Clarisse Umutoni
@clarisseumutoni
Experienced healthcare billing specialist with a focus on credit resolution.
What I'm looking for
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
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.
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.
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
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
Availability
Location
Authorized to work in
Job categories
Interested in hiring Clarisse?
You can contact Clarisse and 90k+ other talented remote workers on Himalayas.
Message ClarisseFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
