ERIN MCKINNEY
Fitchburg
Summary
Experienced Reimbursement Coordinator with expertise in healthcare finance and insurance claims management. Proficient in medical coding, ensuring precise billing and prompt payments. Demonstrated success in optimizing processes and boosting team efficiency, contributing to significant revenue increases. Strong organizational skills and commitment to continuous industry knowledge enhancement.
Overview
22
22
years of professional experience
Work History
Reimbursement Coordinator
Spectrum Health Systems, Inc.
Worcester
06.2021 - Current
- Processed and submitted insurance claims via electronic systems to ensure timely reimbursement.
- Reviewed patient accounts for accuracy and completeness before submission.
- Analyzed claim denials and recommended actionable improvements.
- Trained new staff on reimbursement processes and coding best practices.
- Collaborated with billing department to secure prompt payments from insurers.
- Maintained confidentiality and integrity of patient data throughout all processes.
- Investigated claim rejections and prepared appeals based on thorough research.
- Provided guidance on ICD-10 coding techniques to enhance compliance.
Provider Claim Resolution Specialist
Cognizant Technologies
Worcester
03.2018 - 05.2021
- Resolved discrepancies between provider submissions and insurance policies to ensure compliance.
- Reviewed provider claims for accuracy, adhering strictly to established guidelines.
- Communicated with providers to clarify claim details and collect required information.
- Documented resolutions in internal tracking system for future reference and analysis.
- Collaborated with team members to enhance claims resolution efficiency.
- Assisted in training new team members on effective claims processing procedures.
- Analyzed trends in provider claims, identifying improvement opportunities.
- Evaluated denied claims, recommending process enhancements to mitigate future issues.
- Reviewed and processed provider claims for medical services rendered to ensure accuracy of payments.
- Performed data entry into electronic systems to track provider claims.
- Communicated with internal departments on behalf of providers to resolve billing problems.
Receptionist/ Medical Assistant
Express Care of Tampa Bay: Khan Abdus Salam MD
Apollo Beach
12.2011 - 06.2017
- Recorded and filed patient data while adhering to federal and state guidelines for information release.
- Directed patient flow during practice hours, reducing wait times effectively.
- Wrote clear clinical phone messages for physicians to enhance communication.
- Completed registration processes for new patients promptly and professionally.
- Provided administrative support for 1-5 physicians, ensuring smooth operations.
- Verified insurance details and collected copays accurately while confirming patient information.
Medical Assistant/Secretary
Pain Care Plus
Tampa
05.2010 - 06.2015
- Documented patient status and reported complaints to doctor or office manager.
- Scheduled appointments and coordinated patient follow-ups efficiently.
- Managed medical records using electronic health record systems.
- Recorded vital signs, including temperature, pulse, and respiration.
- Prepared patient rooms for optimal readiness prior to arrival.
- Collected urine samples for drug testing purposes.
- Assisted patients with chronic illnesses through attentive care.
- Delivered emotional support to patients and families during challenging times.
On the Job Training: Medical Assistant
Late Hours Urgent Care
Valrico
01.2008 - 12.2008
- Learning CPR, Ekg, Urinalysis, Medical Coding and Billing, Xray, Blood Draws, Processed Lab results, Hippa, Phones, Messages, Verifying Insurance and processing claims for Workers Comp and Auto accidents.
Medical Office Clerk/ Front Office
Late Hours Urgent Care Center
Valrico
09.2005 - 04.2008
- Read and recorded temperature, pulse and respiration.
- Prepared patient rooms prior to their arrival.
- Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus. Such as EKG machines, Xray machines.
- Tended to patients with chronic illnesses.
- Maintained up-to-date records at all times.
Nail Technician: Nail Technology
Artistic Nails and Beauty Academy
Brandon
01.2003 - 12.2003
- Nail Technician training
Education
Nail Technician - Nail Technology
Artistic Nails and Beauty Academy
Brandon, Florida, USA01.2008
On the Job Training - Medical Assistant
Late Hours Urgent Care
Valrico, Florida, USA01.2008
Skills
- Electronic medical record software
- Strong work ethic
- Team collaboration
- Judgment and decision-making
- Patient-centered care
- CPR certification
- EKG proficiency
- Urinalysis expertise
- Medical coding and billing
- X-ray administration
- Blood draw techniques
- Laboratory result processing
- HIPAA compliance
- Telephone communication
- Message management
- Insurance verification and claims processing
- Claims resolution and denial management
- Problem solving and analysis
- Explanation of benefits and coordination of benefits
Timeline
Reimbursement Coordinator
Spectrum Health Systems, Inc.
06.2021 - Current
Provider Claim Resolution Specialist
Cognizant Technologies
03.2018 - 05.2021
Receptionist/ Medical Assistant
Express Care of Tampa Bay: Khan Abdus Salam MD
12.2011 - 06.2017
Medical Assistant/Secretary
Pain Care Plus
05.2010 - 06.2015
On the Job Training: Medical Assistant
Late Hours Urgent Care
01.2008 - 12.2008
Medical Office Clerk/ Front Office
Late Hours Urgent Care Center
09.2005 - 04.2008
Nail Technician: Nail Technology
Artistic Nails and Beauty Academy
01.2003 - 12.2003
Nail Technician - Nail Technology
Artistic Nails and Beauty Academy
On the Job Training - Medical Assistant
Late Hours Urgent Care