Demetris Collins
Westwego
Summary
Results-driven Revenue Cycle Specialist with a focus on problem-solving and data analysis. Skilled in processing insurance claims and coordinating with healthcare providers to resolve issues promptly, ensuring compliance and optimal revenue outcomes.
Overview
14
14
years of professional experience
Work History
Customer Service Rep I
Home Care Delivered
Glenn Allen
08.2021 - Current
- Executes all tasks required to accurately assist customers in receiving products for all conditions serviced by HCD.
- OB and IB calls to external customers via telephone and email in a highly professional, caring and knowledgeable manner.
- Meets & maintains department productivity standards as communicated by the Customer Service Management teams.
- Maintain strict confidentiality and privacy of patients' protected health information, in accordance with HIPPA regulations.
- Maintains acceptable QA Standards on calls as measured by Customer Service Leadership team.
Revenue Cycle Specialist
Tulane Hospital
New Orleans
07.2018 - 08.2021
- Reviewed insurance claims for accuracy and compliance with regulations.
- Coordinated with healthcare providers to resolve revenue cycle issues promptly.
- Processed appeals related to denied or rejected claims in a timely manner.
- Maintained up-to-date knowledge of regulatory changes affecting revenue cycle management.
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Reached out to responsible companies and individuals to collect on outstanding debts.
- Produced accounting reports and provided targeted recommendations for improving revenue standing.
Revenue Cycle Analyst
Medical Associates Clinic
Dubuque
01.2012 - 07.2018
- Analyzed revenue cycle processes to identify inefficiencies and recommend improvements.
- Collaborated with billing department to ensure accurate claim submissions and payments.
- Evaluated insurance contracts to ensure compliance with company policies and regulations.
- Provided support to department managers by researching billing discrepancies and responding to customer inquiries.
- Analyzed complex billing issues, identified root causes, and developed solutions to improve revenue cycle operations.
- Maintained up-to-date knowledge of CPT and HCPCS codes, ICD-10 CM diagnosis codes along with applicable federal and state regulations.
Education
A.S. Degree - Healthcare Administration
University of Phoenix
Phoenix, Az06.2012
Skills
- HIPAA compliance
- Insurance claims processing
- Claim submission accuracy
- Revenue cycle management
- Claims analysis
- Data analysis
- Problem solving
- Time management
- Critical thinking
- Tracking complaints
- Inbound and outbound calling
- Microsoft Office Suite
- Microsoft Excel
- Medical terminology
- Refunds processing
References
References available upon request.
Timeline
Customer Service Rep I
Home Care Delivered
08.2021 - Current
Revenue Cycle Specialist
Tulane Hospital
07.2018 - 08.2021
Revenue Cycle Analyst
Medical Associates Clinic
01.2012 - 07.2018
A.S. Degree - Healthcare Administration
University of Phoenix
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