Gracelyn York
Summary
Revenue Cycle Specialist skilled in optimizing daily accounts receivable collections and billing, achieving significant improvements in collections, minimizing accounts receivable days, and decreasing bad debt.
Overview
6
6
years of professional experience
Work History
Revenue Cycle Specialist
Acadia Healthcare
Franklin
02.2023 - Current
- Managed updates for patient billing episodes to maintain compliance and accuracy.
- Addressed prior authorization and referral issues promptly to ensure service continuity.
- Maintained thorough documentation of all account activities in required systems.
- Oversaw daily management of clinic emails to improve response time.
- Identified reimbursement discrepancies and escalated them to the manager as needed.
- Collaborated with clinics on sharing benefits, authorizations, and eligibility information.
- Handled weekly billing for all patient claims across various plans effectively.
- Reviewed explanation of benefits to verify correct processing and payment of claims.
Patient Service Specialist
Vanderbilt University Medical Center
11.2022 - 02.2023
- Provides service to patient either pre-appointment, during or post appointment with regular guidance.
- Processes patient insurance and verifies coverage.
- Conducts patient check-in and check-out.
- Schedules appointments.
- Provides positive first impressions utilizing customer service skills.
- Ensures point of service collections.
- Manages reception area, maintains orderly appearance of reception area; ensures method for accountability of each patient check-in; proactively communicates appointment updates with patients.
- Proactively communicated appointment updates to enhance patient experience.
Intake/Insurance Coordinator
TRUSTPOINT HOSPITAL
09.2020 - 11.2022
- Facilitated intake, admission, and utilization review processes for incoming patients.
- Verified insurance benefits and communicated findings to patients, families, and staff.
- Scheduled pre-admission assessments and conveyed recommendations to patients or families.
- Ensured completion of referral documentation while maintaining organized filing systems.
- Oversaw pre-admit, admission, and registration information for inpatient and outpatient cases.
- Compiled daily and monthly statistics for admissions, discharges, referrals, and denials.
- Distributed weekly lists of admissions and discharges to relevant stakeholders.
- Pre-admitted patients into EMR/Billing system by gathering demographic, clinical, and insurance data.
Assistant Manager
Circle K
03.2020 - 09.2020
- Greets and assists customers in a positive, approachable manner.
- Answers questions and resolves customer inquiries and concerns.
- Maintains a presence in the store by providing excellent customer service.
- Ensures a clean, well-stocked store for customers.
- Supervises, trains, and develops Store Associates on operating practices and procedures.
- Assisted in unloading all merchandise from delivery truck, organizes merchandise, and transfers merchandise from stockroom to store.
- Assisted in ordering merchandise and record keeping to include payroll, scheduling and cash register deposits and receipts.
- Assumed certain management responsibilities in absence of Store Manager.
- Follows all Company policies and procedures.
Education
High School Diploma -
Cane Ridge High School
Antioch, TN01-2019
Skills
Salesforce and HMS proficiency
Insurance verification and patient registration
Multitasking and time management
Problem solving and critical thinking
Communication skills
Organizational abilities
Phone handling expertise
Detail-oriented with strong organization
Multi-line phone system experience
Benefits verification and claims processing
Timeline
Revenue Cycle Specialist
Acadia Healthcare
02.2023 - Current
Patient Service Specialist
Vanderbilt University Medical Center
11.2022 - 02.2023
Intake/Insurance Coordinator
TRUSTPOINT HOSPITAL
09.2020 - 11.2022
Assistant Manager
Circle K
03.2020 - 09.2020
High School Diploma -
Cane Ridge High School