Revenue Cycle Customer Service

Gayla Bryant

West Carrollton, OH 937-***-**** ************@*****.***

Revenue Cycle Management Claim Reviewer

Dedicated Revenue Cycle Management Claim Reviewer with strong organizational skills and attention to detail, committed to ensuring exceptional customer service through efficient financial transaction management and regulatory compliance. Experienced in insurance verification, HIPAA compliance, and electronic medical records, ensuring the confidentiality and security of PHI. Skilled in reviewing records for completeness, accuracy, and compliance with regulations, as well as handling appeals and denials. Highly adaptable, able to multi-task, and work both independently and collaboratively within a team. Open to cross-training and career development, with the ability to learn and train effectively through Microsoft Teams. Functional Skills

Preauthorization Release of information Microsoft Office (Excel and all applications) EMS, home care and hospital accounts receivable Medicare guidelines Medical terminology Medicare, Medicaid and all major insurance websites with approved access Availity Excellent communication, organization, and critical thinking skills Adapting to change in a fast-paced environment. Experience

United Healthcare/Optum September 28, 2020 – Feb 6, 2025 Account Receivable Clerk

• For 3 years Change Healthcare Ambulance Billing, high Medicare billing until merger with United Healthcare.

• Resolving claim filing issues by providing requested information or communicating directly with the insurance company.

• Identifying patterns of denials or other problems in the billing system and reporting them to management.

• Insurance verification.

• Appealing claims.

• Experience with insurance billing and/or collections. Nuance Communications Medical Transcription/Editing January 2003 - October 2019

• Transcribing all types of documents from digital voice files into a hospital medical record, H and P, consultations, discharge summary, operative reports.

• Editing voice recognition outputs of digital voice files/quality assurance.

• Uploading completed and audited reports into the electronic medical record. Education

Associates of Applied Sciences/ Health Information Technologies, Marion Technical College, Marion, OH Honors: Magna Cum Laude