Victoria Travelyn
Client Account Representative at United Community & Family Services- Claim this Profile
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Bio
Credentials
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Certified Nursing Assistant
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Experience
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UCFS Healthcare
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Client Account Representative
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Oct 2015 - Present
• Enters charges for services rendered and performs daily/month end system close. Verifying and identifying potential coding errors. Conferring with providers to acquire correct procedural coding (CPT&CDT). Entering accurate procedural codes into electronic billing system. • Verifies client insurance and obtains authorizations, including treatment plans as needed. Entails contacting insurance companies to obtain benefits related to services being rendered, and updating the client information in the billing system. • Research and rectify denied claims involves posting denials into billing system. Reviewing and investigating denials. Contacting responsible insurance companies, including Medicaid for clarification of non-payment and resubmitting claims for reprocessing. • Provides follow up date and resolution of aged insurance accounts. Involves researching all aged accounts, reviewing current activity, contacting responsible insurance companies for status of claims provide paperwork needed to secure processing of claim.
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Care New England
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United States
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Hospitals and Health Care
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700 & Above Employee
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Revenue Cycle Systems Coordinator
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May 2015 - Oct 2015
• Oversee the Revenue Cycle systems by monitoring daily processes. • Reconcile daily file imports/exports of the Revenue Cycle systems. • Contribute and update documentation on the Revenue Cycle system applications to SharePoint. • Communicate effectively and regularly with management and staff on system issues, resolutions and process improvements. • Assist in other Revenue Cycle Systems Coordinators for backup, projects and problem solving as needed. • Assisted Application team with building and comparing system tables for facilities during project implementation. • Preparing test claims scenarios to be submitted to insurance companies. • Adjusting charges on patient accounts for active claims during systems go-live. • Trained employees on new upgraded billing system.
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Apple Rehab Watch Hill
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Watch Hill
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CNA ( Per diem)
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Jun 2009 - Apr 2015
• Assisted with ADL’s of patients; including bathing, dressing, feeding, transferring of patients as needed. • Obtain vital signs and any other medical needs for patients. • Assisted with ADL’s of patients; including bathing, dressing, feeding, transferring of patients as needed. • Obtain vital signs and any other medical needs for patients.
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Care New England
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United States
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Hospitals and Health Care
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700 & Above Employee
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Third Party Analyst
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May 2014 - Aug 2014
• Working with the SSI Billing System to confirm acceptance or rejection of payer claims for the Care New England hospital system including Women & Infants, Kent and Butler Hospital. • Document claim acceptance/rejection for third party hospital and physician claims. • Confirm eligibility for patients to ensure accurate and timely payments from third party payers. • Verify status of claim with multiple third party payers to reduce CNE hospitals accounts receivable for the Commercial Third Party team. • Document progress of claim projects for Commercial area to track payment variances. • Clerical duties such as mailing claims, scanning remittances, composing patient letters etc.
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Education
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2012 - 2014
University of Rhode Island
Bachelor of Science (BS), Health Studies (Health Services) -
2010 - 2014
University of Rhode Island
Bachelor of Science (B.S.), Health Services Administration
Community
