Customer Service Revenue Cycle

Healthcare Revenue Cycle and Patient Registration Specialist

Dynamic and detail-oriented RCM Billing Specialist with extensive experience in customer service, medical billing, and revenue cycle management. Proven ability to resolve complex billing issues and foster strong client relationships. Seeking a full-time position that leverages my skills in communication, problem-solving, and organizational management

SIGNATURE STRENGTHS & COMPETENCIES

* Customer Service Excellence

* Billing & Coding Proficiency

* Critical Thinking & Problem

Solving

* Effective Communication

*EPIC (EHR System)

* Attention to Detail

* Team Collaboration

* Organizational Skills

* Adaptability

EXPERIENCE

Upshift, Cincinnati, Ohio JUNE 2020- PRESENT

Contractor

●Assisted cooks and team members to increase food production and table turnover during peak hours.

●Followed sanitation and serving guidelines from the Department of Health for a 94% score on health inspections.

●Performed all opening and closing duties based upon shift assignment and increased efficiency by 6% by preparing necessary items and information for the coming shift.

●Cultivated customer relationships and boosted customer satisfaction rating by 15% through proactive attendance to customers during dining.

St. Elizabeth Healthcare, Florence, KY

Pre Access-Specialist MARCH 2014 - NOVEMBER 2020

● Addressed patient inquiries and expertly directed them to appropriate medical staff, significantly enhancing patient satisfaction.

● Supported primary and specialty care providers with timely eligibility checks, prior authorizations, and efficient referrals for high-cost outpatient tests.

● Prepared and submitted thorough pre-authorization requests to insurance companies, ensuring unwavering compliance with all relevant policies and guidelines.

● Maintained precise and organized records of patient interactions, authorizations, and related documentation in the electronic health record (EHR) system.

●Ensured strict compliance with federal and state regulations, as well as institutional policies regarding patient access and insurance processes

St. Elizabeth Healthcare, Erlanger, KY

ER Registration/Admitting Specialist October 1999 – MARCH 2014

● Conducted meticulous insurance verification and efficiently collected co-pays, ensuring strict compliance with hospital procedures.

● Assisted with smooth inpatient admissions and discharges, collaborating effectively with medical staff for seamless operations.

Debra Lane

Phone: 859-***-**** Email: ********@***.***

Professional Summary

Dynamic and detail-oriented RCM Billing Specialist with extensive experience in customer service, medical billing, and revenue cycle management. Proven ability to resolve complex billing issues and foster strong client relationships. Seeking a full-time position that leverages my skills in communication, problem-solving, and organizational management. Key Skills

• Customer Service Excellence: Demonstrated ability to deliver outstanding service and build client relationships, resulting in high customer satisfaction.

• Billing & Coding Proficiency: Extensive experience with CPT and HCPCS coding, HIPAA compliance, and medical terminology.

• Critical Thinking & Problem Solving: Strong analytical skills used to research and resolve billing discrepancies effectively.

• Communication Skills: Exceptional oral and written communication abilities, ensuring clear and concise interactions with patients, providers, and insurance companies.

• Technical Proficiency: Experienced with Epic EMR, Microsoft Office (including Excel), and data entry processes.

• Attention to Detail: Meticulous approach to data management, ensuring accuracy in billing and patient records. Relevant Experience

RCM Billing Specialist

Gravity Diagnostics, Covington, KY

November 2020 - July 2022

• Managed daily communication with 60-85 customers regarding past due accounts, facilitating payment plans and restructuring options.

• Processed invoices and payments through various methods, ensuring accuracy and efficiency.

• Collaborated with Medicare, Medicaid, and commercial insurers to secure timely payments. Pre Access-Specialist

St. Elizabeth Medical Center, Erlanger, KY

March 2014 - November 2020

• Addressed patient inquiries and directed them to appropriate medical staff, enhancing patient satisfaction.

• Supported primary and specialty care providers with eligibility, prior authorizations, and referrals for high-cost outpatient tests.

• Maintained comprehensive knowledge of the revenue cycle, facilitating smoother admissions and billing processes. ER Registration/Admitting Specialist

● Supported precise coding and billing processes, consistently maintaining rigorous HIPAA compliance.

● Served as a proactive liaison between patients, families, and medical staff, ensuring clear and compassionate communication regarding registration processes and wait times.

● Addressed and resolved patient concerns or issues related to registration, insurance, or billing in a prompt and professional manner.

EDUCATION

Bachelor of Arts in Business, Minor in Business Management Thomas More University, Crestview Hills, KY

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