Availity
YASIACH GRAY
Summary
Healthcare and service professional with a strong background in insurance follow-up and payment posting. Interested in a position that focuses on improving claims processing. Seeking an opportunity to work behind the scenes, supporting a team of professionals in the insurance services field. Experienced in revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Demonstrates effective communication and collaboration, enhancing financial performance.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Specialist
Midwest Vision Partners
05.2024 - Current
- Review any overpayments, process patient and insurance refunds accordingly
- Post insurance payments from remits, correct any incorrect postings
- Perform special projects and other duties as needed by management
- Ability to analyze accounts and determine next appropriate actions for resolutions
- Document billing, follow-up and all measures to resolve each assigned account
- Work all reports and spreadsheets to maintain daily goal
- Ability to analyze accounts and determine next appropriate actions for resolutions
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Reduced outstanding account balances by implementing effective collection strategies.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Increased revenue by identifying and resolving billing errors in a timely manner.
Professional Driver
J.B.Hunt Transport
07.2022 - 09.2024
- Drive using Electronic Log Device (ELD) to keep track of drive time, off duty, on-duty, and sleeper berth times
- Followed FMCSA rules and guidelines to remain in government regulations holding a commercial driver's license
- Maintain a physical every 3 years and complete random drug test to maintain employment and remain in good standings with FMCSA
- Traveled to Home Depot distributions centers in the Midwest to obtain loads and transfer to other distribution centers across states
- Completed backhaul loads for items needed at the distribution centers for local Home Depot Retail Stores
- Currently deliver freight for Jamestown Container locally across OH
Professional Driver
ROEHL Transport
01.2022 - 07.2022
- Drive a refrigerated trailer over the road to obtain freight and deliver to specified customer
- Complete backhaul to and from customers and have them complete bill of lading
- Have consignee complete paperwork to upload to portal and send to dispatcher
- Drive semi-truck with a dry van to multiple stop locations to deliver loads to Lowe's Retail Stores
- Keep Electronic Logs (ELD) of drive time, off duty, on duty, as well as sleeper berth
- Checked in at distribution center, provided load information to obtain trailer for store delivery
- Made sure to complete pre-trip and post trip inspections of tractor and trailer before and after shift
Medical Billing Representative
ARC Psychiatry
04.2021 - 07.2021
- Review previous account documentation to determine appropriate actions necessary
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
- Facilitated smooth departmental operations through cross-training in various roles, providing backup support as needed.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Conducted periodic audits of billing records to identify errors or inconsistencies, ensuring proper documentation for future reference.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Confidently and adeptly handled claim denials and/or appeals.
- Increased accuracy in billing by meticulously reviewing and verifying medical codes and patient information.
- Reduced claim denials by diligently following up with insurance companies and promptly addressing any discrepancies.
Revenue Cycle Representative
University Hospitals of Cleveland
07.2018 - 04.2021
- Assist patients with billing issues, balances and understanding their hospital or physician statements as well as take payments and set-up payment arrangements
- Post insurance payments to correct accounts for physician and hospital claims
- Assigned multiple worklists to assist with insurance follow-up and correct accounts for proper billing
- Work self-pay accounts on Experian, HDX and spreadsheets from collections as a backup to the department trainer
- CHAA Certification - Certified Healthcare Access Associate
- Worked in Cerner (Soarian), Athena, Quadax, Papers, Experian, Physicians Portal, Availity, OneSource and Allscripts
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Provided regular updates on billing status to upper management through detailed reports.
- Analyzed financial reports to identify trends and areas for improvement in revenue cycle operations.
Education
Certificate of Technical Studies - Medical Billing & Coding
De'Vry University
Indianapolis, IN07-2018
Skills
- Patient/Insurance Posting
- Information Processor
- ICD-10 coding
- Insurance verification
- Medical Terminology
- Claims processing proficiency
- Sorter/Encoder Operator
- Payment posting
- Direct/Indirect Customer Service
- Teamwork
- Typing 50-55 wpm
- Attention to detail
- Microsoft Office Suite - Word
- Microsoft Office Suite - Outlook
- Microsoft Office Suite - Excel
- Work from Home Experience
- Claims review
- HIPAA compliance
- Professionalism and ethics
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeContract WorkPart TimeWork Location
RemoteImportant To Me
Work-life balanceWork from home optionCareer advancementHealthcare benefitsPersonal development programsCompany CultureFlexible work hoursSoftware
Quadax
Allscripts
Nextech
Cerner Soarian
Papers
OneSource
Excel
Outlook
Languages
English
Native or Bilingual
Timeline
Revenue Cycle Specialist
Midwest Vision Partners
05.2024 - Current
Professional Driver
J.B.Hunt Transport
07.2022 - 09.2024
Professional Driver
ROEHL Transport
01.2022 - 07.2022
Medical Billing Representative
ARC Psychiatry
04.2021 - 07.2021
Revenue Cycle Representative
University Hospitals of Cleveland
07.2018 - 04.2021
Certificate of Technical Studies - Medical Billing & Coding
De'Vry University
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