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Credentials

  • Registered Health Information Technician (RHIT)
    AHIMA
    Dec, 2022
    - Oct, 2024
  • Registered Health Information Technician (RHIT)
    AHIMA
    Dec, 2022
    - Oct, 2024

Experience

    • Mental Health Care
    • 1 - 100 Employee
    • Revenue Cycle Specialist
      • May 2022 - Present

      Worked worklist assigned by the Team Lead with various regions and various insurances, through website portals, communication with appeal status, and denials information, insurance eligibility to meet productivity daily, and process any appeal through mail or electronically for each patient accts Process assigned A/R work list provided by the manager in a timely manner Identified and resolved denied, non-paid and/or non-adjudicated claims and billing issues due to coverage issues, medical records requests, coding issues and authorization Submit appeals using establish guidelines to resolve claim denials Follow up on calls to insurance companies on appeals or claim denials Review claims/appeals on insurance portal to review claim information and appeal status Respond to insurance companies claim inquiries and status of outstanding claims

    • United States
    • Hospitals and Health Care
    • 300 - 400 Employee
    • Revenue Cycle Specialist
      • Jul 2021 - Present

      Process all incoming claims and process the next outcomes for each patients account. Work any special project with teams’ targets and worked overtime when needed to get projects completed. Speak with manager with any trends that arise Processed insurance balances and non - coding guidelines with correct standards and guidelines Reviewed correspondences from insurance, online processing, fax, and written correspondences Managed insurance remittance advice, researching denial reasons and resolving issues through well written appeals Organized open accounts by denial type to payor to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an online or portal

    • United States
    • Medical Practices
    • 1 - 100 Employee
    • Billing Specialist
      • May 2020 - Jul 2021

      Review spreadsheet every day for all work, and process all billings, adjustments, or appeals as needed for each patient accounts. Verify all Cpts codes on patients claim to identify correct codes are correct and process claims. Submit adjustment to the manger. Follow up with insurance companies with claim status and appeal status. Followed up of all claim denials with insurance companies to process claim in a timely manner Submitted all written appeals in the mail or electronic appeal on payor portal Responded to inquiries from insurance correspondences, patient or providers Handled transfer of patient’s accounts for self - pay or copays or deductible to the right dept Reviewed billing and coding updates and finalize claims to be sent to the payor and escalate to the right team

    • United States
    • Hospitals and Health Care
    • 300 - 400 Employee
    • Customer Service Representative
      • Jun 2018 - Nov 2018

      • Manage all incoming phone calls and address them to the appropriate person. Communication between clerical staff and doctors and nursing staff about patient care. • Manage all appointments for each doctor • Prepare any incoming/outgoing faxes and mail and address to the appropriate staff member • Manage all incoming phone calls and address them to the appropriate person. Communication between clerical staff and doctors and nursing staff about patient care. • Manage all appointments for each doctor • Prepare any incoming/outgoing faxes and mail and address to the appropriate staff member

Education

  • DeVry University
    Associate's degree, Health Information/Medical Records Technology/Technician
    2010 - 2012
  • DeVry University
    Associate's degree, Health Information/Medical Records Technology/Technician
    2009 - 2012

Community

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