DEBORAH STEVENS
Chula Vista,CA
Summary
Dynamic Revenue Cycle Specialist with proven expertise at Scripps Health, excelling in claims processing and denial management. Achieved optimal reimbursement rates through strategic insurance collaboration and thorough audits, recovering substantial denied claims. Committed to HIPAA compliance and performance analysis, driving efficiency in revenue cycle operations.
Overview
26
26
years of professional experience
Work History
Revenue Cycle Specialist
Scripps Health
01.1999 - 10.2024
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Reduced turnaround time for claim submissions, ensuring compliance with healthcare regulations through diligent documentation.
- Successfully navigated complex insurance disputes, resulting in recovery of substantial amounts of previously denied claims.
- Optimized revenue cycle, implementing effective strategies for claims management and reimbursement.
Skills
- Revenue cycle management
- HIPAA compliance
- Claims processing proficiency
- Performance analysis
- Denial management
- Medical billing expertise
- Insurance collaboration
- Accounts receivable management
Accomplishments
- Achieved measurable increase in revenue collected after adjustments and write-offs
- Accomplished a decrease in the number of claims rejected by payers, leading to fewer appeals and faster reimbursement.
- Accomplished reduced wait times to ensure accurate patient information is captured at the point of service, which impacts billing accuracy.
- Lead in participating in the implementation of new electronic health record (EHR) systems and other revenue cycle technologies.
- Maintain adherence to relevant healthcare regulations, such as HIPAA, Medicare, and Medicaid requirements.
Timeline
Revenue Cycle Specialist
Scripps Health
01.1999 - 10.2024
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