Vicki Turner
NATIONAL SPINE AND PAIN CENERS
Brunswick,GA
15
years of professional experience
Dedicated Revenue Enhancement Representative skilled in analyzing claims and negotiating settlements. Expertise in managing insurance eligibility, coding accuracy, and client communication, contributing to significant revenue recovery and enhanced operational efficiency.
Work History
REVENUE ENHANCEMENT REPRESENTATIVE
15 Years 2 Months- Double check insurance for eligibility, correct insurance packages
- Verify referral/authorization match coding and make sure it matches the service span for the dates of service on the procedure
- Convert claim forms from UB04/HCFA if necessary per payer requirements
- Add modifiers or data layout of CPT billing for correct submission
- Analyzed facility and professional claim denials for corrections or appeals
- Tracked trends on facility and professional for medical policy denials, electronic filing rejections, and coding denials
- Negotiate settlements for legal cases and for out of network claims with Multiplan.
- Communicate with patients about balances, insurance filing and accepting patient payments
- Work with co-workers in reference to claim help, balances due and system education when needed
Education
High School Diploma
Consistently attend Webinars and review policy updates from payers to stay current with medical/billing and coding policies.
Skills
Claims processing
Technical troubleshooting
Documentation management
Contract negotiations
Client relations
Client relationship building
Customer support
Staff training
Multitasking
Attention to detail
Excellent communication
Goal-oriented mindset
Timeline
REVENUE ENHANCEMENT REPRESENTATIVE
NATIONAL SPINE AND PAIN CENERS
08.2011 - CurrentRead More
WHEELER HIGH SCHOOL
High School Diploma
Read More