Angel Richardson
Pendergrass
Summary
Dedicated customer service professional in the medical industry, specializing in revenue cycle management. Established rapport with clients to enhance satisfaction and optimize processes for efficiency. Effectively reduced debt and collected payments while collaborating with insurance companies to resolve issues and drive business growth.
Overview
29
29
years of professional experience
Work History
Revenue Cycle Specialist
Northside Hospital
Gainesville
02.2023 - Current
- Optimized patient billing and claims submissions, improving insurance reimbursement efficiency.
- Processed denied or rejected claims appeals swiftly, ensuring timely reimbursement.
- Investigated denial causes and submitted appeals, enhancing resolution rates.
- Monitored accounts receivables daily, initiating follow-up actions to reduce outstanding balances.
- Collaborated with departments to resolve customer inquiries on billing issues.
Revenue Cycle Specialist
North Chattahoochee Family Physicians
Johns Creek
12.2013 - 02.2023
- Corrected and processed claims across multiple payer codes, ensuring accuracy to minimize payment delays.
- Addressed billing inquiries, assisting patients and third-party carriers to resolve issues efficiently.
- Processed account payments and communicated outstanding balances to enhance clarity for customers.
- Enhanced customer satisfaction through proactive strategies addressing needs and resolving concerns.
- Managed high volume of incoming calls, ensuring minimal wait times for customers.
- Delivered primary support to both internal and external customers.
- Generated accounts payable reports for management to support financial decisions.
- Trained new personnel on company operations, policies, and services.
Customer Service Representative
Northeast Georgia Health System
Flowery Branch
04.2007 - 12.2013
- Managed over 30 calls per shift, effectively signing up new customers and ensuring accurate data retrieval.
- Coordinated patient scheduling, check-in, check-out, and billing payments to enhance patient flow and satisfaction.
- Directed patients to exam rooms, addressed inquiries, and prepared for physician examinations.
- Gathered forms and copied insurance cards for accurate billing and insurance filing.
- Recorded and filed medical payments received via check, cash, and credit card.
- Developed flexible payment plans to promote timely bill payments.
- Adhered to strict HIPAA guidelines to safeguard patient privacy.
Claims Representative
Atlanta Casualty
Norcross
01.1997 - 03.2007
- Processed large volumes of claims efficiently in fast-paced work environment.
- Reviewed 20 insured and claimant cases weekly to ensure accurate coverage verification.
- Verified insurance claims to establish fair settlement amounts based on policy terms.
- Examined reports and evidence to assess integrity and accuracy of information.
- Interviewed policyholders to confirm details and gather additional information.
- Resolved claims by negotiating settlements for straightforward issues.
- Followed up with customers on outstanding concerns to ensure satisfaction.
- Addressed inquiries from insured individuals and attorneys regarding deductibles.
Education
High School Diploma -
Johnson High School
Gainesville, GAundefined
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Skills
- Dispute resolution
- Proficient in Microsoft, Allscripts, Touchworks EMR, Epic
- Inbound and outbound calling
- Telephone etiquette
- Patient advocacy
- Complaint resolution
- Medical terminology
- Professional telephone etiquette
Timeline
Revenue Cycle Specialist
Northside Hospital
02.2023 - Current
Revenue Cycle Specialist
North Chattahoochee Family Physicians
12.2013 - 02.2023
Customer Service Representative
Northeast Georgia Health System
04.2007 - 12.2013
Claims Representative
Atlanta Casualty
01.1997 - 03.2007
High School Diploma -
Johnson High School