Robin Stephenson Email & Phone Number

Denver, Colorado, United States

Denver, Colorado, United States

• Specialized collections efforts for all short-paid, unpaid, or denied claims• Researching, appealing, and resolving rejections and denials with various payers• Insurance coverage verification and coordinate authorizations or referrals• Navigate Medicare systems and insurance information portals• Manage projects and collaborate with other departments to develop and test new processes• Work with facilities, insurance counselors, patients’, and payers directly to resolve accounts• Deep dive patients’ accounts to identify and obtain coverage opportunities• Decrease patient bad debt and uninsured gaps to increase overall AR, collected $7M in 2021

Greater Denver Area

*Manage a Book of Business with collection follow-up of all short-paid, unpaid, or denied claims.*Research, appeal, and resolve claim rejections and denials.*Navigate through Medicare's Direct Data Entry claim system.*Monthly reporting of outstanding accounts receivable.*Problem solving, analytical and organizational skills to manage large amounts of information.*Training and implementation of new system software.

Greater Denver Area

*Client education and implementation of employee enrollment.*Led training for new physician affiliates and clinic staff.*Designed and created new on-board training.*Coordinated marketing items for new clients.*Assisted 3 clinics with day to day operations.*Verified staff hours and created payroll reports.*Worked with claims billing to restore Medicaid payments.*Recruited,interviewed and did background checks for clinic staff.*Prepared, sent and reviewed patient surveys.*Performed as executive assistant as needed.

Greater Denver Area

*Assisting Members with enrollment and clinic information.*Analysis of Client records for correct billing.*Sales Force reporting.*Working with clinic physicians and staff.*eClinicalWorks updates and discrepancy projects.*New Client Implementation. *New System testing. *Continually creating improved processes. *Supporting projects as needed.

Greater Denver Area

*Working on a process innovation team. *Testing new software and procedures for outcomes.*Work with Dialysis patients insurance to set accurate coverage.*Researching and determining claim denial issues. *Submitting appeals to insurance companies to correct denial issues.*Assisting on projects as needed.

Greater Denver Area

*Obtained medical authorizations and referrals.*Verified patient coverage with commercial insurance, medicare and state medicaid. *Enhanced system to accurately keep track of expiring authorizations.*Developed procedures for secondary claim processing.*Trained new employees on procedures and software programs.* After 5 months promoted.

Deland, Florida

*Verified Patient Insurance for lab fees associated with Dialysis.*Researched insurance coverage to determine accuracy.*Contacted patient insurance to determine root cause to claim denials.*Managed patient updates in complex software system. *Assisted with special projects as needed. *Trained new employees on various procedures and software programs.

Associate Of Arts And Sciences (Aas), Business Administration And Management, General

Education record