Justyce Clanton
Newnan,GA
Summary
Knowledgeable and detail-oriented Revenue Cycle Representative with extensive medical services background and leadership experience. Managed patient-related accounts receivables at large medical facility. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain growth and contribute to company success. Articulate, energetic and results-oriented with exemplary passion for cultivating partnerships and growing skills. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.
Overview
6
6
years of professional experience
Work History
Senior Patient Account Representative
Optum
11.2021 - Current
- Training New Employees
- Payment Processing and Posting
- Reviewing accounts for overpayments and refunds
- Reviewing EOBs with Patients
- Conflict Resolution
- HIPPA Compliancy
- Handled high volume of 70-100 in-bound calls daily
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Team management of 15 employees
- Performance Audits
- Documentation and reporting
- HIPPA Compliancy
- Monitored accounts for compliance with established payment plans and flagged those in violation
- Persistently reached out to customers with past due accounts to recover lost revenue
- Ensured compliance with all federal, state, and local regulations governing medical billing practices through continuous education on industry updates.
- Reduced aged accounts receivables by implementing effective follow-up strategies with patients and insurers.
- Developed comprehensive training materials to assist new employees in understanding essential job duties and responsibilities.
- Established protocols for effectively managing escalated disputes related to billing issues or claim denials ensuring satisfactory resolution.
Patient Account Team Lead and Trainer
Eagles Landing Health
08.2020 - 10.2021
- Increased patient retention with personalized customer service and prompt resolution of account issues.
- Served as a liaison between the Patient Account Team and other departments within the organization, promoting collaboration and facilitating communication on patient-related matters.
- Assisted with audits of departmental policies and procedures to maintain compliance with regulatory standards.
- Managed daily operations of the Patient Account Team efficiently, balancing priorities effectively to ensure optimal outcomes for both patients and the organization.
- Developed comprehensive training materials to enhance staff knowledge of industry regulations, resulting in improved compliance rates.
- Established a system for tracking key performance indicators, enabling proactive adjustments to improve overall team performance.
- Assisted in hiring new team members, ensuring that candidates were well-suited and committed to providing high-quality service to patients.
- Reduced errors in billing and account management through thorough training of team members and rigorous quality checks.
- Resolved escalated patient disputes in a timely manner, preserving client relationships while adhering to company policies.
- Trained and mentored 15-20 new personnel hired to fulfill various roles.
Revenue Cycle Specialist
D4C Dental Brands
11.2019 - 08.2020
- Reconciled account information and reported figures in general ledger by comparing to bank account statement each month
- Tracked invoices, receipts and deposit slips to generate monthly fiscal statements
- Extensive use of Microsoft Excel
- Processed payments from insurance companies and patients
- Accurately posted 700+ payments and adjustments both electronically and manually daily
- Administrative support
- Reconciliation of Bank Statements
- Reading Electronic Remittances
- Balancing Payments and End of Day Reports
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Increased revenue by identifying and resolving billing errors in a timely manner.
Team Lead/ Shift Supervisor
Chick, A Truett’s Luau
12.2018 - 12.2019
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Coached team members in techniques necessary to complete job tasks.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
- Influenced positive changes through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.
- Managed schedules, accepted time off requests and found coverage for short shifts.
- Delivered successful training to more than [Numberemployees during tenure, educating on successful work processes and productivity strategies.
Customer Service Representative Manager
Torrid
08.2018 - 10.2019
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Offered advice and assistance to customers, paying attention to special needs or wants
- Answered questions about store policies and concerns to support positive customer experiences
- Coached team members in customer service techniques, providing feedback and encouragement toward reaching sales goals
- Created and implemented several training procedures and policies
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Diploma -
Northgate High School
Newnan, GA05.2017
Some College (No Degree) - Business
Georgia State University
Atlanta, GASkills
- Team Management and Leadership
- 8 years of Customer Service experience
- Talent Acquisitions
- Conflict Resolution
- Medical Billing Expertise (Reading EOBs, Reviewing claims and moderate ICD-10 Coding, Reading Remittances, Posting Patient and Insurance Payments, Balancing payments)
- Collections/Accounts Receivable
- Microsoft Office, Excel, Word
- EMR Systems: Dentrix, eClinical Works, Cerner, EPIC, Athena IDX, Meditech
- HIPAA Compliance
- Claims Processing
- Patient account management
- Insurance Verification
- Denial Management
- Payment plan negotiation
- Data Analysis Capabilities
Timeline
Senior Patient Account Representative
Optum
11.2021 - Current
Patient Account Team Lead and Trainer
Eagles Landing Health
08.2020 - 10.2021
Revenue Cycle Specialist
D4C Dental Brands
11.2019 - 08.2020
Team Lead/ Shift Supervisor
Chick, A Truett’s Luau
12.2018 - 12.2019
Customer Service Representative Manager
Torrid
08.2018 - 10.2019
Diploma -
Northgate High School
Some College (No Degree) - Business
Georgia State University
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