Robin Webb
Healthcare Claims Investigator
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About
Results-driven Healthcare Revenue Cycle and Claims Management professional with extensive experience in patient accounts, claims investigation, revenue recovery, billing compliance, and staff development within hospital and academic healthcare environments. Proven ability to maximize reimbursements, resolve complex insurance denials, improve operational efficiency, and lead cross-functional initiatives that strengthen revenue cycle performance. Recognized for recovering significant revenue, implementing process improvements, developing comprehensive training programs, and maintaining strict regulatory compliance across Medicaid, Medicare, commercial insurance, and HIPAA standards.
Experience
Healthcare Claims Investigator - NYCHHC / Kings County Hospital Center - Brooklyn, NY
(2018-08)
- Investigate complex insurance claims to validate coverage, secure retroactive authorizations, and maximize reimbursement.
- Research denied claims and prepare comprehensive appeal packages with supporting documentation, increasing successful overturns.
- Communicate directly with commercial carriers, Medicaid, Medicare, and managed care organizations regarding claim status and reimbursement.
- Assess patient and sponsor financial responsibility and initiate appropriate billing and collection activities.
- Accurately enter, verify, and maintain insurance, demographic, and billing information while ensuring HIPAA compliance.
- Monitor accounts receivable reports to identify denials, payment trends, adjustments, and recovery opportunities.
- Collaborate with internal departments to resolve billing discrepancies and improve reimbursement outcomes.
Customer Service Manager - AHRC NYC – Brooklyn Employment & Business Services - Brooklyn, NY
(2017-06 - 2018-05)
- Managed customer service operations supporting individuals with developmental disabilities, families, employers, and community partners.
- Maintained and audited OPWDD documentation to ensure regulatory compliance and quality assurance standards.
- Tracked attendance, billing hours, employment outcomes, and service documentation for more than 50 participants.
- Coordinated employment placement activities with Account Executives while monitoring participant progress.
- Conducted job readiness workshops and community outreach initiatives.
- Generated operational reports using Wildwood Cloud and Microsoft Excel.
Senior Patient Accounts Assistant (Supervisory) / Patient Accounts Billing Assistant - New York University College of Dentistry - New York, NY
24 years
- Supervised patient accounts operations and advised clinical departments on billing, collections, and revenue cycle best practices.
- Trained, coached, and onboarded billing personnel on departmental workflows, Dentrix Enterprise, and insurance processing procedures.
- Authored departmental policy, procedure, and training manuals that standardized operations across multiple clinics.
- Processed high-volume dental claims involving Medicaid, managed care, Medicare, and commercial insurance.
- Led successful recovery of more than $250,000 during New York State OIG Medicaid audit
Independent Healthcare Billing Consultant - Various Dental Practices
(2008 - 2009)
Weekend Contractor
- Recovered more than $50,000 in outstanding insurance claims within four months.
- Established office billing systems and streamlined claims submission processes.
- Managed provider credentialing and insurance enrollment activities.
- Trained office staff on billing procedures, insurance follow-up, and revenue cycle best practices.
Education
Bachelor of Science - Healthcare Management (Community Health) (Incomplete – Eight Credits Remaining) - New York University
Associate in Applied Science - Healthcare Administration - New York University
