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Work Background
NMA (Neuromonitoring Associates)Revenue Management Administrator
Apr. 2025
SpecialtyCareRevenue Mgmt Supervisor, NSA IDR Mgmt
Sep. 2022 - Apr. 2025NSA IDR dispute management
SpecialtyCareIONM Client Billing Specialist
Jan. 2019 - Sep. 2022Remote- Data analysis
- Identify payer trends
- Audit accounts for proper collections procedures - Audit accounts for proper payment posting
- Support clinicians and clients (surgeons' offices) with patient and/or third-party billing concerns
- Liaise with third-party collections vendors
- Submit validation of debt documentation as needed for collections
- Build rapport with patients and clients
- Support peers as well as upper management
- Run reports in NextGen EPM to analyze collection activity, patient billing, claim edits, old AR
- Perform reconciliation of accounts handled by third-party collection agencies
- Audit patient billing to ensure accuracy
- Act as IONM third-party and patient billing SME
- Re-establish budgets set up in NextGen
SpecialtyCareSupervisor, Patient Advocate and AR Analyst
Feb. 2018 - Jan. 2019- Supervised the Patient Advocate department
- Trained Patient Advocates on handling patient calls
- Continued to work as an AR Analyst
SpecialtyCareAR and Third Party Analyst
Aug. 2016 - Feb. 2018- Identify payer trends
- Draft appeal letter templates for company-wide use
- Analyze data via NextGen reporting
- Audit AR work
SpecialtyCareAR Specialist
Mar. 2016 - Aug. 2016- Investigate and resolve claim payment details and issues
- Post adjustments when necessary
- Resolve aging receivables
- Follow up with payers for claim status
- Apply patient responsibility as needed, pursuant to Explanations of Benefits
- Support peers across departments
Rocky Mountain Cancer CentersAR Specialist
Sep. 2015 - Mar. 2016
ProNerve, LLC.Accounts Receivable Specialist
Nov. 2014 - Sep. 2015Accomplishments:
- January STAR Award Recipient
- Increased collections from UHC by 3 times the previous average in 2 months
- Well-written appeals and reconsideration requests led to the largest weekly payment ProNerve has received from UHC
Argus Event Staffing, LLCPart Time Team Member
Oct. 2014 - Jan. 2016- Licensed Merchant Guard
- Event security staff for Broncos games, concerts and miscellaneous events
Panorama Orthopedics & Spine CenterAccounts Receivable Specialist
Sep. 2013 - Oct. 2014GoldenWork aging reports in NextGen to ensure claims are worked in a timely manner and claims are paid per contract
Comply with HIPAA regulations
Contact insurance companies to ensure that proper payment of benefits is made
Communicate professionally with payers, patients and our provider representatives to resolve claim issues
Draft appeals to payers when claims are denied and not paid per contract
Maintain an extensive knowledge of proper coding and billing in order to assist in submitting any necessary
corrections on corrected claims
Run reports to determine outstanding A/R
Utilize Internet and telephone to research and investigate when necessary (i.e., to get claim status information or
details that may be missing on an Explanation of Benefits)
I also coordinated, organized and hosted monthly luncheons for 20 members of our staff, from Chiefs to doctors, management to administrative staff.
S&S Billing Services Inc.Accounts Receivable Specialist
Aug. 2012 - Sep. 2013Lakewood, CO Determine whether the patient has received the full benefit amount towards their claim, whether it is a workers’ compensation claim, commercial insurance claim, accident, or a Medicare or Medicaid claim
Contact insurance companies to ensure that proper payment of benefits is made, and if not, to inquire as to the reason for non-payment or low payment and appeal to insurance companies to apply additional funds towards patient balances
Handle incoming and outgoing telephone calls to and from patients, other providers’ offices, insurance companies, attorneys and adjusters
Work aging reports within my alpha split to ensure that claims are worked and accounts are paid and closed appropriately
Utilize knowledge of various healthcare carriers’ rules regarding timely filing of claims and appeals or redeterminations
Draft correspondence to lawyers, patients and insurance companies regarding payments owed to any of the practices
Prepare weekly credit card payment reports
Sort and distribute, or respond to correspondence as appropriate
Utilize Internet and telephone to research and investigate when necessary (i.e., to get claim status information or details that may be missing on an Explanation of Benefits)
Josephine Communications, LLCAccount Manager and Data Entry Specialist
Aug. 2011 - Aug. 2012Centennial, CO Managed two large client accounts (Century Link and Comcast) for a subcontractor company
Dispatched crews to our clients’ consumers’ locations in order to bury (“drop”) cables in order to create new service or to repair existing services
Generated daily reports for our clients indicating which of our assigned jobs had been completed
Generated daily billing reports with billing codes for our clients
Contacted our clients’ consumers in order to schedule appointments to bury cable on their property
Prepared and provided routes for crews on a weekly basis Responded to crews’ calls and provided directions when they were unable to locate properties
Maintained database of all assigned jobs utilizing Microsoft Access
Entered all new jobs into database
Mapped all properties and called in “locates” as required by law prior to burying cables
Robert HalfIdentity Management Security Coordinator
Apr. 2011 - Aug. 2011Englewood, CO-Utilized above-average skills in Microsoft Office, Outlook and Excel
-Provided first tier triage support for access requests and/or access issues for applications handled by my department, Identity Management
-Provided troubleshooting and reacted appropriately to prioritized support issues
-Reviewed and validated access requests
-Monitored and managed pending requests
-Trained 2 new employees
-Prioritized workload in high-production environment and handled accordingly
-Communicated any issues clearly and concisely to users, management and coworkers
SpeakWriteIndependent Contractor/Legal Transcriptionist
May. 2004 - Jan. 2014Efficiently and accurately transcribe digital dictations at 80 WPM Steady and strong Microsoft Word usage and skills.
Requires ability to identify and understand various nationwide accents and intonations as well as legalese, and to transcribe same.
Maintain self-motivation and discipline working alone from home and setting my own schedule
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