AUAmber User
@amberuser1
Dependable Revenue Cycle Management Representative with 20 years of experience.
United StatesWhat I'm looking for
I am a dependable and energetic Revenue Cycle Management Representative with over 20 years of experience in the healthcare industry. My expertise lies in navigating complex insurance systems and ensuring timely payments for services rendered. I pride myself on being detail-oriented and tech-savvy, which allows me to efficiently manage multiple computer systems and streamline processes.
Throughout my career, I have held various roles, including Accounts Representative Specialist II at WebPT, where I reviewed and completed tasks for members and followed up on insurance claims. My previous experience at Oak Valley Hospital District and Livingston Community Health has equipped me with the skills to handle denials, underpayments, and patient financial services effectively. I am passionate about providing excellent customer service and am always willing to assist my team in achieving our goals.
Experience
Work history, roles, and key accomplishments
Accounts Representative Specialist II
WebPT
Oct 2020 - Present (4 years 7 months)
Reviewed and completed tasks for members, ensuring timely payments from insurances according to contracts. Handled appeals and reopenings for Medicare and other insurance claims as needed.
Patient Financial Services Representative II
Oak Valley Hospital District
Jun 2018 - Oct 2020 (2 years 4 months)
Reviewed Explanation of Benefits for denials, patient responsibility, and correct payments, detailing accounts for rebilling or patient responsibility. Managed collections for underpayments and processed refunds for insurance companies and patients.
Business Office Clerk/Biller
Livingston Community Health
Sep 2017 - Jun 2018 (9 months)
Billed for medical and dental services to various insurances using 1500 and UB04 claim forms, both paper and electronically. Reviewed claims for errors using Claim Remedi and processed refunds for overpayments.
Education
Degrees, certifications, and relevant coursework
Atwater High School
High School Diploma, General Studies
Completed high school education. Gained foundational knowledge across various subjects.
ROP Program
Certificate of Completion, Administration
Completed the Administration ROP Program. Acquired skills relevant to administrative tasks and office procedures.
Merced College
Certificate of Completion, Customer Service
Participated in the Workplace Learning Customer Service Academy. Developed enhanced customer service skills and strategies.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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