NUNathan Urbanski
@nathanurbanski
Detail-oriented healthcare reimbursement professional with 20+ years of experience.
United StatesWhat I'm looking for
I am a healthcare reimbursement professional with over 20 years of experience specializing in payment resolution, denial management, and revenue cycle operations. My career has been marked by a commitment to optimizing processes and collaborating across departments to resolve payer issues effectively. I pride myself on my ability to manage time-sensitive workloads with accuracy and professionalism, ensuring that I meet and exceed daily benchmarks while maintaining high standards of documentation.
Throughout my tenure at Trinity Health, I have successfully managed post-pay audits, analyzed audit findings, and collaborated with various teams to enhance efficiency. One of my key achievements includes resolving a major BCBS contract issue that resulted in over $1 million in recovered reimbursement. I have also played a pivotal role in identifying compliance gaps and implementing process changes that have led to long-term revenue recovery for my department.
Experience
Work history, roles, and key accomplishments
Payment Resolution Specialist
Trinity Health
Sep 2018 - Present (6 years 10 months)
Managed post-pay audits from payers and vendors, ensuring timely triage, response, and documentation. Collaborated with coding, clinical staff, and payer escalation teams to resolve complex issues and meet daily account benchmarks.
Technical Denials Specialist
Trinity Health
Sep 2015 - Sep 2018 (3 years)
Investigated insurance technical denials and identified appeal opportunities, interpreting denial codes and collaborating with payers to resolve or escalate issues. Drafted and submitted appeals, monitored outcomes, and reconciled account balances while identifying denial trends.
Payment Verification Specialist
Trinity Health
Jun 2010 - Aug 2015 (5 years 2 months)
Analyzed claims against payer contracts to ensure correct reimbursement, partnering with contracting and leadership teams to correct discrepancies. Played a key role in launching the payment variance team and associated processes, documenting trends and resolution efforts.
Cash Poster
Trinity Health
Sep 2001 - Jun 2010 (8 years 9 months)
Accurately posted high-volume insurance payments and reconciled remittances, identifying and resolving payment discrepancies. Supported onboarding of new hires and optimized posting procedures, researching and resolving unidentified, overpaid, and underpaid claims.
Education
Degrees, certifications, and relevant coursework
ECEastern Gateway Community College
Associate of Applied Science, Healthcare Administration
Grade: Valedictorian, Honor Graduate
Activities and societies: Valedictorian, Honor Graduate
Graduated as Valedictorian and Honor Graduate, demonstrating exceptional academic performance in healthcare administration. Gained comprehensive knowledge in healthcare management and operations.
Availability
Location
United StatesAuthorized to work in
Job categories
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