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Carolyn Pierre

@carolynpierre

Medicare Coordinator II at Sarasota Memorial Health Care System, recovering over $50K in daily collections and reducing unresolved RTP balances by 65%.

United States
Message

At Sarasota Memorial Health Care System, I investigate complex Medicare claims, denials, unpaid balances, and reimbursement discrepancies to secure appropriate payment and meet CMS requirements.

I maintain Medicare A/R over 90 days below 5% and generate more than $50,000 in daily collections through claim resolution and payer follow-up.

I led an RTP recovery initiative reviewing 4,426 accounts, reducing unresolved balances by 65% in one month and implementing corrective actions to improve billing accuracy. I progressed through revenue cycle roles in billing, financial counseling, managed care, and Medicare operations.

Experience

Work history, roles, and key accomplishments

SS
Current

Medicare Coordinator II

Sarasota Memorial Health Care System

Jan 2004 - Present (22 years 9 months)

Investigates complex Medicare claims, denials, and reimbursement discrepancies to secure appropriate payment and ensure CMS compliance. Maintains Medicare A/R over 90 days below 5% and generates over $50K in daily collections.

Education

Degrees, certifications, and relevant coursework

HH

Healthcare Financial Management Association (HFMA)

Certified Revenue Cycle Representative (CRCR), Healthcare Finance

Certified Revenue Cycle Representative (CRCR) certification from HFMA.

SC

St. Petersburg College

Coursework, Business Administration

Completed business administration coursework at St. Petersburg College.

Tech stack

Software and tools used professionally

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