client Services Managers and Directors to create accurate client-facing process flows and gives updated and accurate reports for proper reviews.
- Provided effective billing liaison responsibilities between clients, and internal departments: accounts receivable, payment posting, coding, and contracting departments.
- Worked proactively to identify billing issues, denial trends and while suggesting corrective action.
Education
Associate of Science - Enterprise Development
Tulsa Community College
Tulsa, OK12.2026
Fashion Merchandising
Oklahoma State University
Stillwater, OKSkills
- Project management experience
- Analytical problem solving
- Meticulous Attention to detail
- Teamwork and collaboration
- Exceptional communication skills
- Complaints management
- Organization and multitasking
- Revenue cycle management
- CPT and ICD9 coding
- Knowledgeable in EPIC
- End to end Revenue Cycle experience
- Completed applications for EDI/EFT/ERA enrollments
Timeline
Physician Billing Processes Specialist
Saint Francis Health System
07.2024 - Current
Sr. Revenue Cycle Specialist
Sysazzle, Inc.
10.2023 - 05.2024
Claims Analyst and Provider Success Associate
Zero Card
05.2019 - 08.2022
Member Services Supervisor
Alliance Coal, LLC
01.2019 - 03.2019
Client Services Support Representative
Zotec Partners
03.2014 - 06.2017
Associate of Science - Enterprise Development
Tulsa Community College
Fashion Merchandising
Oklahoma State University
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