KATRINA DENSON

JACKSONVILLE, FL • 904-***-**** • ad2ghu@r.postjobfree.com • Open to Remote Work

PROFESSIONAL SUMMARY

MEDICAL BILLER with extensive experience overseeing payment posting and revenue cycle analysis, utilizing a combination of organization and time management skills to efficiently complete insurance verification and claims processing with an emphasis on accuracy. Dedicated team player knowledgeable of medical billing and coding requirements needed to prepare documentation aligned with regulatory procedures. Dynamic professional with a proven ability to communicate internally and externally with customers and peers.

AREAS OF EXPERTISE

Medical Billing & Coding

Insurance Verification

Claims Processing

Team Coordination

Problem Solving

Revenue Cycle Management

Accounts Receivable & Payable

Payment Reconciliation

Customer Service

PROFESSIONAL EXPERIENCE & ACCOMPLISHMENTS

InnovaCare Health (acquired Family Care Partners) – Remote 2020 – 2023 Payment Poster 2021 – 2023

● Leveraged strong time management and organization skills to review accounts, comparing company postings against insurance payments to ensure accuracy of $1M+ in daily postings.

● Investigated discrepancies if needed, utilizing explanation of benefits (EOBs) and matching paid amounts with payments received to balance patient accounts.

● Maintained revenue cycle postings within NextGen and Waystar systems based on all requirements for five locations in the Northeast Florida territory.

● Contacted billing offices directly if needed to coordinate incorrect billings and postings, effectively collaborating with internal and external personnel to achieve requirements.

● Served as the only Payment Poster responsible for all five locations with responsibility for up to 20 different insurance companies and multiple physicians and patients. Revenue Cycle Analyst 2020 – 2021

● Reviewed claims prior to submittal to insurance companies, effectively preparing and correcting more than 120 outstanding and denied claims on a daily basis.

● Communicated directly with insurance providers as needed to check on the status of claims or to update patient information if there were any errors.

● Managed incoming billing calls from patients, attorneys, and physician offices while also overseeing claims for both commercial and private insurance companies.

● Surpassed business expectations as the top performer, completing 40% more claims than colleagues. Care Spot – Jacksonville, FL 2018 – 2020

Worker’s Compensation Specialist

● Submitted claims and managed balances for over 100 worker’s compensation claims, following up on outstanding accounts and contacting third-party vendors on accounts receivable (AR) requirements.

● Ensured alignment with rules and regulations for patients in different states. KATRINA DENSON ad2ghu@r.postjobfree.com

PROFESSIONAL EXPERIENCE & ACCOMPLISHMENTS CONTINUED 24/7 Pediatric Care Centers – Jacksonville Beach, FL 2016 – 2018 Billing, Payment Posting & Accounts Receivable Specialist

● Oversaw collection of unpaid insurance claims and managed the appeals process for denials as part of a physician office with multiple locations.

● Posted patient and insurance payments for four practice locations.

● Contacted insurance companies to review payments and to receive status on unpaid claims.

● Successfully contributed to a significant decrease in outstanding and delinquent claims through consistent follow-up and research that identified filing issues; ultimately reduced $2.5M in back payments to under $1M and eliminated all claims past 180 days.

● Performed coding and billing for physician visits and filed claims to insurance payors as needed.

● Communicated with patients directly to process payments on past-due bills. Align Networks –Jacksonville, FL 2013 – 2016

Worker’s Compensation Specialist

● Appealed between 50 and 75 claims daily and reviewed provider bills, effectively correcting coding errors and applying correct procedure codes as required.

● Verified proper diagnosis codes to uphold all compliance standards and procedures. Craft Behavioral Health – Jacksonville, FL 2011 – 2012 Billing Specialist

● Completed an internship at a small psychiatric center with responsibility for obtaining referrals and preauthorization along with handling medical records and patient check-in.

● Prepared insurance verifications by connecting with insurance companies to confirm that patients were receiving benefits or that plans were still active.

● Worked the front desk, assisting with all scheduling, administration, and customer service. TD Bank Auto Finance – Jacksonville, FL 2008 – 2011 Deficiency Recovery Specialist

● Negotiated payment arrangements, payoffs, and settlements, utilizing strong interpersonal, organization, and time management skills to achieve production based on business metrics. Pro Digital Media – Atlanta, GA 2006 – 2008

Billing Supervisor

● Served in a key leadership capacity with responsibility for 60 personnel, ultimately overseeing all training and onboarding of new hires in addition to daily operational management.

● Handled sensitive customer cases as a point of escalation to resolve issues and uphold satisfaction.

● Engaged directly with property management and building companies as a point of contact, completing accounts receivable (AR) and accounts payable (AP) for outstanding bills. EDUCATION & TRAINING

Coursework Toward Bachelor of Science (BS), Psychology Florida State College at Jacksonville

Medical Billing & Coding Diploma

Sanford-Brown Institute

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