Experience

Stratus

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Staff Accountant

  • Mar 2020 - Present

  • Prepare journal entries, analyses, and account reconciliations and assist with monthly close processes• Maintain fixed asset schedule• Set up and maintain accruals for expenses• Collaborated with Accounts Payable on invoice coding, payment processing, and invoice audits as required• Daily Cash applications• Directed preparation of documents for audits• Create monthly customer billing summaries and run monthly Accounts Receivable reports

• Collections Specialist

  • Feb 2017 - Mar 2020

  • Researched aged accounts to determine actions necessary for reimbursement including correcting demographic or insurance information, updating diagnosis code/modifier, submitting medical records, claim reconsideration via phone, and developing written appeals• Investigated rejections, denials, and correspondence from designated insurance carriers and performed needed steps to obtain payment• Conducted follow ups to assure resolution of actions and prioritized tasks for timeliness within applicable payer filing limits• Delivered patient customer service regarding account balances, questions, and payments. Examined complaints to identify best solution and escalated to management as relevant• Monitored industry trends and payer policy guidelines for pertinent changes and presented to management with recommendation for strategic resolution• Administered additional accounting support with bank account reconciliations, general ledger entries, created payments for accounts payable invoices, prepared customer aged accounts receivable reports, and oversaw outstanding check list Show less



Intermedix

• United States
• IT Services and IT Consulting
• 200 - 300 Employee

• Research Manager

  • Mar 2016 - Feb 2017

  • Supervised team of 18 and responsible for hiring new employees, performance reviews, performance counseling, conflict resolutions, terminations, timecards management, etc.• Administered weekly/monthly reports and checked staff completion in accordance with company procedures• Communicated with Director weekly on findings of trends analysis with suggestions for strategic solutions• Monitored Standard Operating Procedures to ensure in line with departmental policies. Updated with changes and new procedure implementation to promote streamlined collection process • Conducted monthly individual and team meetings with staff to discuss issues • Developed training program for team of 6 offshore employees including preparing training material, hosting WebEx training sessions, auditing work performed, and tracked designated inventory Show less

• Research Coordinator

  • Jun 2015 - Mar 2016

  • Collaborated with manager on day to day workflow optimization and delegated high priority tasks • Conducted new hire training and refresher training for existing employees. Organized interdepartmental cross training program to ensure coverage for inventory fluctuations• Settled escalated patient complaints via phone call or mail communication. Communicated with collection agency to handle credit reporting disputes and made decisions for account withdrawals in accordance with departmental guidelines • Mentored staff to help improve production efficiencies and positive environment . Worked one on one to facilitate employee goal achievement• Assumed manager role and responsibilities when manager was out of office Show less

• Billing Specialist

  • Jun 2014 - Jun 2015

  • Prepared daily EDI files for submission to clearinghouse and patient statement files to vendor. Maintained spreadsheets for reporting and reconciliation of all file submissions• Researched payer EDI requirements and worked with software programmer to complete system modifications in accordance with ANSI ASC standards • Created detailed manual with step by step instructions for each component in billing process. Trained another employee for back up• Implemented efficiencies in billing process to permit time for help with additional assignments and support accounts receivable specialist inventory overflow• Nominated multiple times by manager for Quarterly Employee recognition for meritorious performance Show less

• Account Receivable Specialist

  • Jun 2012 - Jun 2014

  • Researched accounts to discover actions necessary for reimbursement including correcting demographic or insurance information, reconsideration via phone, and composed written appeals• Completed monthly delegated aging reports within set time frames and reported identified trends to management. Contributed to organizing payer projects on bulk denial issues• Processed all Medicaid and Medicaid HMO payer accounts for 15 assigned hospitals• Nominated multiple times by manager for Quarterly Employee recognition for meritorious performance Show less



CBIZ Medical Management Professionals Inc

• United States

• Accounts Receivable Specialist

  • Jun 2003 - Jun 2012

  • Researched accounts to determine actions needed for reimbursement including claim corrections as applicable, checking status, submitting appeals, and ensuring timely follow up for payment • Greeted patients in office and answered incoming customer service calls to resolve issue(s) including processing patient payments and setting up payment arrangements • Reviewed for claim closure on all government payers including Medicare, Medicaid, and Tricare. Cross trained on Commercial/Managed Care payers to serve as back up when needed Show less