Data-Driven Billing & Data Specialist with 11K+ KPH

STACEY ROSENBERG

Chandler, AZ ***** · 480-***-**** · *********@*****.***

Highly skilled data processor with over 11,000 KPH with data accuracy of 99%. Excels at time management, verifying complex data with security clearance. Experienced across many industries, including healthcare, insurance and law firms. Looking for a team to grow with in a positive environment.

EDUCATION: Bachelor of Arts in Sociology, May 1993, Minor in Criminal Justice, Northeastern Illinois University, Chicago, Illinois.

PROFESSIONAL EXPERIENCE:

3/2021-1/2026 NextCare Holdings, Acquisitions Biller

Developed and implemented new patient intake forms to support onboarding of new urgent care clinics within the NextGen system.

Researched and resolved rejected claims through Waystar Clearinghouse by opening support tickets and communicating directly with insurance payers to secure payment.

Performed follow-up on rejected and denied claims, correcting insurance information, reversing inappropriate adjustments, and adding new insurance plans with verified payer IDs and addresses in NextGen.

4/2017-2/2021 Contract Roles across Healthcare, Technology, and Service Industries, Data Specialist

Processed and researched claims, referrals, memberships, listings, and violations, ensuring accuracy, compliance, and timely resolution of discrepancies.

Conducted detailed research to verify patient, payer, vehicle, and business information, correcting errors, and advancing records to billing or completion.

Communicated with internal teams, insurance payers, referral sources, and customers to resolve issues, respond to inquiries, and maintain data integrity.

Maintained strict attention to detail while meeting productivity and quality standards across fast-paced, regulated environments.

4/2006-3/2017 Tivity Health, Contracts Coordinator/ Processor Lead, Data, Silver Sneakers Division

Processed provider contracts and amendments for Silver Sneakers and Prime products including OIG check, validated and created payment rates, verified appropriate Certificate of Insurance and created vendor using W-9 information.

Answered incoming inquiries received from Finance, Procurement and Account Managers, including payment error corrections, revised termination dates and extensive research of failed direct deposits, including quarterly payment rate audit as required under SOX key control.

Processed the data for all company products and updated appropriate databases.

Made outbound quality assurance calls to members in order to attain information related to potential inaccurate utilization reporting.

COMPUTER PROFICIENCY: Microsoft Office products including dual monitors, Adobe, DocHub, Google Docs, DropBox, 10-key data entry, and Dictaphone transcription.

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