Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. I have a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
17
17
years of professional experience
Work History
Insurance Follow-Up Specialist
R1RCM
Fort Collins, Colorado
08.2023 - Current
Followed up with insurance carriers regarding claim status of unpaid or rejected claims.
Worked collaboratively with other departments to ensure accurate follow-up processes were followed.
Initiated appeals when necessary for denied or underpaid claims as required by contract guidelines.
Identified and corrected errors related to billing, coding, and reimbursement from insurance companies.
Researched and resolved insurance discrepancies for assigned accounts.
Reviewed patient accounts and updated insurance information in the system.
Business Office Manager
Centers for Gastroenterology
Fort Collins, CO
12.2013 - 04.2023
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Worked with billing department regarding insurance payments and distribution.
Supervised team in the collection of patient payments including explaining EOB's to patients for a better understanding of their responsibility.
Coordinated resolutions with insurance follow-up regarding denials to improve denial rates and appeals.
Conducted staff performance evaluations to monitor progress and individual skills.
Processed patient credit refunds.
Oversaw the prior authorization department including procedures, biologic, x-ray, testing and pharmacy.
Directed the front desk, check-out, and call center for multiple locations.
Posted daily patient payments.
Initiated payment agreements with patients.
Credit and Collection Analyst
Agrium Advanced Technologies
Loveland, CO
04.2011 - 11.2013
Researched, evaluated and resolved discrepancies and customer concerns.
Reviewed credit records to evaluate customer histories.
Verified details of transactions, funds received and total account balances.
Created and mailed current statements to customers.
Researched and resolved billing and invoice problems.
Reached out to customers to discuss late payments and options for remitting amounts due.
Completed investigations of customer accounts and payment histories.
Reached out customers to collect outstanding payments via one-time or negotiated installment methods.
Updated accounts with documentation of interactions and current information.
Received and submitted payments and applied amounts to customer balances.
Financial Aid Administrator
Texas Woman's University
Denton, TX
07.2008 - 10.2010
Received and posted payments to loan accounts.
Assisted with completion of documentation such as FAFSA paperwork, answered questions and delivered key information.
Provided one-on-one counseling to students regarding financial aid program options and requirements.
Supervise six counselors and 6-8 student assistants.
Worked with the National Student Loan Date System to make sure students were not in default or over awarded for loans.
Integration of new processes with IT using new technology and changes in procedures.
Education
Some College (No Degree) -
West Texas A&M University
Canyon, TX
Skills
EOB's, Insurance denials and appeals
Revenue Cycle
Managing Operations and Efficiency
Teamwork and Collaboration
Hiring and Training
Problem Resolution
Work Planning and Prioritization
Complex Problem Solving
Electronic Medical Records (EMR) Systems Epic/NextGen/gGastro/Meditech