Vanessa Wyatt
Medical Billing & RCM Services
Profile
I help OB/GYN's maximize revenue, reduce claim denials and enhance patient satisfaction with efficient revenue cycle management.
Vanessa Wyatt
Early in my career as a Medical Assistant, I observed how the financial aspect of patient encounters could be overwhelming. Patients often brought in billing statements, confused about charges. This motivated me to pursue patient financial services, aiming to alleviate the stress caused by unresolved medical bills.
While working, I recognized the need for Spanish billing representatives and dedicated myself to bridging the language gap between patients and third-party payers. With 8 years of experience, I ventured into entrepreneurship in 2020. Despite initial challenges, I’ve successfully onboarded multiple providers in Florida and Ohio.
Specializing in OB-GYN, I offer unique, delightful, and simple solutions to both patients and providers. In Accounts Receivable (AR) management, I consistently exceed provider expectations. We code and submit medical claims accurately and promptly, ensuring success in reimbursement from third-party payers.
I strive to maintain the financial health of medical offices, assisting patients with questions about billing statements.
Resume
Education
Certified Physician Practice Manager-AAPC
2022
- Practical applications related to healthcare organizational culture, interrelationships and transformation – all to create the right environment for patient care.
- Managing the revenue cycle, understanding the compliance regulations, human resources, health information, and general business processes.
- Understanding of insurance
Tiffin University
Business Administration Bachelor's Degree
2022-Current
- Practical applications related to healthcare organizational culture, interrelationships and transformation – all to create the right environment for patient care.
Stautzenberger College
Business Administration Associate's Degree
2021
- Gain advanced knowledge of computer systems and common programs.
- Strengthen your decision-making and business communications skills.
- Business focus course work on marketing, accounting, strategic planning and digital communications.
Professional Skills Institute
Medical Billing and Coding Diploma Certified (NHA)
2018
- Process and transcribe diagnoses, treatments and patient procedures.
- Standardize payer codes for government and commercial reimbursement.
- Work as part of a team to meet medical reimbursement cycle goals.
- Act as a key liaison between providers and insurers.
Employment
Westar OBGYN
Medical Billing Specialist Columbus, Ohio
06/2023 - CURRENT
- Data Entry, verify coding ICD-10 diagnosis is corrected prior to submitting claims, Prepare and submit medical claims to third party payors
- Bill out charges NST, Sono’s Vaginal and C-Section Deliveries, Split deliveries, In house procedures, and surgeries
- Verify benefits via multiple provider online portals Availity. Navient etc.
- Knowledgeable of insurance rejection codes and the process of resubmitting to the third-party carriers
- Work buckets holds denials, follow up with third party carriers, call insurance companies to follow up on denied claims
- Knowledgeable of the process of posting self-pay payments, make the proper adjustments on the claims, collection
- Understanding of the medical preventive coding and benefits
- Accessed patient’s information through
a variety of office software applications - Coordinated between patients and healthcare professionals to meet patients’ needs
Women's Care OBGYN
Bilingual Billing Specialist Winter Park, Florida
11/2022-05/2023
- Responsible for developing systems to make sure all current patients are up to date with financial information and in compliance with requirements to ensure full and timely payment reimbursements to WCE.
- Verified Maternity Global Benefits (Professional) through insurance portals examples Availity (Aetna, BCBSF, UHC) contacted insurance companies via telephone to also confirm benefits, created an ob patient financial statement/package.
- Scheduled appointments with our ob patients through the week and met with each ob patient to explain their maternity benefits for the delivery, labs and sono’s. And answer any questions or concerns.
- Verified next day ob appointments made sure insurance was active. And all deductible, coinsurance and copays were paid up to date.
- Assited with billing the vaginal delivery claims.
- Also, I had an open-door policy helped our walk-in patients. With billing assistance.
- Assisted with the new ob transfers into the office and out of the office (billing and patient responsibility)
- Documenting all calls and actions taken in each of our client’s practice management system.
- Resolving daily patient correspondence.
- Collaborating with Account Managers to properly handle patient inquiries.
- Establishing and maintaining relationships with client staff to resolve patient issues.
- Posted patients payments through the ECW software daily.
Coronis Health
Bilingual Patient Financial Service Representative
Orlando, Florida
4/2021 - 11/2022
- Responsible for answering inbound daily telephone calls within Patient Accounts – Customer Service department, a cross-functional department supporting all areas of Revenue Cycle.
- Documenting all calls and actions taken in each of our client’s practice management system.
- Resolving daily patient correspondence.
- Assessing patient needs and guiding patients through medical statement resolution, including interpretation of statements, establishing payment plans and accepting payments following all proper policies and procedures.
- Collaborating with Account Managers to properly handle patient inquiries.
- Establishing and maintaining relationships with client staff to resolve patient issues.
Meeting PSC goals specific to abandonment rate, call volume, call handle time and daily call percentage. - Assist *Spanish speaking* patients calling in from states of Ohio, Texas, Florida and Delaware.
ProMedica
Customer Service Representative
Toledo, Ohio
03/2016 - 12/2018
- Assisted patients with processing payments, applying medical insurance, and went over explanation of benefits (EOB) from various insurance providers.
- Helped patients with financial assistance process and applied adjustments and credits.
- Answered incoming patient calls regarding billing issues, services, and general patient concerns.
- Averaged over 70 calls a day, 350 calls per week, and spent about 3.20 minutes with an abandonment rate of < 1.3%.
- Assisted *Spanish speaking* patients.
APS Medical Billing
Bilingual Customer Service Representative
Toledo, Ohio
07/2014 - 10/2016
- Answered an average of 140 calls per day, addressing customer inquiries, solving problems and providing a great customer service experience.
- Assisted patients with applying insurance information and filing claims with insurance carriers.
- Integral part of training process for new employees.
- Team lead for the *Spanish speaking* customer service representatives at APS.
Consulting Skills
A Visual Representation of My Skillset
Contact
Contact Information
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