Kerry Quinn Warwick, RI 028**-***-*** **** ad1y0m@r.postjobfree.com

Contract Development Specialist

Thorough and detailed professional with experience in the finance department, insurance, financial counseling, workers’ compensation claims, contract management, and medical offices.

Core Competencies:

Accounts Receivable/Payable 3rd Party Payer/Billing Medical Terminology Contract Management Workers' Compensation Medical Coding Medical Billing CPT Coding Insurance Verification HIPAA Medical Scheduling EMR Systems ICD coding ICD-10/-9 Data Entry Auditing Communication Skills Strong Work Ethic

EMR: Evaluate electronic medical records daily to review upcoming procedures approved such as radiation, chemo, IVIG, lactation, nuclear med studies, sleep studies, outpatient surgery, inpatient admissions.

Leadership: Chose to oversee workflow when manager is out. Train newer co-workers and help answer any questions on procedures and policies.

Customer Service: Speak with patients and other healthcare professionals daily. Operate as a leader in the fitness industry and train members in safe exercise techniques.

Technology: MS Word, Excel, PowerPoint, Outlook; EMR software: Cerner, Epic, Meditech

Professional Experience

Insurance Specialist South County Hospital - Wakefield, RI May 2017 to Present

Assist with the components of the revenue cycle and ensure there are the appropriate Insurance Pre-certifications, prior authorization, notifications, and referrals prior to treatment or hospitalization for inpatient and outpatient procedures.

Operate as the liaison for the ancillary department’s to referring providers. Perform extensive auditing of accounts to ensure compliance is met.

Highest amount of productivity being error free and have no denials for accounts in a department of 7.

Work on special projects such as retro authorization for patients up to 2 years later with possible appeal.

Care New England Health System - Warwick, RI April 2000 to May 2017

Contract Management Analyst and Patient Financial Services Representative

Reviewed and analyzed all variances and determined corrective action.

Analyzed payments received from third party payers by researching and correcting over or under payments per the established payer contracts.

Functioned as a liaison to patients, providers, and insurance carriers to ensure appropriate reimbursement on claims. Interacted with multiple third-party payer online systems to secure benefits and authorizations.

Secured inpatient and outpatient visits by notification, insurance verification, and prior authorizations.

Determined copay, coinsurance, deductible and out of pocket maximums.

First Financial Counselor in ER at Kent. Worked on Workers’ Comp compensable claims for first injury reporting. Assisted coding department in a time of need by becoming certified in ICD-9 coding.

Education & Certifications

Community College of Rhode Island - Warwick, RI and Lincoln, RI

Associate in Science, Business Administration and Management, 2017

Certificate in Dental Assisting

ICD-9 in Medical Coding course

CPR Certified

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