Clarisse UmutoniCU
Open to opportunities

Clarisse Umutoni

@clarisseumutoni

Experienced healthcare billing specialist with a focus on credit resolution.

United States
Message

What I'm looking for

I am seeking a role that values collaboration and offers opportunities for professional growth in healthcare billing.

With over 10 years of experience in healthcare billing and credit resolution, I have honed my skills in managing credit balances, account reconciliation, and insurance refunds across various payer types, including Medicare and Medicaid. My proficiency in tools like Epic, Emdeon, and ACE, combined with my strong attention to detail, allows me to excel in ensuring accurate billing processes and compliance with HIPAA regulations.

In my current role as a Credit Resolution Representative at Conifer Health Solutions, I perform quarterly Medicare reviews and resolve patient and insurance credit balances efficiently. Previously, at Piedmont Healthcare, I collaborated closely with teams to correct payment issues and prevent billing errors, ensuring a seamless revenue cycle operation. My commitment to excellence and teamwork has consistently contributed to improved financial outcomes for the organizations I have worked with.

Experience

Work history, roles, and key accomplishments

CS
Current

Credit Resolution Representative

Conifer Health Solutions

Sep 2023 - Present (1 year 10 months)

Performed quarterly Medicare reviews and submitted reports for client approval. Resolved patient and insurance credit balances using ACE. Processed refund requests, verified account accuracy, and issued payments.

PH

Credit Resolution Representative

Piedmont Healthcare

May 2017 - Sep 2023 (6 years 4 months)

Reviewed and resolved credit balances across multiple payer types. Used Epic and Emdeon to process refunds, identify overpayments, and ensure accurate posting. Collaborated with posting team to correct payment issues and prevent billing errors.

IL

Senior Agent, Reconciliation Specialist

Independent Physicians LLC

Jan 2014 - Dec 2017 (3 years 11 months)

Analyzed EOBs to confirm insurance reimbursement accuracy. Managed inbound calls, resolved account issues, and set up patient payment plans. Verified insurance eligibility and updated patient data for billing.

Education

Degrees, certifications, and relevant coursework

HU

Herzing University

B.S. Health Care Administration, Health Care Administration

Obtained a Bachelor of Science in Health Care Administration. Focused on healthcare management and operations.

Tech stack

Software and tools used professionally

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Clarisse Umutoni - Credit Resolution Representative - Conifer Health Solutions | Himalayas