Alison Meyer
Sanford
Summary
Dynamic Revenue Cycle Specialist with extensive experience at Duke University and Health System. Expert in claims processing and denial management, successfully submitting appeals and ensuring compliance. Proven communication proficiency and analytical skills drive revenue integrity and enhance patient service. Committed to optimizing operational efficiency and improving financial outcomes.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Duke University and Health System
11.2019 - Current
- Operational Float Staff
- High Dollar Professional Billing Medical Documentation Denials
- Create appeal packages according to HIPPA regulations for claims $5000+
- Submit medical records for denied claims through fax, payer portals, and mail
- Discuss denied CPT codes on billed invoices with insurance representatives and send claims to appropriate department for corrections
- Revenue Integrity Associate
- Review and Analyze payer monthly changes (coding, drug step programs, prior authorization changes) via Government and private payer portals and communications
- Present monthly changes to service lines
- Attestation to management reviews are complete
- Charge Correction Analyst
- Review posted CPT codes and charges and made changes according to coder
- Resubmit claims for payment
- Call Center Specialist
- Incoming call center answering inquiries and issues regarding patient account statements
- Follow up with payers on non-payment of claims
- MyChart technical support / reset passwords and troubleshoot user issues
Patient Service Associate
Duke Health
11.2019 - 02.2020
- Patient check-in and check-out
- Verify Coverage through RTE and phone or web portals
- Cash Management and payment posting
- Collect Co-pays, co-insurance and patient account balances
- Schedule return appointments, referrals, and orders
Medicaid Claims
The Allergy and Asthma Ctr
Fort Wayne
02.2002 - 03.2007
- Appeal denials and claim adjustments according to state guidelines
- Confirm eligibility for appointments and check in / out patients
- Review aging claims report for delinquent accounts and follow up with insurance companies for pending claim payment
- Collections on outstanding accounts
Administrative Assistant
Phoenix America
Fort Wayne
08.2001 - 02.2002
- Performed general office work to include typing, faxing, collating, copying and distribution
Managed Care Coordinator WC Carrier
Gallagher Basset
Itasca
02.2000 - 07.2001
- Managed corporate products, including first report 800 vendors, nurse notes and prescription cards, utilized by 151 branches throughout the United States
- Present products for sales team and future clients
Call Center Representative
Intracorp Medical Review
Itasca
08.1991 - 02.2000
- Inbound call center for pre-admission certification using ICD-9 and CPT coding
- Transcription of doctors written and recorded notes
- Authorized referrals for 13 HMOs under 26 physician IPA according to plan guidelines
Education
B.S. - Healthcare Leadership
National-Louis University
Wheaton, IllinoisSkills
- Communication proficiency
- Medical coding
- Claims processing
- Denial management
- Revenue integrity
- Patient verification
- Appeals submission
- Customer service
- Regulatory compliance
- Data analysis
- Payment posting
Certification
Certified Revenue Cycle Specialist, HFMA
Timeline
Revenue Cycle Specialist
Duke University and Health System
11.2019 - Current
Patient Service Associate
Duke Health
11.2019 - 02.2020
Medicaid Claims
The Allergy and Asthma Ctr
02.2002 - 03.2007
Administrative Assistant
Phoenix America
08.2001 - 02.2002
Managed Care Coordinator WC Carrier
Gallagher Basset
02.2000 - 07.2001
Call Center Representative
Intracorp Medical Review
08.1991 - 02.2000
B.S. - Healthcare Leadership
National-Louis University
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