Yvette Chambers
Atlanta,GA
Summary
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 10+ years of related experience to a dynamic position with room for career growth.
Overview
6
6
years of professional experience
Work History
Revenue Cycle Specialist (Remote)
Christiana Care Health System
06.2022 - Current
- Identified and resolved payment issues between patients and providers.
- Contacted responsible parties for past due debts.
- Balanced and reconciled accounts.
- Reviewed chart documentation to support ICD-10 and CPT codes and took action if documentation was not coded appropriately.
- Utilized Internet and other resources to research newly identified diagnoses and procedures.
- Analyzed and evaluated findings, diagnosis and procedure codes identified by clinicians.
- Prepared and performed written reports of audits.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Resolved medical claims by approving or denying documentation, calculating benefit due and initiating payment or composing denial letter.
- Scanned hard copy medical records and correspondence to convert into electronic files.
- Identified root cause of denials to provide plans for denial resolution.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Located errors and promptly refiled rejected claims.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Prepared billing correspondence and maintained database to organize billing information.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Managed collections claims for unpaid bills against estates of debtors.
Revenue Cycle/Denial Management Specialist
Thomas Eye Group P.C.
06.2017 - 04.2022
- Identified and resolved payment issues between patients and providers.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Balanced and reconciled accounts.
- Resolved medical claims by approving or denying documentation, calculating benefit due and initiating payment or composing denial letter.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Scanned hard copy medical records and correspondence to convert into electronic files.
- Identified root cause of denials to provide plans for denial resolution.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
Associate Degree - Business Administration And Management
Montgomery County Community College
Blue Bell, PAHigh School Diploma - General Studies
Wissahickon High School
Ambler, PA1985
Skills
- Procedural Codes
- Debt Collection Procedures
- Medical Billing
- Claims Review
- Accounts Payable and Accounts Receivable
- Revenue Cycle Management
- Best Practices and Standards
- HCPCS Coding Guidelines
- Past Due Balance Management
- CMS Guidelines
- Insurance Benefits Understanding
- Medical Terminology Knowledge
- Insurance Verification
Timeline
Revenue Cycle Specialist (Remote)
Christiana Care Health System
06.2022 - Current
Revenue Cycle/Denial Management Specialist
Thomas Eye Group P.C.
06.2017 - 04.2022
Associate Degree - Business Administration And Management
Montgomery County Community College
High School Diploma - General Studies
Wissahickon High School
Similar Profiles
Dania WootsonDania Wootson
Registered Nurse, Float Pool at Christiana Care Health SystemRegistered Nurse, Float Pool at Christiana Care Health System
Jasmin WalleyJasmin Walley
Medical Assistant Outpatient at Christiana Care Health SystemMedical Assistant Outpatient at Christiana Care Health System
Robert AbbottRobert Abbott
Certified Pharmacy Technician at Christiana Care Health SystemCertified Pharmacy Technician at Christiana Care Health System
Megan SimmonsMegan Simmons
LPN, Emergency Department at Christiana Care Health SystemLPN, Emergency Department at Christiana Care Health System
Moziah DavisMoziah Davis
Transmission Analyst at Georgia PowerTransmission Analyst at Georgia Power