Michelle Nielsen
Rapid City
Summary
Patient Financial Services Supervisor with extensive experience at The Endoscopy Center, Inc. Skilled in ICD-10-CM coding and denial management, I enhance patient satisfaction through effective financial counseling and streamlined claims processes. Committed to optimizing revenue cycle operations while ensuring HIPAA compliance and fostering collaborative relationships with healthcare providers.
Overview
2027
2027
years of professional experience
Work History
Patient Financial Services Supervisor
The Endoscopy Center, Inc.
Rapid City
08.2010 - Current
- Tracked and followed up on insurance claims to ensure timely processing and resolution
- Investigated and resolved denied/rejected claims to enhance reimbursement rates
- Verify insurance eligibility and obtain authorizations
- Assign ICD-10-CM and CPT codes for endoscopic procedures
- Post payments and reconcile accounts
- Collaborated with providers to enhance documentation and coding accuracy, improving compliance and reducing claim rejections
- Maintain HIPAA compliance and confidentiality
- Analyze billing trends to optimize operational processes
- Perform medical transcription and accurately document patient procedures and physician notes
Patient Financial Services Representative
Monument Health
Rapid City
1996 - 2010
- Processed claims for IHS, Medicaid, and commercial payors, ensuring timely payment.
- Investigated and resolved unpaid or denied claims by coordinating with third-party payers.
- Facilitated financial inquiries and payment options for patients, improving overall satisfaction.
- Reviewed daily reports to identify discrepancies in patient account balances.
Patient Accounts
Medical Arts
Rapid City
1991 - 1996
- Managed patient account inquiries, resolving billing discrepancies to enhance patient satisfaction.
- Verified patient eligibility for services and benefits with insurers.
- Educated patients on their account details and payment options.
- Reviewed monthly aging reports to identify past due accounts and initiate timely follow-up actions.
- Processed vendor invoices through financial software, ensuring accurate record maintenance for auditing purposes.
Education
Associate of Applied Science - Administrative Office Professional
Western Dakota Technical College
Rapid City, SDSkills
- Revenue cycle management
- Insurance verification
- Denial management
- Billing and collections
- Claims follow-up
- ICD-10-CM, CPT, HCPCS Coding
- Endoscopy/Gastroenterology Coding
- Revenue Cycle Analysis
- HIPAA compliance
- Process improvement
- Patient Financial Counseling
- Medical transcription
Additional Medical Experience
38 years of experience in medical coding, billing, transcription, and office administration. Skilled in workflow improvement, reducing claim denials, and maximizing collections.
Timeline
Patient Financial Services Supervisor
The Endoscopy Center, Inc.
08.2010 - Current
Patient Financial Services Representative
Monument Health
1996 - 2010
Patient Accounts
Medical Arts
1991 - 1996
Associate of Applied Science - Administrative Office Professional
Western Dakota Technical College