Director of Revenue Cycle Optimization

• Jan 2022 - Present

Director of CBO

• Jul 2020 - Dec 2021

Director of RCM (Pro Fee)

• Jun 2018 - May 2019

Business closed Business closed

Manager of Revenue Cycle Systems/IT Dept (Business Closed)

• Jan 2017 - May 2018

* Manages all revenue cycle functions related to registration and referrals, billing and coding, A/R follow up, statements, payment posting, credit/refund research, etc. * Prepares monthly, quarterly and fiscal billing reports, monitor reimbursement and denial trends, investigate revenue cycle problems and formulates solutions. * Create and maintain professional and facility CDMs annually and make coding changes as needed * Analyze claim denials and identify solutions to increase cash and decrease A/R days * Verify and set up all directories and work files in the revenue cycle systems and applications * Assist JV partner with build, mapping,interfacing and testing of systems and clearinghouse * Confirm receipt of 835 and 837 files and troubleshoot as needed * Assist HIM and coding department to ensure charge capture and revenue integrity * EPIC Credentialed trainer for CBO staff

Certified Medical Coder II

• Feb 2014 - Jan 2017

Certified Medical Coder Provider education on proper documentation Account Manager for an Intensivist group of physicians and Nurse Practitioners Certified Medical Coder Provider education on proper documentation Account Manager for an Intensivist group of physicians and Nurse Practitioners

System Coordinator

• Nov 2011 - Feb 2014

* Performed billing for two LTACs and one Outpatient clinic * Solely responsible for all Medicare claim submissions for seven facilities * Reviewed coding for clinic * Collect and appeal aged accounts as needed * Increased monthly revenue for two of the lowest producing facilities * Trained new billers * Assisted CFO and Director of the CBO on Medicare reporting * Performed billing for two LTACs and one Outpatient clinic * Solely responsible for all Medicare claim submissions for seven facilities * Reviewed coding for clinic * Collect and appeal aged accounts as needed * Increased monthly revenue for two of the lowest producing facilities * Trained new billers * Assisted CFO and Director of the CBO on Medicare reporting

Billing and Collections Manager

• May 2009 - Sep 2010

* Oversee 10 revenue cycle employees * Assist and balance daily charges, payments and adjustments * Prepare month end reports for the CFO * Upload statements files monthly to an outside vendor for mailing * Assist with state reporting * Monitor trends in reimbursement and compare to our contracts * Ensure charge capture * Update fess schedules annualy * Reviewing coding and denials * Monitor changes in NCD,LCD and CCI edits * Oversee 10 revenue cycle employees * Assist and balance daily charges, payments and adjustments * Prepare month end reports for the CFO * Upload statements files monthly to an outside vendor for mailing * Assist with state reporting * Monitor trends in reimbursement and compare to our contracts * Ensure charge capture * Update fess schedules annualy * Reviewing coding and denials * Monitor changes in NCD,LCD and CCI edits

Business Office Manager

• Jul 2007 - Aug 2008

* Oversee 17 revenue cycle employees * Troubleshoot day to day functions * Balance daily charges, payments and adjustments * Monthly chart audits * Prepare month end reports for the CEO and JV partners * Process payroll and benefits for 100+ employees * Assist with state reporting * Monitor key trends in reimbursement and revenue cycle, KPIs * Oversee 17 revenue cycle employees * Troubleshoot day to day functions * Balance daily charges, payments and adjustments * Monthly chart audits * Prepare month end reports for the CEO and JV partners * Process payroll and benefits for 100+ employees * Assist with state reporting * Monitor key trends in reimbursement and revenue cycle, KPIs

Practice Administrator

• Jan 2004 - Jul 2007

* Oversee and troubleshoot day to day functions on the office and clinical sides * Assist the billing and front office staff as needed with insurance verifications and authorizations * Credentialing and contracting * Prepare month end reports for the physicians and accountant * Responsible for staff management and evalutaions * Ensure OSHA,HIPAA and clinical compliance * Maintained CLIA enrollment and certifications * Three office practices in Sugarland, Houston and Rosenberg