EMMA CONGDON
Flourtown
Summary
Qualified healthcare Insurance professional with 5 years of experience in the industry. Committed to helping patients navigate through difficult situations and ensure that they receive the care and services necessary.
Overview
5
5
years of professional experience
Work History
Insurance Processes Associate
R1 Rcm
Fort Washington, PA
06.2024 - Current
- Analyzed performance metrics to identify areas for improvement, driving strategic initiatives.
- Managed a portfolio of healthcare insurance accounts, serving as the primary point of contact for clients and internal stakeholders
- Analyzed claims, utilization, and enrollment data to identify trends, discrepancies, and cost drivers
- Generated recurring and ad-hoc reports to support client decision-making and internal strategy
- Used data insights to improve operational efficiency and recommend process enhancements
- Streamlined account workflows by identifying inefficiencies and implementing data-driven solutions
Insurance Billing Specialist
R1 Rcm
Fort Washington, PA
12.2020 - 06.2024
- Submitted electronic claims to insurance companies through various billing software platforms and ensured accurate billing for a high volume of patients
- Collaborated with medical professionals to provide integrated care to patients with mental health and physical health issues
- Managed accounts receivable and accounts payable processes using multiple databases to ensure the accuracy and timeliness of payments.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Processed insurance claims efficiently to ensure timely reimbursement and resolution.
Education
B.S. - Health Sciences
James Madison University
Harrisonburg, VA05-2024
Skills
- Cerner Invision/ EHR
- Microsoft Excel
- Meditech
- CPT coding
- Workday
- Smart AR
- Medical billing
- Accounts payable
- Accounts receivable
References
References available upon request.
Timeline
Insurance Processes Associate
R1 Rcm
06.2024 - Current
Insurance Billing Specialist
R1 Rcm
12.2020 - 06.2024
B.S. - Health Sciences
James Madison University