Review and assign account to RNs or Coders for appeal review
Updated overpayment spreadsheet to ensure accurate tracking of financial discrepancies
Risk account reviews credit or debit charges are reviewed.
Compiled quarterly DRG report for management to facilitate informed decision-making
Review and assign audits from insurance companies
Provide risk manager with closer emails on risk account when completed
Monitored Audit Sharepoint daily to identify and address outstanding audit issues
Retail Sales Associate
Bath and Body Works
Mesa
10.2022 - Current
Processed customer transactions as a cashier
Enrolled customers in rewards program to enhance loyalty
Replenished products to maintain stock levels and support sales
Review and pull online orders for customers; BOPIS
Floor sets; clear product; add props; and reset with new product
Trained new employees to ensure effective service delivery
Patient Financial Services Quality Analyst
Banner Health
Mesa
08.2021 - Current
Analyzed patient accounts for underpayments and overpayments to ensure accurate billing and reimbursement
Identified trends and summarized data for management to support informed decision-making
Reported contracting issues to leadership, facilitating timely resolution and maintaining payer relationships.
Reconcile and balance account payments
Communicate with payers using multiple systems
Process refunds to patients and insurance companies
Senior Patient Financial Services Representative
Banner Health
Mesa
05.2019 - 08.2021
Led weekly Top 100 conference calls with provider reps
Researched payments, denials, and underpayments
Executed special projects for commercial insurance team to enhance service delivery
Engaged in weekly UHC meetings to collaboratively address and resolve issues
Organized UHC OneNote resources for improved access
Assisted team members by addressing inquiries and providing training
Patient Financial Services Representative
Banner Health
Mesa
02.2018 - 05.2019
Assisted patients with insurance and self-pay questions, enhancing understanding of financial obligations
Contacted payers to resolve unpaid or short-paid claims, facilitating faster reimbursement
Followed up on billed claims and payer denials
Reviewed claims to ensure accurate and timely submission
Conducted training sessions for new representatives to ensure understanding of company policies and procedures.
Documented all account activity in MS4
Seasonal Market Team Member
Target
Mesa
10.2017 - 12.2017
Provided customer service support in a retail environment, stocked shelves, managed inventory, shipped orders, and rotated food.
Assisted customers in locating products and answering inquiries.
Collaborated with team members to restock shelves efficiently.
Maintained cleanliness and organization of sales floor and stock areas.
Lead Medical Administration Assistant
Heavens Medical PLC
Apache Junction
04.2013 - 04.2017
Scheduling, registration, payments, insurance verification, medical records, Faxed documents to relevant departments, facilitating timely communication., Scanned medical records to digitize and organize patient information for easy access., Spanish translation, and daily balancing.
Assisted in maintaining accurate electronic health records for patient information management.
Coordinated communication between patients and healthcare providers to ensure clarity.
Scheduling, registration, payments, insurance verification, medical records, Faxed documents to relevant departments, facilitating timely communication.
Coordinator Customer Service
Verizon Wireless
Chandler
07.2000 - 07.2012
Customer service, billing support, troubleshooting, account updates, payments, Trained new representatives on customer service protocols to ensure consistent service delivery., and system testing.
Coordinated team schedules to ensure effective coverage and resource allocation.
Facilitated communication between departments to enhance collaboration and efficiency.
Managed inventory levels to optimize product availability and minimize shortages.
Revenue Cycle System Analyst | Work Queues Management and Denials Resolution at Baptist Health SystemRevenue Cycle System Analyst | Work Queues Management and Denials Resolution at Baptist Health System