Donna Carson
Springfield
Summary
Results-driven Certified Revenue Cycle Representative with a solid background in patient account management and insurance verification. Known for enhancing billing processes and safeguarding patient information, ready to drive improvements in revenue cycle efficiency.
Overview
10
10
years of professional experience
2
2
Certifications
Work History
Certified Revenue Cycle Representative
Ensemble Health Partners
Blue Ash
04.2025 - Current
- Managed patient accounts, ensuring accuracy in billing and payment processing to facilitate timely reimbursements.
- Ensured compliance with HIPAA regulations regarding the protection of confidential information.
- Verified patient eligibility for coverage prior to submitting claims for payment.
- Reviewed patient accounts for accuracy and completeness, contributing to a streamlined claims process.
- Produced accounting reports and provided targeted recommendations for improving revenue standing.
- Contacted insurance providers to verify patient coverage, enhancing claim submission success rates.
Patient Access Representative
St. John Hospital
Springfield
01.2025 - 04.2025
- Verified insurance details to facilitate smooth patient processing.
- Welcomed patients upon arrival to foster a positive experience.
- Assisted patients in completing necessary forms for registration.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Applied HIPAA privacy and security regulations while handling patient information.
- Collected co-pays and payments from patients to facilitate timely service delivery.
- Verified insurance coverage for services provided by the facility.
- Registered patients through face-to-face interviews to gather demographic, insurance, and medical information for accurate processing.
- Obtained necessary signatures for privacy laws and consent for treatment.
Medical Records Clerk
Regency Nursing & Rehabilitation Centers
Springfield
08.2016 - 01.2025
- Organized and maintained patient medical records in compliance with legal standards.
- Processed requests for medical records from healthcare providers and patients, ensuring timely access to necessary information.
- Maintained confidentiality of sensitive patient information during record handling, safeguarding patient trust and compliance.
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Entered patient data into electronic health record systems accurately and efficiently.
- Monitored and processed requests for release of patient information, adhering to organizational policies and legal guidelines.
- Scanned and validated medical records for upload.
Education
CRCR -
Healthcare Financial Management Association
Downers Grove, IL09-2025
Certified Nursing Assistant -
Lincoln Land Community College
Springfield, IL06-2007
GED -
Lanphier High School
Springfield, IL09-2004
Skills
- Medical billing
- Health information management
- Insurance verification
- HIPAA compliance
- Compliance assurance
- Epic charting
- Patient registration
- Collecting payments
- Managing records
- Data entry accuracy
- Attention to detail
- Customer service
- Communication skills
- Managing records
Certification
Certified Nursing Assistant
Timeline
Certified Revenue Cycle Representative
Ensemble Health Partners
04.2025 - Current
Patient Access Representative
St. John Hospital
01.2025 - 04.2025
Medical Records Clerk
Regency Nursing & Rehabilitation Centers
08.2016 - 01.2025
CRCR -
Healthcare Financial Management Association
Certified Nursing Assistant -
Lincoln Land Community College
GED -
Lanphier High School