YVONNE HOLDEN
Fort Atkinson,WI
Summary
Seasoned finance professional prepared to contribute to optimizing revenue cycles and improving operational efficiency. Known for effectively managing billing workflows and resolving payment issues to support financial health. Focused on collaborative teamwork and achieving impactful results, adapting to changing needs seamlessly. Key skills include financial analysis and process improvement, combined with traits of reliability and adaptability.
Overview
19
19
years of professional experience
Work History
Document Management Technician
Exact Sciences Laboratories
09.2024 - Current
- Prepared documents for projects in accordance with project manager, team, or client specifications.
- Maintained organized and efficient document flows by using excellent planning and multitasking skills.
- Converted documents from one application to another.
- Release of information while adhering to all HIPAA guidelines and regulations
- Experience with onbase and all document types
- Reported any issues with workflows and sops to leaderhip
Patient Financial Services Level 2
Exact Sciences
12.2017 - 09.2024
- Research billing errors and discrepancies to initiate corrective action
- Developed workflows for On Base and epic Advanced Determination Workflows
- Report payor trends with denial and no response claims for revenue recovery
- Calling payors to resolve claim and eligibility issues
- Have been trained in all financial classes. Specialty in BCBS and Medicare.
- Handled and resolved CRMs to ensure patient satisfaction
- Trained in PO workflows
- Enhanced revenue recovery with diligent follow-up on outstanding accounts and insurance claims.
- Maintained compliance with industry regulations, ensuring proper handling of sensitive patient data during the billing process.
Resolution Associate
Exact Sciences Laboratories
12.2015 - 01.2017
- Enter physician orders for Cologuard
- Contact physician offices to obtain missing information
- Worked varied hours to meet seasonal and business needs
- Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties
Provider Enrollment Auditor
Medicare Quality, WPS
12.2014 - 08.2015
- Standardized call center guidelines for new provider enrollment call center
- Audited call center phone calls and provided positive and quality feedback to call center reps
- Audited provider enrollment applications and provided feedback
Medicare Provider Enrollment Analyst
Wisconsin Physician Services, W
01.2011 - 01.2014
- Processed group and individual provider enrollment applications for CMS/Medicare Part B
- Interacted with providers and contacts to obtain information, and validate information
- Responsible for verifying information on government sanctioned and fraud websites
- Entered enrollment information into PECOS
- Current in HIPAA and privacy practices
Edit Analyst
Wisconsin Physician Services
01.2006 - 01.2011
- Reviewed inpatient and outpatient claims for possible duplicate charges for TRICARE claims
- Paid or denied line items based on documentation
- Reviewed documentation of procedures
Education
Associate of Applied Science - Health Information Management
Rasmussen College
Rockford, IL06-2017
Skills
- Document archiving
- Teamwork orientation
- Workflow management
- Policy enforcement
- Document security
Timeline
Document Management Technician
Exact Sciences Laboratories
09.2024 - Current
Patient Financial Services Level 2
Exact Sciences
12.2017 - 09.2024
Resolution Associate
Exact Sciences Laboratories
12.2015 - 01.2017
Provider Enrollment Auditor
Medicare Quality, WPS
12.2014 - 08.2015
Medicare Provider Enrollment Analyst
Wisconsin Physician Services, W
01.2011 - 01.2014
Edit Analyst
Wisconsin Physician Services
01.2006 - 01.2011
Associate of Applied Science - Health Information Management
Rasmussen College
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